Swelling 2 weeks post op double incision/nipple graft, Chest Masculinization Surgery FTM. Should I be concerned?

Question

I was bumped in the chest about 2 weeks post op ftm top surgery. I have noticed new swelling in my chest. The swelling is along the lower peck near the incision lines. When i put pressure on my chest the fluid moves around. Is this something I should be concerned with? Should the swelling go down in a few days? My chest is sore but that's it.

Richard A. Bartlett, MD · Answer

Dear mnorrie2018, 
Thank you for your question. It seems like you may have an acute fluid accumulation, however it is not possible to tell without seeing you in person. Please set up an appointment with your Board Certified Operating Surgeon. Best of luck to you!

Paul M. Steinwald, MD · Answer

. . . which may or may not be related to that minor trauma (did you have drains to start?) If heavily bruised/lumpy or more painful, may be a hematoma (blood collection). Either way, would use relatively round-the-clock compression, and have your surgeon see it sooner than later; s/he may be able to tap it before it gets bigger, more uncomfortable or increases your risk for infection.

Babak Dadvand, MD · Answer

Hi,Thanks for the post but it would be easier to address your concerns with photos. It may be a seroma or hematoma. I recommend that you be evaluated by your plastic surgeon to get a diagnosis and treatment if necessary. Sincerely,Dr. Dadvand

Anthony J. Wilson, MD · Answer

Thank you for your question. It appears as though you may have serums. You should contact your surgeon as soon as possible to have these drained. This is a quick in office procedure. Your surgeon may leave drains in place. Your surgeon may also suggest that you leave significant compression for several days following removal of fluid.

Chris Porter, MD · Answer

It sounds like you have a seroma which is a build up of wound fluid in the pocket where the breast tissue used to be. This is not uncommon after FTM surgery and it is easy for your Plastic Surgeon or Nurse to aspirate away the fluid. This is well tolerated and just like a blood test really. I would get this sorted now to relieve any discomfort and promote your healing, all the best.

Swelling 2 weeks post op double incision/nipple graft, Chest Masculinization Surgery FTM. Should I be concerned?

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