One breast soft without pain, the other hard with pain.

On 3/13/14 I had a breast augmentation. I have silicone implants (275cc), placed under the muscle, and inserted in the crease of my breast. Since the day after surgery, my right breast has been more painful and a substantial amount firmer and a bit more swollen. I have no pain at all in the left breast at all, if it weren't for my scars you wouldn't be able to tell I had the surgery. But I'm worried about my right breast because if I lay flat, it feels like a hard ball in there. Is that normal?

Doctor Answers 4

One breast soft without pain, the other hard with pain

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It is still quite early into your healing and it's not uncommon for #asymmetry as each breast heal quite differently. One breast may swell more, feel more uncomfortable, or have a different initial shape. After complete #healing, they will be more similar and natural.

#Healing will continue for 2-3 months for the early period. This includes some swelling, bruising, malposition, color differences. Sensation may also be abnormal and scars will be evolve. Your doctor may require you to move or #massage the #implants within the breast pockets during the postoperative period. However, textured implants do not require breast massage. You will be informed about this at your post-operative visit.

You should avoid heavy lifting and strenuous #activity for six weeks following your #BreastSurgery. You may, however, do normal activities at any time if they cause no pain or #discomfort. Let your body tell you what you can or cannot do. Aerobic exercise will raise your blood pressure, which could cause late bleeding and harm your result. Once you begin exercising again, start gently and let your body tell you what it can tolerate. Don’t rush!! It may require the full 6 weeks before you can do any upper body work-outs, yoga, etc. If you have concerns about your healing, or pain, such as chest pain,it is important to call your plastic surgeon to discuss these further, and you may need to be examined.

Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews

Breast pain after surgery

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Each breast will respond a bit  differently to implants. One may hurt more than the other. If the breasts are markedly different in size then I would be concerned with a hematoma.  Best to always review with your surgeon.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Breast augmentation post op

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You know, for a submuscular breast augmentation, the left side is really the more unusual with no swelling or discomfort this soon out from surgery.  I often see asymmetry in healing and swelling after breast augmentation and most of the time it  evens out given a few weeks for the slow side to catch up to the "fast healing" side.  That being said, rarely it is due to bleeding around the implant or fluid, and if that is the case, the right side should seem larger than the left as well.  If you were my patient I would want to see you to make sure there was not a problem.  And your surgeon can tell by exam if it's just swelling which will resolve on its own, or if there is a problem that needs to be addressed.  If both sides would just behave the same way it would save a great many women a lot of worry, but they usually differ, at least a little.  Good luck!

Melinda Haws, MD
Nashville Plastic Surgeon
4.8 out of 5 stars 48 reviews


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There are a number of different reasons that could explain this, if you are right handed and stronger on that side it will be more painful because you have to cut through a bigger muscle or you could have a fluid collection and possible a bleed though likely small. I would suggest icing and using your meds!

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