20 days post op, severe bruising and asymmetry. Any suggestions?

Hello, There are many potential things going on here that can't all be determined by photos, however what is certain is you had more bruising then is considered normal or ideal (no bruising).  Based on the pattern of your bruises, you had bleeding around one or both of your implants, and one or both may have residual blood in the pockets. This is not the best starting point for your breasts but there is not much you can do now but heal.  Alternatively, your surgeon can send you for a diagnostic ultrasound to look for fluid/blood that can be aspirated.After 3 to 4 months, you will get a better idea how things look.  If you are not happy, and if your doctor is not an ABPS certified/ASAPS member surgeon, you may want to have a few consultations with surgeons who are and that specialize in revision breast surgery.Best of luck!

Patient with questions and concerns about "severe bruising and asymmetry" during the early post operative healing process (e.g 20 days post-op) should address those questions directly with the plastic surgeon that performed the operation. 

Hello,If you have a hematoma or collection of blood in one breast you will likely need to have that drained and cleaned out before replacing the implant. Follow up closely with your Plastic Surgeon.All the best

Looks like you may have a hematoma...best to follow up with your operating surgeon again because he may need to take you back to the OR to clean out the old blood. Good luck!

The best advice is to consult your surgeon. Only he/she will know what is exactly going on in the postoperative period. Remember time is the healer. Be patient. The breasts need to heal and settle before judging the result.

be patient as the only thing you can do is focus on healing.  If you have persistent asymmetry when your photos are taken, your surgeon should appreciate this (but sometime they want to hear it from you first) but if not, you must bring up your concerns or it will be assumed that you are happy with results.  Revisions, if needed, can make a difference in your final results.  But at this time, ask your surgeon for instructions on how to improve symmetry and focus on healing.  Your day to judge will come.

Dear laura94, without examining you in person, it is difficult to discern the issue, especially since some bruising, swelling, pain, and asymmetry are common so soon after breast augmentation surgery. However, drastic differences in breast symmetry, notable bruising, bleeding, and pain are all indicative of a hematoma (a solid accumulation of clotted blood), so I would recommend speaking with your plastic surgeon immediately to find out if you do indeed have a hematoma. In the interim, make sure to follow your surgeon’s post-operative instructions, don’t wear tight clothing, and keep the area as clean as possible.