While we are not able to completely rule out a hematoma without an examination the bruising looks not abnormal at this point and is less likely something to be concerned about. A hematoma that is expanding would be the only reason to require emergency surgery and you would have intense pain with persistent pressure and swelling of the affected breast. Hope this helpsJosh Olson MD
Thank you for your question photo. Without seeing both breasts, it is difficult to comment on whether there is swelling on the right side compared to left. Certainly, bruising can be a sign of hematoma, although given the fact that breasts are even and do not seem excessively swollen, it is unlikely that you are having an active bleeding problem. That being said, your surgeon should always be available, or have somebody on call who can answer your question. Certainly, the surgeon who performed the operation is the best source of information regarding your particular situation. I would make a call to your surgeons office to discuss your concerns. Best regards.