It can be difficult to differentiate between the two. Early on there is likely a little of both and as you heal both should improve. Swelling that starts later on in the recovery, months after surgery, is much more likely to be seroma as opposed to swelling.
All the best,
Of all the augmentations I've done I've never seen a seroma. I guess it is possible if the aug was done subglandular but I doubt it. See your surgeon for a real evaluation.
In term of the implants falling. I have all of my augmentation patients wear a bra that has a strap that goes over the breasts forcing them to fall. I have patient wear this bra for 3 weeks after the surgery. I have never had implants not settle with this bra. Without it they can continue to ride high. Ask your surgeon for one or buy one off the internet.
It may be difficult to tell by physical exam alone. If there is a concern, an ultrasound may be helpful. The question would become, what to do with it? The numbness is more likely due to surgery.
See you plastic surgeon for an evaluation
If your swelling is asymmetric or more on one side than the other, you should make an appointment with your plastic surgeon. It is not uncommon for one implant to settle at a different rate than the other and usually time and or massage will help this. An ultrasound would be a helpful study if your plastic surgeon is concerned about a seroma forming.Take care.
You'll need an exam to distinguish seroma from swelling
Without examination, at this stage it is not easy to say. Your surgeon might be willing to order ultrasound, but hopefully after exam, with or without ultrasound, that could be differentiated.
Implants and swelling vs seroma?
At 2 weeks, it may difficult to tell. Is the squishy sensation the saline implant? If it is gel implant than it is a different story. It is best to be evaluated by your surgeon. He may wan to get an ultrasound to be sure.
Swelling Following Breast Augmentation
It's unusual to encounter a seroma following breast augmentation surgery. Furthermore, it's difficult to differentiate routine swelling from seroma formation with a physical examination. For this reason, ultrasound studies are probably necessary to confirm the presence of a seroma following breast augmentation. Fortunately, this is an unusual complication.
Patients undergoing breast augmentation can anticipate significant swelling in the immediate post-operative period. This swelling resolves quickly with the vast majority being gone in about three weeks. Almost all of the visible swelling is gone in 4 to 6 weeks, but small amounts of residual swelling may be present for up to 3 to 6 months following surgery.
Compression bras and dressings are frequently used following breast augmentation to minimize swelling. Swelling can add to a patient's post-operative discomfort. It can also increase anxiety regarding breast size immediately after surgery.
For these reasons, we feel it's important for the patient and the surgeon to have good communication regarding this topic immediately following surgery. In this situation, a little reassurance can go a long way towards making this a more comfortable experience.
Usually, any sudden changes in your breast shape are usually indication of something not quite right. If the puffiness occurred recently, then it may be a seroma. You should see your surgeon if you're worried because it should be examined in person.
It takes about 4 months for the breasts to look more natural.
Seroma is a condition involving the collection of clear tissue fluid around the implant that may need to be drained, although it could be absorbed by your body. Either way, you should see your surgeon just in case.
Seroma or Swelling after breast implant augmentation
Your plastic surgeon is the best person to distinguich a seroma from swelling in the early post-operative period.