I Am in Severe Pain After my Breast Augmentation - Is It a Hematoma?

Sorry that you are having this type of issue.  We are all at a bit of a disadvantage as the photo you sent does not give a good view.  We also don't know the extent of surgery or what the plastic surgeon did in the operating room.  We also don't know if the doctor has seen you with the current symptoms.  In any case, the plastic surgeon, or whoever is covering for him should be available to you.  If he truly does not want to see you, then it is OK to seek a second opinion from a board certified plastic surgeon.  If all else fails, you can go to the ER, and they will call the plastic surgeon taking call.  BTW, I would call the hospital's ER first and ask if they have plastic surgery coverage for that day.

I am sorry that you are suffering.  You need to call your plastic surgeon again and be seen.  Your picture and description sound like you may have hematoma.

Their may be some miscommunication between you and your surgeon. You say he has washed his hands of it. Is that after seeing you or without any examination for your current complaints? Since you pay for surgery and aftercare at one time if he has not seen you for this complaint and refuses to do so move on -go to the emergency room or find another surgeon. If he/she has seen you and doesn't feel it is a hematoma that is another story. Without having examined or operated on you there is no way for us to know what the problem is from this limited photo.

If your surgeon has seen you but the 2 of you disagree on the severity of the problem that is a different situation. In that case my suggestion would be to ask your surgeon for a referral to a colleague who can reassure you or help your surgeon change his/her mind. Doctors are only human and every one of us is prone to tunnel vision when it comes to our own patients and their results/complications. If there is a problem after surgery it is usually best and cheapest for the operating surgeon to correct it.