1.5 years post op breast augmentation suddenly my right breast has doubled in size?

Had an ultrasound and have found out that my right breast has a lot of fluid around my implant has anyone expirensed this before? Is it normal?

Doctor Answers 6

Swelling after breast augmentation

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Hi J,

This is not normal, and is called a late seroma. You need to get this checked by ultrasound and some of the fluid sent for lab analysis. The ultrasound should try to remove as much of the fluid as can be done. Sometimes this fixes the problem, but you need to see your surgeon for a full assessment and management. If the fluid persists then unfortunately surgery is likely to be necessary.

Regards, Dr Steve Merten, Sydney 

Need US guided aspiration

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You need to undergo US guided needle aspiration with the fluid being sent to cytology.  Return to your plastic surgeon for evaluation.

Ethan Philpott, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 20 reviews

Late seroma after breast augmentation

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Hi. By definition, you have  a "late seroma" - fluid around the breast implant. I would suggest that you see your surgeon and have them evaluate you in terms of both the possible cause, and the management there-of. Some of the fluid will no doubt be aspirated (drawn off) and sent to a lab for further analysis, culture and cytology. Good luck.

1.5 years post op breast augmentation suddenly my right breast has doubled in size?

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This is a problem that occurs much more often with textured silicone implants.  Its possible you have a double capsule.  In my practice I've seen this in about 10 patients over 12 years of practice.  When I look inside the pocket I find two breast implant capsules.  It is important that if you have textured implants that the fluid be sent for cytology.  ALCL (Anaplastic Large Cell Lymphoma), though not a high risk, is a risk and should be ruled out. This topic can be discussed with your surgeon.    

Breast Implants/Breast Augmentation/Anatomic Gummy Bear Implants/ Silicone Implants/Breast Implant Revision Surgery

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I appreciate your question.

I would recommend that you see your surgeon for evaluation at this time.

The best way to assess and give true advice would be an in-person exam.

Please see a board-certified plastic surgeon that specializes in aesthetic and restorative breast surgery.

Best of luck!

Dr. Schwartz

Board Certified Plastic Surgeon



1.5 years post op breast augmentation suddenly my right breast has doubled in size?

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What you are describing sounds like a seroma.  It is very important that you seek an examination and consultation with a board certified plastic surgeon.  Although it is very rare Anaplastic Large Cell Lymphoma can occur and is associated with a seroma.  An MRI exam and plastic surgery consultation is very important.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.