Is it normal to experience abdominal bloating 3 weeks post breast augmentation?

Question

I am not taking any pain relievers except the occasional arnica homeopathic, Advil, and even tried diuretics (pamabrom). My breasts always feel so firm, maybe swelling. I have over the muscle cohesive gel implants and started massage 1 week ago.

Martin Jugenburg, MD · Answer

Bloating may be related to painkillers.  If you are still taking those, try to switch to something without codeine to avoid bloating and constipation.  You may also still be retaining water.

Mahmood Kara, MD - Account Suspended · Answer

Hello. Thank you for your inquiry and congratulations on your surgery! It is not uncommon.
It is important to have an in-person medical assessment regarding this issue as it is difficult to determine virtually. Continue to update your doctor in the matter and follow their post-op protocol.
It is important to get cleared by your doctor before engaging in specific physical activity before the 3 month healing period has ended as the healing stage is crucial for healthy results.
It generally takes around 6 months to a year to see your final results. Your tissues will take time to relax and allow your implants to "Drop and Fluff" settling into place. Should a revision cross your mind, it is best to wait at least 6 months to a year before doing so. 
Our tips for recovery following breast augmentation are to wear a supportive sports bra for 3 months post-operative and refrain from lifting anything heavier than 10 lbs for 3 weeks as we don't want any strain at your incision sites. Make sure to keep the area of your stitches clean by cleansing with hydrogen peroxide daily. Showering is encouraged! But, no sitting in water for 2 weeks following surgery (no baths, hot tubs, pools etc.).
Please note that this response does not substitute patient-doctor relationship. We welcome any and all patients seeking advice to come in for a complimentary consultation available for limited time only.
During the COVID-19, we are offering complimentary online consultations as well as in-office consultation with social distancing and masks. Procedure done in-hospital private surgical facility while taking covid-19 precautions. We utilize UV-light to clean the air of viruses and bacteria during our consultations and surgery. We invite you to come in to discuss your options more thoroughly. Please send us an email at info@drkaraplasticsurgery.com with the subject line: "Attention Meagan" and we will be happy to coordinate your appointment!
M.Kara,MD,FRCSC (27+ years experience) - Specializing in 24 hour recovery/ out to dinner breast augmentation in-hospital private surgical facility for your added safety and peace of mind

James Fernau, MD, FACS - Account Suspended · Answer

Hello! I'm sorry you are having these issues. It is more than likely that your medications are causing you to bloat. Your body sometimes goes through abnormal changes after surgery and this can be solved with a healthy diet full of fiber and by taking probiotics daily. Eat a lot of greens, fruits, and veggies. Are you drinking alcohol or taking any other kind of drugs? You must stick to a healthy diet and avoid anything that could cause acidity in your stomach. Consult with your doctor to see why this is happening. It is normal to feel bloated and have gastric indigestion or constipation for the first week or two after surgery but this should subside after a while. However, everyone is different. You might need to just give it some more time.I hope that helps!Dr. James Fernau, M.D.

Brooke R. Seckel, MD, FACS (retired) · Answer

Early during the first 10 days after breast augmentation when taking narcotic pain medications abdominal bloating and even constipation can occur.  4 x 3 weeks I would expect it to be improved.  Please visit to her plastic surgeon for advice.  If postoperative antibiotics were used the normal intestinal bacterial flora may be compromised.  If this is the case probiotics may be helpful.

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