Is this seroma? Should it be drained? I am 3 weeks 4 days post op, breast augmentation, 460cc, silicone.

If you have had acute swelling of your breast, then I suggest you see your surgeon. This can represent a delayed hematoma or a seroma.

Hello and thanks so much for your question and photos. Should you be experiencing sudden swelling 3 weeks post surgery, I would highly recommend contacting your surgeon office right away. Your surgeons office will be more than happy to help you. Good luck!!

If you are having new swelling nearly a month after your breast augmentation, I would suggest you follow-up in person with your Plastic Surgeon. It may be fluid - a seroma - or it could be a delayed hematoma - or blood. If there is fluid in the pocket, then this can affect your implants, and can hasten potential capsular contracture, or even become infected. Follow-up with your Plastic Surgeon for an person examination. Depending, this can either be drained in the office - or you may need to go back to the OR to have it formally washed out (your incision would be partially opened, and the pocket drained and irrigated. Regardless, I would suggest following up this week if able. Best of luck! 

Hello. Thank you for your inquiry and congratulations on your surgery!
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.
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