1 week post-op saline breast implants. Left side is more swollen, bruised & I can't move my left shoulder? (Photos)

Got BA 7 days ago. 330cc saline moderate. Left side is much more swollen,bruised, can't move left shoulder and arm. The pain is under the breast, feels like brick is stuck under breast!!!! Surgeon said give it time its normal, but I want hear other opinions. I do massage. Should I be worried and seek help????

Doctor Answers 6

1 week post op, some advices:

Thanks for the question.

In my practice, after performing a BA I recommend to my patients to limit the movement of the arms for two weeks. After that, you can move your arms taking care and always with common sense. 
In this regard, it's not advisable to carry heavy weights to prevent the implant out of position, and allow the formation of the physiological capsule around the implant, also to avoid pain and breast swelling. 

Kind regards

Dominican Republic Plastic Surgeon
4.7 out of 5 stars 251 reviews

Implant issue

All your symptoms, and your photos, .suggest that you may have a hematoma in the effected breast....

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 28 reviews


Thanks for your question. There is often some difference between the breasts in terms of bruising. The more bruising, the more swollen the breast is and so feels harder (as you said "like a brick"). This does look like it should settle, but frequent reviews by your surgeon are recommended.

Anthony Barabas, MBBS
Cambridge Plastic Surgeon
5.0 out of 5 stars 19 reviews


Your left side does appear to be more bruised and may have some blood around the implants. If your doctor saw you recently you should be ok to observe the left side. Moving your arm will help the muscle soften up faster as well 

David R. Alfonso, MD, FACS
Grand Rapids Plastic Surgeon
5.0 out of 5 stars 53 reviews

Needs time

More bruising and swelling occurred on the left.

This may be fine, but time will tell.

Good that your plastic surgeon has evaluated you.

Keep up with the followup visits.

Keith Denkler, MD
Marin Plastic Surgeon
5.0 out of 5 stars 18 reviews

Asymmetry after breast augmentation surgery…

Your concerns are certainly understandable. Based on your photographs and description, it is likely that you have experienced some bleeding on the left side.  It sounds like your plastic surgeon has elected to "watch" or follow you closely and allow for the fluid to resorb.  It will be important that you follow your plastic surgeon  on a frequent basis. Best wishes.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,484 reviews

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.