Unevenness, bruising, tightening and some pain, what can be the cause? (Photo)

Thank you for sharing your question and photograph and I am sorry to hear of your recovery difficulties.  Many of your symptoms can be atttributed to the hematoma that occurred as it will cause an increase in tissue swelling, bruising, and in combination with the drain, tightness.  I know it is difficult but you need to allow your tissues time to mature further, and this will take significantly longer than patients who did not have a hematoma.  Maintain close follow up with your surgeon to ensure you go on to heal well.  Hope this helps.

Hi July272018,

I understand your concern and it is quite normal to be concerned about the outcome following a breast augmentation surgery. However, you are still in the early stages of the healing process at 1 week post op.

Your will need to be patient at this moment and follow what your surgeon has instructed you to do post operatively.

At the early stage of the healing process, the tissues around the implants are still swollen. Once the swelling subsides and the implants drop to their final position, you will be able to see the final result of your breast augmentation surgery.

Dropping of implants is part of the healing process and this occurs after the tissues surrounding the implants slowly relax, allowing the implants to settle into their final position. It can take about four to six months for the implant to drop down to their final position. Also, your breasts can drop at different rates.

But if you are still concerned, you can always visit your plastic surgeon and discuss your concerns. This way, you will be reassured. Also, if after six months, you are not satisfied with the appearance of your breast, you can visit your plastic surgeon and discuss the possibility of revision surgery.

Lastly, follow your plastic surgeons post-operative instructions and advice for faster healing and recovery.

Daniel Barrett, MD, MHA, MS

Certified, American Board of Plastic Surgery

Member, American Society of Plastic Surgery

Member, American Society of Aesthetic Plastic Surgery

It is difficult to tell from the picture.  It is normal to have some asymmetry particularly after having a hematoma evacuation.  Be patient as it is very early in your post-operative recovery process.  Keep in close contact with your plastic surgeon.  The swelling, bruising, and asymmetry should continue to improve.  Take care, Timothy A. Janiga MD, FACS