swelling

Q: One Week Post Op Breast Augmentation..complications

Submitted by Q-A from clee on Sun, 05/15/2011 - 11:17

On 5/11/11 I had breast augmentation, under the muscle thru the armpit. The day after surgery I noticed the right breast was significantly more swollen/higher than the left and deep purple bruising appeared down the entire right side of my torso to my hip area. Three days after surgery a "new" bruise with slight lump appeared under the right breast and bruising has spread under the breast. Have seen my PS and he put me on muscle relaxers and icing every hour with follow up on 5/23/11. Normal?

A: Submuscular placement esp via axilla is more painful

Submuscular implant placement especially through the axilla is more painful with high degrees of swelling and bruising as the lower portion of the pectoralis often must be bluntly dissected in "blind" fashion to obtain an adequate pocket. It is not uncommon to have muscle spasms, pain, and more bruising than with the more direct approach with other incisions. This may take several weeks to improve.

Q: Breast Explantation Due to Intracapsular Rupture with Fluid Build

Submitted by Q-A from clee on Sat, 05/14/2011 - 09:07

fluid build up in my right breast, ultrasound showed there is a thick film of capsular around my implant. Look swollen but no pain. I went to 2 surgeons, one said to remove implant without removing any capsules nor stitch up the implant pocket. While the other one will remove all capsules, stitch up pocket.

My implants are under the skin and they're saline. I have them for 7 yrs. Which one should i go with? Will the fluid goes away so i can leave them in since I have no pain? Please advise.Thx

A: Not really understanding some points...your clarification necessary

You mentioned that you have saline implants for 7 years, yet they are ruptured with fluid and swelling. Saline ruptures lead to deflation and their treatment is by replacement usually with assistance of the manufacturer provided the parameter of the warranty are followed.

Silicone is a different matter. 7 years ago there was a moratorium on their placement. Ruptures silicones should probably be removed.

If you are having exchange of implant, then either a pocket exchange or capsulectomy would be wise since the capsules are thick according to your imaging studies.

Q: How Swollen Will I Be After Breast Augmentation?

Submitted by Q-A from clee on Fri, 05/13/2011 - 14:57

I am a 20 year old college student and after the spring semester I plan on having both breast augmentation (smooth, round, saline under the muscle, inserted through nipple) and septo rhinoplasty (he will be breaking the bones). Two weeks later summer school starts and I'm wondering if I will look like a wreck when I go back to school with only a 2 week recovery.

A: Your breasts should look good by the time you return to school

Your breasts should look good by the time you return to school. The nose might be more of a problem with swelling and bruising. However, with your clothing over your breasts (even if bruised) your new figure should show beautifully.

Things to know... definitely more painful when placed under the muscle so you might want to avoid gym at beginning of the semester.... with clothes off, your breast bruising still might be noticeable for several weeks into school.

I have attached some of the details to expect with tips on healing at informational website. Hope you find it helpful.

Q: Strattice Breast Augmentation Revision: Uneven and Bumpy

Submitted by Q-A from clee on Fri, 05/13/2011 - 07:45

I am two days post of from a breast augmentation revision. I went from approx 400cc saline under muscle to 375 silicone moderate profile plus under muscle.
Strattice was used laterally and i think underneath as well (the old implants had shifted into my armpits.)
I'm 5'1 99lbs. I have drains too. The outsides, by my armpits, have a concave indentation in them, and it's swollen under my armpits in an uneven way.From front view they look uneven and one almost saggy?? I'm a little concerned.

A: Too early to worry following breast implant revision

Revision breast surgery especially attempts to control pocket with implanted materials is substantial surgery that will swell and undergo many changes over the following weeks to months. Two days is too early to be concerned.

Q: Is it Normal at This Stage to Feel my Breast Implants Moving Inside of Me?

Submitted by Q-A from clee on Fri, 05/13/2011 - 07:41

I am 17 days out BA Surgery Texture Silicone Cohesive gel implants w/submuscular incision.In my right breast I can feel my breast implant moving seems like a downward position. I am not in pain could it be my muscles or body fluid and not the implant it feels weird I can say that my breast look my great.

My left breast is a bit softer than my right and looks as if the swelling has minimized but my left implant is stl firm what does that mean?I  hear about the implant has to settle are those sign of settling?

A: Feeling of implant movement is not a sign of its movement

The "feeling" of implant movement is not an actual sign of movement. Most textured implants are adherent to the pocket wall soon after surgery. This may occur by 5-10 days after surgery. Real movement of a textured implant weeks after surgery would be a significant concern because of the associated risks of fluid collection around the implant. It might be wise to revisit your surgeon to have some reassurance.