Breast reduction swelling and bruising are an expected part of the healing process after breast reduction surgery. Whether you’re preparing for the procedure or are already in recovery, understanding how and why these changes occur can help you feel more informed and prepared for your journey.
A reduction mammoplasty surgery typically involves removing excess breast tissue, skin, and fat to reduce the size of the breasts. It’s a surgery that works on multiple layers of tissue, and the nature of this process means that swelling and bruising are a natural response to the body’s healing.
Understanding why swelling and bruising happen, how they typically progress, and how you can manage both of these symptoms during your recovery can be greatly helpful.
Why swelling and bruising occur after a breast reduction procedure
Swelling and bruising after breast reduction occur as part of your body’s normal healing response. The swelling occurs as the body sends extra blood and fluid to the area as part of the repair process. This increased fluid causes the tissues around your chest to appear swollen, particularly in the first few weeks after surgery.
Bruising, on the other hand, is the result of blood from small broken blood vessels pooling under the skin. During surgery, even with careful techniques, minor blood vessel damage can generally be expected. Bruising will often be most noticeable in areas closest to your incisions but may spread slightly to surrounding areas.
Both swelling and bruising are temporary, but they can vary in intensity from person to person depending on factors like the extent of the surgery, your body’s healing speed, and how well you follow your aftercare instructions.
What to expect in the first few days of your recovery
In the first few days after surgery, breast reduction swelling and bruising tend to be at their peak, and it’s normal for your breasts to feel firm, tight, and slightly tender.
Swelling may extend to the sides of your chest and in some cases, even to the upper abdomen. Bruising will usually start out darker, before gradually lightening as it begins to fade.
To help manage swelling during this initial stage, you’ll likely be advised to wear a post-surgical bra or compression garment. These are designed to provide gentle support to the breasts, helping reduce fluid buildup. Keeping your upper body slightly elevated while resting or sleeping can also help to reduce swelling.
Swelling and bruising as your body heals
Swelling and bruising will gradually subside over the weeks after your surgery. However, the speed will depend on the extensiveness of your breast reduction and how well you individually heal.
While the majority of the swelling will have subsided by a couple of months after your procedure, some residual swelling can take more time to completely subside. Once the swelling has fully subsided, for most patients, the final shape and size of their breasts become fully apparent by around six to 12 months.
How to manage swelling and bruising effectively
There are a few steps you can take to help manage swelling and bruising after your breast reduction. One of the most important is keeping your post-surgical bra on as instructed, as this will provide continuous support and minimise unnecessary movement.
Cold compresses can also be helpful in the initial days, as they reduce inflammation and help with any discomfort caused by swelling. However, they should only be applied to areas where there are no open wounds or incisions, and you should follow your surgeon’s advice about how long and how often to use them.
Avoiding strenuous activity and heavy lifting is important during the early stages of recovery. These activities can increase blood flow to the chest, potentially worsening swelling or causing additional bruising. Instead, focus on gentle movements, like light walking, to support good circulation and gently aid in your body’s healing.
Signs of abnormal swelling or bruising to look out for
While some swelling and bruising are expected, it’s important to know the difference between normal post-surgical changes and signs that may require medical attention.
For example, significant asymmetry, excessive swelling that worsens rather than improves over time, or areas that feel unusually hard or hot to the touch, could indicate complications such as a haematoma (a collection of blood), or infection.
Similarly, while mild bruising is common, very large or spreading bruises may need to be assessed to ensure that there isn’t any underlying bleeding issue. If you’re ever unsure about what you’re experiencing, it’s always best to get in touch with your surgeon for advice.
When swelling and bruising will completely subside
It’s natural to want to see the full results of your surgery as soon as possible, but patience is key.
Post-breast reduction swelling and bruising are temporary, and your body will continue to heal and settle over the months after your surgery. It’s hard to determine when exactly bruising and swelling will subside, but typically, most patients will have reached their final stage of healing by 12 months, with minimal swelling and scars that continue to fade over time. Your body’s gradual natural healing process will mean that you will be able to slowly see the results of your surgery.
If you’re considering reduction mammoplasty surgery, choosing the right plastic surgeon will help you to navigate your recovery after surgery. You should look for a surgeon who prioritises clear communication and takes the time to provide you with personalised advice throughout the process.
Organise your breast reduction consultation with Specialist Plastic and Reconstructive Surgeon Dr Perron
With the desire to provide each patient with personalised care in a comfortable environment, Specialist Plastic and Reconstructive Surgeon Dr Justin Perron is highly experienced in performing a variety of breast procedures, including reduction mammoplasty.
Based in Brisbane, Dr Perron can discuss your needs and expectations for a breast reduction during a consultation. He can also discuss how you can support your body during recovery, including how to manage swelling and bruising.
To book your consultation with Dr Perron in Brisbane, please get in touch with our team.
