Recovering from a Car Accident: Addressing Uneven Breast Size and Pain - Surgery

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Due to a car accident, I was in a coma, which caused my left hand to press against my left chest. When I regained consciousness and went to buy a bra, I discovered that the sizes were uneven?


I was in a car accident on May 13, 2016, and was in a coma for 17 days before I was moved to a general ward.
I suffered a brain injury, had spider web-like bleeding, and fractured my left arm and leg.
I didn't wake up until July 7, and I spent a total of five months in the hospital, including rehabilitation.
After being discharged, I went to buy a bra, and the sales clerk told me that one of my breasts is larger than the other, with the left being smaller and the right larger.
This discrepancy occurred because I was unconscious during my coma and had my left arm pressed against my left breast, causing pain from the pressure.
This pressure lasted for about a month and a half, which likely caused the asymmetry.

I would like to ask the doctor how I should proceed.
What kind of massage techniques can I use to help restore balance? Should I see a specialist, and if so, which type of doctor should I consult? Additionally, I have an injury to my first lumbar vertebra, for which I have a metal implant that is scheduled to be removed in May of this year.
My primary physician is a neurosurgeon, who is also the one expected to perform the surgery to remove the metal from my lumbar spine.
Thank you, doctor, for listening to my concerns and providing answers.

Luó, 20~29 year old female. Ask Date: 2017/04/02

Dr. Li Zhonghuai reply Surgery


Hello! It is recommended to address the lumbar spine issues first before dealing with the breast concerns.
Without knowing the size difference of both breasts prior to the injury, I cannot provide a comment.
Take care! Changhua Hospital is concerned about you!

Reply Date: 2017/04/02

More Info


Recovering from a car accident can be a complex and multifaceted process, especially when it involves physical injuries that lead to changes in body structure and function. In your case, the uneven breast size and pain you are experiencing may be related to the prolonged pressure on your left chest area during your recovery from the accident. This situation can arise from a variety of factors, including muscle atrophy, changes in tissue elasticity, and even psychological factors related to trauma.

Firstly, it's important to understand that after a significant injury, such as the one you experienced, the body undergoes a healing process that can sometimes lead to asymmetries. In your case, the pressure on your left breast for an extended period may have caused some degree of tissue damage or altered the way your body has healed. This can result in one breast appearing smaller or larger than the other, as well as causing discomfort or pain in the affected area.

To address your concerns, here are several steps you can consider:
1. Consult a Specialist: Given your history of significant injuries, it would be beneficial to consult with a plastic surgeon or a reconstructive surgeon who specializes in breast surgery. They can assess the asymmetry and provide options for correction if necessary. Additionally, a physical therapist who specializes in post-traumatic rehabilitation may help you regain strength and function in the affected area.

2. Physical Therapy: Engaging in physical therapy can be crucial for your recovery. A physical therapist can design a rehabilitation program tailored to your needs, focusing on strengthening the muscles around your chest and improving flexibility. They can also guide you on specific exercises and stretches that may help alleviate pain and improve symmetry.

3. Massage Therapy: Gentle massage may help improve circulation and reduce tension in the chest area. However, it is essential to approach this carefully, especially considering your history of trauma. A licensed massage therapist with experience in post-injury recovery can provide techniques that are safe and effective.

4. Monitoring Changes: Keep track of any changes in your breast size or pain levels. If you notice significant changes or if the pain persists, it’s essential to follow up with your healthcare provider. They may recommend imaging studies, such as an ultrasound or MRI, to rule out any underlying issues.

5. Psychological Support: The psychological impact of a traumatic event like a car accident can also affect your recovery. Consider speaking with a mental health professional who can help you process the trauma and its effects on your body image and self-esteem.

6. Post-Surgical Considerations: Since you mentioned having a spinal surgery planned for May, it’s crucial to coordinate your care with your neurosurgeon and any other specialists involved in your recovery. They can provide guidance on how to manage your overall health and recovery process, including any implications for your breast asymmetry.

In conclusion, addressing the uneven breast size and pain following your car accident requires a comprehensive approach that includes consulting with specialists, engaging in physical therapy, and possibly exploring surgical options. It’s essential to prioritize your recovery and seek professional guidance to ensure the best outcomes for your health and well-being. Remember, healing takes time, and it’s important to be patient with yourself as you navigate this process.

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