Post-Surgery Concerns: Addressing Chest Indentation After Fibroadenoma Removal

Postoperative depression after fibroepithelial tumor surgery?

Hello Doctor, I underwent a self-funded minimally invasive surgery two weeks ago to remove a fibroepithelial tumor approximately 2.5 cm in size.
Recently, after the swelling has subsided, I noticed that the results are not as advertised and there is a noticeable indentation in my chest.
I would like to ask the following: 1.
Is there still a recovery period during which the indentation might improve? What is a reasonable waiting time for this? 2.
What actions (such as massage) can I take to help smooth out the area? 3.
If it has been a while and there is still no improvement, when should I seek assistance from a plastic surgeon? Thank you for taking the time to respond.
I have already discussed this with my original physician and would like to hear a different doctor's opinion.

Jamie, 20~29 year old female. Ask Date: 2017/09/06

Dr. Li Zhonghuai reply Surgery

Hello! There is no need to worry; the accumulated tissue fluid will resolve, and the depressed area will return to its original state.
The time frame can vary; some people may recover within one to two weeks.
Take care! Changhua Hospital is concerned about you!

Reply Date: 2017/09/06

More Info

After undergoing a minimally invasive surgery to remove a fibroadenoma, it is not uncommon to experience some changes in the appearance of the breast, including indentation or a slight deformity. Here, I will address your concerns regarding the recovery process and potential options for managing the indentation.

1. Recovery Time: After breast surgery, it is essential to allow time for healing. Generally, the initial swelling from the surgery can take several weeks to subside, and the surrounding tissues may take longer to settle into their new shape. It is reasonable to expect that noticeable changes in the contour of the breast may improve over a period of 3 to 6 months. However, every individual heals differently, and factors such as skin elasticity, the extent of the surgery, and individual healing responses can influence recovery time.

2. Massage and Other Techniques: Gentle massage of the area may help in promoting blood circulation and lymphatic drainage, which can aid in the healing process. However, it is crucial to wait until the incision has fully healed and to consult your surgeon before starting any massage techniques. Additionally, wearing a supportive bra can help provide comfort and support during the healing phase. Some patients find that silicone gel sheets or silicone gel can help improve the appearance of scars and may also assist in flattening any indentations over time.

3. When to Seek Further Help: If, after a reasonable period (typically around 3 to 6 months), the indentation does not improve or if you have concerns about the appearance of your breast, it would be advisable to consult with a plastic surgeon who specializes in breast reconstruction or aesthetic surgery. They can assess the situation and discuss potential options, which may include fat grafting, fillers, or other surgical interventions to restore the breast's contour.

In summary, while it is normal to experience some changes in breast appearance after fibroadenoma removal, patience is key during the recovery process. Allowing adequate time for healing, engaging in gentle massage (with medical approval), and consulting with a specialist if concerns persist are all important steps to take. It is always beneficial to maintain open communication with your healthcare providers and seek their guidance tailored to your specific situation.

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