Post-Surgery Breast Issues: Changes After Fibroadenoma Removal

Post-operative issues in the breast after surgery for a breast tumor?

I had surgery for a breast tumor in early September this year.
The tumor was located in the upper part of my right breast, near the cleavage.
There has been a hard lump at the surgical site, and I accidentally pressed on the lump at first, which caused some bruising at the suture site (which wasn't there initially).
The lump was initially quite large but has since shrunk, although my breast size has also decreased.
Now, four months later, I occasionally experience mild pain, and this month, my left breast, which did not undergo surgery, has also been a bit painful.
Both breasts have shrunk simultaneously.
Is this normal? (The surgical site is covered with cosmetic tape.)

Jeany, 30~39 year old female. Ask Date: 2017/12/22

Dr. Yu Mingchang reply Surgery

Hello; please take some time to have a breast ultrasound at Changhua Hospital.
We care about you.

Reply Date: 2017/12/22

More Info

After undergoing surgery for a fibroadenoma, it is not uncommon to experience various post-operative changes and sensations in the breast. Your concerns about the hardness at the surgical site, occasional pain, and changes in breast size are valid and warrant a detailed explanation.

Firstly, it is important to understand that surgery, even for benign conditions like fibroadenomas, can lead to a variety of post-operative symptoms. The hardness you are feeling at the surgical site is likely due to scar tissue formation, which is a normal part of the healing process. When the body heals from surgery, it often produces fibrous tissue to close the wound, which can feel firm or hard. This is known as fibrosis, and while it can be concerning, it is generally a normal response to surgical trauma.

Regarding the pain you are experiencing, it is not unusual for patients to have intermittent discomfort after breast surgery. This can be attributed to several factors, including nerve regeneration, scar tissue, and changes in the surrounding breast tissue. The fact that you are also experiencing pain in the non-operated breast may be related to hormonal fluctuations, muscle tension, or even referred pain from the surgical site. If the pain persists or worsens, it is advisable to consult your healthcare provider for further evaluation.

As for the changes in breast size, it is common for patients to notice some asymmetry or a decrease in volume after surgery. This can occur due to the removal of tissue and the subsequent healing process. In some cases, the surrounding breast tissue may also shift, leading to a change in appearance. If you are concerned about the size difference or if it is affecting your self-esteem, discussing your concerns with your surgeon can provide clarity and options for addressing these changes.

The use of silicone strips or adhesive tapes on the incision site is a common practice to promote healing and minimize scarring. It is essential to follow your surgeon's post-operative care instructions, including how long to keep the tape on and when to remove it. If you notice any signs of infection, such as increased redness, swelling, or discharge from the incision site, it is crucial to seek medical attention promptly.

In summary, while it is normal to experience some changes and discomfort after fibroadenoma surgery, it is essential to monitor your symptoms and maintain open communication with your healthcare provider. They can provide reassurance, evaluate any concerning symptoms, and discuss potential treatments if necessary. Remember that healing takes time, and your body is adjusting to the changes from the surgery. If you have any further questions or concerns, do not hesitate to reach out to your medical team for support.

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