Post-Surgery Concerns: Unusual Symptoms After Minimally Invasive Breast Surgery - Surgery

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Feeling abnormal after surgery?


Hello Dr.
Lee, I would like to ask about my situation.
I underwent a minimally invasive "Anker" breast surgery in mid-December last year, during which I had over ten cysts removed from both breasts.
After the surgery, everything seemed fine, but starting last week, I noticed a line that resembles an internal scar located just below my left breast, extending towards the ribcage.
This line is only visible when stretched and does not hurt when not touched, but it is painful when pressed.
I find it strange because the surgery did not involve any incisions below the breast.
Since I am currently abroad, could you please provide any advice? Thank you very much for your help!

Niming, 30~39 year old female. Ask Date: 2018/04/12

Dr. Li Bozhang reply Surgery


It is recommended to return to the thoracic surgery outpatient clinic for further detailed examination.

Reply Date: 2018/04/12

More Info


Dear 李醫生,
Thank you for reaching out with your concerns regarding the unusual symptoms you are experiencing after your minimally invasive breast surgery. It is understandable to feel anxious about any changes in your body following a surgical procedure, especially when they seem unexpected.

From your description, it sounds like you are noticing a line or scar-like formation beneath the skin of your left breast, extending towards the rib area. This could be attributed to several factors related to the surgical procedure and the body's healing process.
Firstly, even in minimally invasive surgeries, the body undergoes significant changes during the healing process. The formation of scar tissue is a normal part of healing, and it can sometimes extend beyond the immediate area of the incision. This scar tissue can feel different from the surrounding tissue, leading to sensations of tightness or discomfort, especially when touched. The fact that you are not experiencing pain unless you touch the area is a good sign, as it suggests that there may not be an underlying issue such as infection or significant inflammation.

Additionally, the body’s response to surgery can include swelling and changes in the surrounding tissues. This can sometimes create a sensation of tightness or discomfort in areas that were not directly operated on. The nerves in the area may also be healing, which can lead to unusual sensations, including pain or sensitivity. This is particularly common in the weeks and months following surgery as the nerves regenerate.

It is also worth noting that the presence of cysts in the breast can sometimes lead to changes in the surrounding tissue, which may contribute to the sensations you are experiencing. If the cysts were manipulated during surgery, this could also lead to temporary changes in sensation or discomfort.

Given that you are currently abroad, it is important to seek local medical advice if your symptoms persist or worsen. A healthcare provider can perform a physical examination and may recommend imaging studies, such as an ultrasound, to assess the area further. They can also provide reassurance and guidance tailored to your specific situation.

In the meantime, here are a few general recommendations that may help:
1. Monitor Symptoms: Keep track of any changes in the area, including increased pain, swelling, or changes in skin color. If you notice any concerning symptoms, seek medical attention promptly.

2. Gentle Massage: If you feel comfortable, gentle massage around the area may help to alleviate some tightness and promote circulation. However, avoid applying pressure directly on the painful area.

3. Pain Management: Over-the-counter pain relief, such as acetaminophen or ibuprofen, can be used if you experience discomfort, but consult with a healthcare provider to ensure it is appropriate for your situation.

4. Follow-Up Care: If possible, arrange for a follow-up appointment with your surgeon or a local healthcare provider to discuss your concerns and receive a thorough evaluation.

5. Stay Informed: Educate yourself about the healing process after breast surgery. Understanding what is normal can help alleviate anxiety about your symptoms.

In conclusion, while it is common to experience unusual sensations after surgery, it is always best to consult with a healthcare professional if you have concerns. They can provide personalized advice and ensure that your recovery is on track. Thank you for your inquiry, and I wish you a smooth recovery.

Best regards.

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