Breast issues
Hello doctor, I had surgery for stage 1 breast cancer one month ago.
The day after the surgery, I noticed large bruises around the surgical area, and by the fourth day, the bruised areas developed blisters.
My attending physician mentioned that this might be due to my skin being prone to allergies.
I have been applying medication and changing dressings for the past two weeks.
Now, a month later, the surgical wound (around the areola) has improved significantly, but the blisters have dried up and turned black, and the epidermis has not yet sloughed off.
However, the areola has become swollen post-surgery.
I would like to know if this is normal.
Also, is it possible for the skin surrounding the area where only the areola was operated on to develop large blisters due to skin sensitivity?
Yifan, 40~49 year old female. Ask Date: 2020/02/12
Dr. Li Zhonghuai reply Surgery
Hello! After surgery, there will be swelling for a period of time.
As for the causes of blisters, there are many factors.
The skin of the breast is inherently very sensitive, and there are many individuals who are allergic to dressings, povidone-iodine, alcohol, ointments, beauty gels, waterproof patches, and 3M adhesive fabric.
Even hypoallergenic adhesive bandages may not be effective.
If blisters appear easily, they can only be carefully managed.
Wishing you well! Changhua Hospital cares about you!
Reply Date: 2020/02/12
More Info
Post-surgery complications after breast cancer surgery can vary significantly among patients, and understanding these complications is crucial for both patients and healthcare providers. In your case, it seems you have experienced some common post-operative issues, including bruising, blistering, and swelling around the surgical site. Let's break down these concerns and provide some insights into what you might expect during recovery.
Bruising and Blistering
Bruising is a common occurrence after any surgical procedure, including breast cancer surgery. It results from blood vessels being damaged during the surgery, leading to blood leaking into the surrounding tissues. This can appear as large areas of discoloration (bruising) around the surgical site. In your case, the fact that you developed blisters on top of the bruising may indicate a few things:
1. Skin Sensitivity: Some individuals have more sensitive skin that can react to trauma or pressure, leading to blister formation. This could be exacerbated by any topical medications or dressings applied post-surgery.
2. Fluid Accumulation: Blisters can also form due to fluid accumulation under the skin, especially if there is significant swelling. This is not uncommon after surgery, particularly if the surgical area is inflamed.
Swelling
Swelling around the surgical site, particularly in the areola area, can be a normal part of the healing process. After surgery, the body responds to the trauma by increasing blood flow to the area, which can lead to inflammation and swelling. However, persistent or increasing swelling, especially if accompanied by pain, redness, or warmth, could indicate an infection or other complications that should be evaluated by your healthcare provider.
Healing Process
The healing process can vary widely among individuals. While the surgical wound may heal well, the surrounding skin can take longer to recover, especially if there were complications like blistering. The fact that your wound is improving is a positive sign, but the ongoing changes in the surrounding skin should be monitored.
Allergic Reactions
If your doctor suggested that your skin may be prone to allergies, it’s worth considering whether any medications, topical treatments, or even the materials used in dressings could be contributing to your skin's reaction. Allergic reactions can manifest as rashes, blisters, or increased sensitivity in the affected area.
Recommendations
1. Follow-Up Care: Continue to follow up with your healthcare provider as recommended. They can assess the healing process and determine if any further interventions are necessary.
2. Wound Care: Keep the area clean and dry. If you notice any signs of infection (increased redness, warmth, or discharge), contact your healthcare provider immediately.
3. Monitor Symptoms: Keep an eye on the swelling and any changes in the blisters. If the swelling does not decrease or if you experience increased pain, it’s essential to seek medical advice.
4. Skin Sensitivity: If you suspect that your skin is sensitive or allergic, discuss this with your doctor. They may recommend alternative dressings or topical treatments that are less likely to cause irritation.
Conclusion
In summary, while some degree of bruising, blistering, and swelling can be normal after breast cancer surgery, it is essential to monitor these symptoms closely. Your ongoing communication with your healthcare provider is crucial to ensure a smooth recovery and to address any complications that may arise. Remember that each patient's recovery journey is unique, and your concerns are valid and should be addressed with your medical team.
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