Minimally Invasive Breast Surgery
Hello, doctor.
I underwent minimally invasive surgery to remove a 1 cm fibrocystic mass at the end of April this year.
Currently, there is no pain in my breast, and there is no pain when I press on it.
However, the area where the tumor was removed feels very firm, and there is a large hard lump.
I have read articles stating that it is normal to have a hard lump post-surgery and that it may take 3 to 6 months to gradually improve.
Should I return for a follow-up appointment to monitor this condition, or can I wait until six months later for a check-up? Thank you.
Niming, 20~29 year old female. Ask Date: 2023/06/30
Dr. Chen Bingze reply Surgery
A lump can sometimes be a normal inflammatory response after surgery, but it may also be a hematoma.
If you are truly concerned, it is advisable to return to your surgeon so they can examine and palpate the area around the lump.
Reply Date: 2023/06/30
More Info
After undergoing minimally invasive breast surgery, it is common for patients to experience some degree of hardness in the area where tissue was removed. This phenomenon is primarily due to the body's natural healing process, which involves the formation of scar tissue and the potential for localized swelling. In your case, having had a 1 cm fibrocystic mass removed, the hardness you are feeling is likely a combination of these factors.
Understanding Post-Surgery Hardness
When surgery is performed, the body initiates a healing response that includes inflammation, which can lead to swelling and the formation of scar tissue. This scar tissue can feel firm or hard to the touch, and it may take several months for it to soften and become more pliable. The timeline you mentioned—3 to 6 months—is consistent with what many patients experience. During this period, the body continues to remodel the scar tissue, which can lead to gradual improvement in texture and softness.
When to Seek Medical Advice
While it is generally normal to experience some hardness after surgery, it is important to monitor the area for any changes. You mentioned that you do not have pain and that pressing on the area does not cause discomfort, which is a positive sign. However, if you notice any of the following, it would be advisable to return for a follow-up appointment sooner rather than later:
1. Increased Hardness: If the area becomes increasingly hard or if you develop new lumps.
2. Pain or Discomfort: Any onset of pain, tenderness, or discomfort that was not present before.
3. Changes in Skin: Redness, warmth, or any unusual changes in the skin over the surgical site.
4. Fluid Accumulation: Any signs of swelling that do not subside or if you notice any fluid drainage.
If none of these issues arise, it is reasonable to wait for your follow-up appointment in about 3 to 6 months, as the healing process can take time.
Additional Recommendations
To support your recovery and potentially aid in softening the hardened area, consider the following:
- Gentle Massage: If your doctor approves, gentle massage of the area can help break down scar tissue and improve circulation. Be sure to follow any specific instructions from your healthcare provider regarding this.
- Moisturizing Creams: Applying a moisturizing cream or silicone gel may help improve the texture of the skin and scar tissue.
- Heat Therapy: Some patients find that applying a warm compress to the area can help alleviate tightness and promote relaxation of the tissue.
- Patience: Remember that healing is a gradual process. It is essential to be patient and allow your body the time it needs to heal properly.
Conclusion
In summary, the hardness you are experiencing after your minimally invasive breast surgery is likely a normal part of the healing process. While it is generally safe to wait for your follow-up appointment in a few months, remain vigilant for any changes that might warrant earlier medical attention. Always feel free to reach out to your healthcare provider with any concerns or questions you may have during your recovery. They are there to support you and ensure your healing process is as smooth as possible.
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