Does Breast Augmentation Cause Lymphatic Swelling? - Plastic Surgery

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Will breast augmentation cause lymph nodes to become increasingly swollen?

yoy, 40~49 year old female. Ask Date: 2009/04/16

Dr. Zhou Hongzhang reply Plastic Surgery


Where is the lymph swelling increasingly? Theoretically, breast augmentation should not cause lymphadenopathy.
However, in a small number of patients, the lymph nodes in the axilla on the side of the augmentation may swell for a few days postoperatively.
However, if there is unexplained lymphadenopathy that is worsening, it is best to consult a hospital.
This is because the possibility of "infection" or "cancer" is not low and could be life-threatening.

Reply Date: 2009/04/16

More Info


Breast augmentation, a surgical procedure to enhance breast size and shape, can have various effects on the body, including potential impacts on the lymphatic system. While breast augmentation itself does not directly cause lymphatic swelling, there are several factors related to the procedure that could lead to changes in lymphatic drainage and swelling in the surrounding areas.

Firstly, during breast augmentation surgery, the placement of implants can disrupt the normal anatomy of the breast and surrounding tissues. This disruption may temporarily affect lymphatic drainage, leading to localized swelling. In some cases, if lymphatic vessels are compressed or damaged during the procedure, it could result in lymphedema, which is characterized by swelling due to the accumulation of lymph fluid. However, this is relatively rare and often resolves on its own as the body adjusts post-surgery.

Secondly, the type of breast augmentation—whether subglandular (above the muscle) or submuscular (below the muscle)—can influence the likelihood of lymphatic issues. Submuscular placements may cause more trauma to the surrounding tissues and lymphatic vessels, potentially leading to more pronounced swelling. However, most patients do not experience significant long-term lymphatic swelling after breast augmentation.

In addition, post-operative factors such as infection, hematoma (a localized collection of blood outside of blood vessels), or seroma (a pocket of clear fluid) can also contribute to swelling. If these complications arise, they may necessitate further medical intervention, which could include drainage or additional surgery.

It is also important to consider individual factors such as pre-existing conditions. For instance, if a patient has a history of lymphedema or other lymphatic issues, they may be at a higher risk for developing swelling after breast augmentation. Additionally, hormonal changes related to the menstrual cycle, as mentioned in previous discussions, can also affect breast tissue and lymphatic drainage, leading to temporary swelling that may coincide with the timing of the surgery.

In conclusion, while breast augmentation does not inherently cause lymphatic swelling, the procedure can lead to temporary changes in lymphatic drainage due to surgical trauma, placement of implants, and potential complications. If you experience persistent or severe swelling after breast augmentation, it is essential to consult with your surgeon or a healthcare professional to rule out any complications and receive appropriate care. Regular follow-ups and monitoring can help ensure that any issues are addressed promptly, minimizing the risk of long-term complications.

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