Post-Surgery Symptoms: Bruising and Hardness After Fibroadenoma Removal

Breast lump

Hello Dr.
Lin,
I have a question I would like to ask you! I had a fibrous lump in my breast, and I underwent surgery to remove it on September 11.
The stitches were removed on September 16, but the next day (17th), I noticed that the area around the incision seemed to have some bruising, with a yellow-brown color.
Additionally, the muscle in that area feels harder than before.
I'm not sure why this is happening.
Sometimes, the surgical site also experiences some pain, even though the stitches have already been removed.
I would greatly appreciate your help in answering my questions.
Thank you very much!

tina, 20~29 year old female. Ask Date: 2000/09/19

Dr. Lin Shuilong reply Surgery

During surgical excision, there may be bruising around the wound caused by damage to the surrounding blood vessels.
The muscles may feel firmer due to scarring during the healing process.
As for the pain at the surgical site, even after the stitches have been removed, it can occur due to damage to some small nerve endings during the procedure.
There is no need for excessive concern, as the symptoms will gradually improve and resolve.
It is still recommended to have regular follow-up appointments at the breast surgery clinic.

Reply Date: 2000/09/19

More Info

After undergoing surgery for the removal of a fibroadenoma, it is not uncommon to experience various post-operative symptoms, including bruising, hardness in the tissue, and occasional pain. These symptoms can be concerning, especially for patients who are not familiar with the healing process. Let's break down your concerns regarding the bruising and hardness you are experiencing after your surgery on September 11.

Understanding Bruising and Hardness
1. Bruising: The appearance of bruising around the surgical site, especially shortly after the procedure, is a typical response to surgery. Bruising occurs due to small blood vessels breaking during the surgical process, leading to blood leaking into the surrounding tissue. This can manifest as discoloration, which may start as a dark purple or blue and gradually change to yellow or brown as it heals. The timeline you described, with bruising appearing a few days after surgery, aligns with normal healing processes.

2. Hardness: The hardness you are feeling in the muscle or tissue surrounding the surgical site is also a common phenomenon. After surgery, the body initiates a healing response that includes inflammation and the formation of scar tissue. Scar tissue is denser than normal tissue, which can lead to a feeling of hardness. This is particularly true in the case of breast surgery, where the removal of tissue can lead to changes in the surrounding areas.

3. Pain: It is not unusual to experience some pain or discomfort after surgery, even after the stitches have been removed. This pain can be attributed to several factors, including inflammation, nerve regeneration, and the healing of the surgical site. The nerves in the area may take time to fully heal, leading to sensations of pain or discomfort.

Recovery Timeline
The recovery timeline can vary significantly from person to person, but generally, bruising should start to fade within a week or two, and the hardness may take several weeks to months to fully resolve. The pain should gradually decrease as the healing progresses. If the pain persists or worsens, it is essential to consult your healthcare provider.

Recommendations for Management
1. Monitoring: Keep an eye on the bruising and hardness. If you notice any signs of infection (such as increased redness, warmth, swelling, or discharge), or if the pain becomes severe, contact your doctor immediately.

2. Pain Management: Over-the-counter pain relievers, such as acetaminophen or ibuprofen, can help manage discomfort. However, always consult your physician before taking any medication, especially if you have other health conditions or are taking other medications.

3. Gentle Movement: Engaging in gentle movements and stretching can help improve circulation and promote healing. However, avoid any strenuous activities or exercises that could strain the surgical site until you receive clearance from your doctor.

4. Follow-Up Appointments: Attend all scheduled follow-up appointments with your surgeon. These visits are crucial for monitoring your recovery and addressing any concerns you may have.

5. Scar Management: Once your incision has fully healed, you may consider using silicone gel sheets or other scar management products to help minimize the appearance of scars.

Conclusion
In summary, the bruising, hardness, and occasional pain you are experiencing after your fibroadenoma removal surgery are generally normal and part of the healing process. However, it is essential to maintain open communication with your healthcare provider and report any concerning changes. Your recovery is unique, and your doctor can provide personalized advice based on your specific situation. Remember to be patient with your body as it heals, and take care of yourself during this time.

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