Post-Surgery Recovery: Breast Lump Removal Complications

Q: Post-Surgery Recovery: Breast Lump Removal Complications

Dear Huang： Bilateral breast tumors? The right side is larger, and there is some indentation of the right nipple post-surgery. <br>It is uncertain whether the tumor is more superficial or larger (over 2-3 cm), as either could cause the indentation. <br>Postoperative bruising is q

Postoperative condition after breast tumor surgery?

Hello Doctor: I underwent minimally invasive surgery to remove a breast adenoma at the beginning of October.
The lump in my left breast was smaller, so the bruising has resolved since the surgery.
However, I am concerned that the larger lump in my right breast may be causing a longer recovery period, as I can still feel some residual swelling even though the bruising has disappeared.
Additionally, I experience occasional sharp pain in my right breast with slight movements, and there is a small area of skin near the nipple that appears dark, is slightly peeling, and itches.
The nipple also seems a bit retracted (possibly due to the residual swelling).
I would like to ask if this situation is normal or if I should return for a follow-up appointment.
Thank you.

Huang, 20~29 year old female. Ask Date: 2015/11/01

Dr. Zhou Jiazhen reply Breast and Thyroid

Dear Huang: Bilateral breast tumors? The right side is larger, and there is some indentation of the right nipple post-surgery.
It is uncertain whether the tumor is more superficial or larger (over 2-3 cm), as either could cause the indentation.
Postoperative bruising is quite common with minimally invasive surgery, while it is less common with traditional surgery.
With appropriate care, it usually resolves within two weeks.
If there are any concerns, a follow-up appointment can be scheduled.

Reply Date: 2015/11/01

More Info

Post-surgery recovery after a breast lump removal, such as a lumpectomy, can be a complex process, and it's essential to understand the potential complications and what to expect during recovery. Based on your description, it seems you are experiencing some common post-operative symptoms, but let's break down your concerns for clarity.

Firstly, it's not unusual for bruising and swelling to persist longer on one side than the other, especially if the lump removed was larger or if the surgical procedure was more extensive. The healing process can vary significantly from person to person, and factors such as the size of the tumor, the surgical technique used, and individual healing responses all play a role. The presence of a hard lump under the skin may indicate residual swelling or hematoma (a localized collection of blood outside of blood vessels), which can take time to resolve.

Regarding the pain you are experiencing, it is common to have some discomfort or sharp pain in the area where surgery was performed, especially with movement. This can be due to nerve irritation or inflammation in the tissues surrounding the surgical site. If the pain is sharp and occurs with movement, it may be advisable to limit strenuous activities until you have fully healed. However, if the pain worsens or is accompanied by other symptoms such as fever, increased redness, or swelling, it would be prudent to consult your healthcare provider.

The blackened skin and peeling you mentioned near the nipple area could be a sign of irritation or a reaction to the surgical procedure. Sometimes, the skin can become sensitive or react to dressings, ointments, or even the surgical technique. If the area is itchy and the skin appears abnormal, it is essential to have it evaluated by a healthcare professional to rule out any complications, such as infection or necrosis (tissue death).

As for the nipple being slightly inverted or appearing different post-surgery, this can happen due to the removal of tissue and changes in the surrounding structures. If the inversion is significant or if you have concerns about the appearance of your breast, discussing this with your surgeon can provide options for correction or reassurance.

In summary, while some of the symptoms you are experiencing can be normal post-operative effects, it is crucial to monitor your recovery closely. If you notice any worsening of symptoms, new symptoms, or if you have persistent concerns about the healing process, it is always best to return to your healthcare provider for a follow-up appointment. They can perform a physical examination, assess your healing, and provide guidance tailored to your specific situation. Remember, your recovery is a priority, and open communication with your healthcare team is vital for a smooth healing process.

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