I recieved a new pacemaker last week because my previous one (of 10 yrs.) was just too irritating. I'm thin and the connectors ends would feel like they were poking through my skin. It was implanted slightly higher than normal. My new Dr. agreed to replant a new one, slightly smaller than the current one and put it a bit further down and also suggested using a pouch to pad it since I am thin. OK, its only been 11 days but this thing is so bulky. I think he implanted one of my throw pillows in there!. I sure hate to complain but....it is SO big and puffy. Would this possibly just have swollen tissue around it yet? Well, obviously it's possible but do you think it's likely enough that I could expect it to go down or is it normal to be quite puffy because of this pouch thing? I have no idea what this pouch looked like.