Breast Reduction: Q&A

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I Am a 45-year-old MD. I Had Breast Reduction Surgery 22 Days Ago.

At post-op day 10, I had a hematoma on left. PS tried to drain 4 days later and drained for 1.5 days. I had many purple bruises on that breast. But today had new 1 inch redness inferiorly where the drain needle was. It’s ichy/painful. Also today I developed a small dehiscence where areola meets the vertical suture. Is the new inferior redness and open wound are related; sign of infection or developing new wound? Or new hematoma? How many days post-op hematoma can develop? Thanks.

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hematoma itchy redness 1 month post-op

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7 Doctor Answers | Asked by nucMD in Sewell, NJ

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Breast Reduction - Drainage at 22 Days Post-Op

Hi nucMD, You should, of course, remain in contact with your own plastic surgeon throughout this entire process. There is a limit to what can be determined without being able to examine you or, at the least, without a photo. In general, though, hematomas are the result of post-operative bleeding that occurs in the first few hours or days after surgery. They can occur late (hematomas many years after breast implants surgery are well-known, but that's a very different... more

Breast reduction

Consider your operating Surgeon as much a specialist in his field as you are in your field. Small openings, red scars, swelling and ecchymosis are not uncommon after breast reduction. The Surgeon will be able to examine you and put your mind at ease. Should there be some postoperative intervention necessary he can find the appropriate procedure and timing. Please talk to him/her, follow the advice and let him/her guide you in the postoperative management... more

Breast Reduction Complications.

It is impossible to tell what is going on without getting an examination. You should return to your sugeon and get evaluated. In general, hematomas are most common soon after surgery. Typically, if they are drained (and no new bleeding occurs), the site typically has more swelling and bruising than would be expected but heals essentially normally.

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Hematoma and breast reduction

You should follow very closely with your surgeon to be properly treated. A hematoma can develop most commonly during the first two weeks after surgery and often requires an open procedure to remove the old clot.

Steven Wallach, MD

13 reviews

Manhattan Plastic Surgeon

Breast Reduction Complications

Late breast reduction hematomas might be caused by elevation of your blood pressure, stretching of the local tissue causing a tear, or trauma to the site. Sometimes the blood cannot be drained without surgery. You might be developing a localized infection near your drain and you should have it evaluated by your surgeon.

Breast reduction complications

It is possible to have a hematoma up to 2 weeks after any surgery and having one at 10 days means that somehow you probably got your blood pressure up and heart rate up such that a sealed off vessel broke loose and bled. I have seen this from exercising, sex, and just plain stress in patients who were told to keep the HR/BP normal for all of 2 weeks but didn't comply. Without examinig you it would have usually been the case that if the hematoma were significant, an immediate... more