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BA Post Op Hematoma? (photo)

I underwent BA little over a week ago and I am little bit worried about post op hematoma. My left breast feels different, is slightly larger, sore, and more bruised than the other. Bruise under the breast feels hard. I had some bruises almost immediately after the surgery, but not like this.

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14 Doctor Answers | Asked by Darra

Doctor Answers (14)
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Small Hematoma

It does look like you may have a small hematoma on the left . It is small and the size of your breast size is not significant enlarged. I do not think your plastic surgeon should examine you for the firmness and discomfort. Sometime it is fine to leave a small amount of blood but nothing significant. Work with your doc. see video

Bruising and Swelling may occur after Breast Implants

You appear to have bruising and swelling that is bilaterally symmetrical and not suggestive of a hematoma. A hematoma causes profound enlargement usually on one side only but occasionally bilateral. If worried about anything, the best course is to see your surgeon and have an assessment. Your surgeon would be easily able to assess and comfort you. Of course, if a problem existed your surgeon could correct it. Always go and see your surgeon... more

Postop hematoma

Although you have some postop bruising, it is difficult to determine if indeed you have any significant hematoma based on photos alone. Therefore, it is important you see your plastic surgeon for an evaluation and peace of mind.

Hematoma after surgery

Photos alone can never tell if a significant hematoma exists. Bruising doesn't tell you either. It is a combination of firmness, bruising and size difference. Go see your surgeon.

BA Post Op Hematoma?

SEEK immediate medical evaluation from the operative surgeon for peace of mind. Over the internet even with great posted photos we can not really tell if you have a hematoma. ONLY in person evaluation possible sonogram can help. It appears as a mild bleeding event but I am not sure that is why I recommend IN PERSON care.

Hematoma after Breast Augmentation?

Thank you for the question and pictures. Based on your description and pictures, it is very likely that you are dealing with significant swelling/bruising as opposed to a true “hematoma”. This will take time to resolve; warm compresses may be helpful. Most importantly, continue to follow-up with your plastic surgeon who will be in the best position to advise you; direct physical examination will always provide more information that can be provided with online... more

Breast augmentation hematoma

Hard to say without an exam but you do have significant bruising. I recommend Arnica Montana for my patients to reduce bruising and swelling. Please see your doctor for follow up.

Hematoma?

Your photos suggest some bruising after surgery. As for a significant hematoma, it is hard to say from just a photo. An exam would be helpful.

Steven Wallach, MD

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Manhattan Plastic Surgeon

Hematoma After Breast Augmentation

Dear Darra, Your photos show a small hematoma on your right breast as well as bruising all over the breasts area. At one week post-op, I advise you to be a little more patient as your body should be able to take care of this blood collection (hematoma). Keeping your surgeon in the loop of your progress is essential as he/she knows the fullest details of your surgery. Also, it may be a good idea to talk with your surgeon about the Arnika supplement as it may help... more

Hematoma?

You bruising suggests a small amount of bleeding but not necessarily a large hematoma. A hematoma would be a collection of blood within the space around the implant. When these are large, they are obvious, with marked swelling and tenderness. Sometime there can simply be a some bleeding that moves downward beneath the skin, causing the bruises that you have. This does not need any surgery. Follow your surgeon's instructions.

What to do with a post-op bleed: depends on how big it is

It appears like you have excessive bruising and possibly a hematoma. You should talk to your plastic surgeon about how to proceed. If it is small it can be left alone as your body will resorb the blood. If the hematoma is big, it is better to remove it because either it takes too long to resorb or it may solidify into a lump you do not want. Avoid drugs and supplements that increase your risk of bleeding and bruising: aspirin, advil, plavix, omega 3 and fish... more

Post op breast hematoma

It does appear that you may have a small hematoma on your left side. However, people often have slightly more bleeding, swelling, bruising on one side so early after surgery and I would recommend that this be observed for now unless the size of your left side enlarges dramatically or you start having bleeding from your incision or more pain. Warm compresses and arnica may also help, but you should discuss this with your plastic surgeon.

Large hematomas should be removed, small hematomas are often ok to leave alone

Hello, It is sometimes difficult to know what the right answer is for hematomas. Obviously large hematomas should be removed and very small hematomas are ok to leave alone for the body to take care of. Where the cut-off is is hard to know sometime. In your case I suspect it might be better to wait and have your body take care of the relatively small hematoma. You should discuss this with your plastic surgeon as a hematoma does increase your chance slightly of... more

Hematoma after Breast Augmentation

It is difficult to say for sure without examining you, but it does not look like you have a periprosthetic hematoma. I looks like routine bruisng after breast augmentation. You really need to have surgeon assess it to be sure.