Breast Reduction 7 Weeks Post Op Hematoma Removal? Doctor Answers, Tips
Breast Reduction: Q&A
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Breast Reduction 7 Weeks Post Op Hematoma Removal?

One breast has been very swollen, bruised and painful - had it aspirated 4 times, slight relief after 24hrs then bruising increases and steadily get worse until next aspiration. Now decided to remove hematoma and fit drain as it is no longer fluid, (last aspiration was 2 weeks apart) now very uncomfortable (feels solid) and generally feel unwell - Is it safe to leave like this (a size of an orange) as I am now on waiting list is there anything that could cause more problems whilst I am waiting

1 Doctor Answer | Asked by 1rosie
+2

Treatment for breast hematoma

It seems like you had recurrent or continued bleeding after breast reduction. Given that your breast "feels solid" and you feel "unwell," I would recommend washing the breast and placing a drain soon. Meanwhile, you may want to take antibiotics so that the hematoma does not get infected. You should talk with your plastic surgeon.

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Comments (1)

1rosie 29 Aug 2012
update - I had the hematoma removed, far bigger that we expected and corrugated drains were fitted, these are flat strips rather that a tube and they are stitched in place allowing the wound to remain open and continue draining. You cover the bottom with gauze to absorb the leakage and change it as and when, I was told to see a nurse every day but this would not have been enough as I needed to change a few times a day and keep cleaning it. It is now a month, the drains were in for a week, far more painful than the main surgery.and after that I has some guaze to place in the entrance of it to keep it open for another week whilst the drainage continued. I think i reacted to this as it was so sore, I was left with the open wound, still leaking, painful but a big relief. I wore a comfortable bra and slowly the wound has healed from the inside downwards although I know there is much more going on inside still. A few more days and the hole should be completely closed. The scar for the drain is just above the outer side of the incision so cannot be seen under the fold. I am lucky I didnt get an infection, and really think dosing up on vitamin C before during and afterwards made a big difference. Despite all I do not regret anything, and although they are not as symetrical as they were before the hematoma issue I know later down the line this can be address if required.

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