Recurring Hematoma After Breast Reduction. What to Do?

Had a BR 5 wks ago overseas, one recovered normally other developed hematoma soon afterwards, I thought it was recovering at different stages. It was very hard, painful and extremely bruised. I was not fit to fly back and saw own doctor and referred to consultant. This took several days, It has been aspirated 3 times weekly.The ultrasound shows a large collection each time. Very sore, hard, and bruised compared with the other. How many times can this go on for? relief lasts a day then pain rtn

Doctor Answers 3

Need To Treat The Problem, Not The Symptom

My first question is: is the fluid that is being drained truly red blood, or is it straw colored or some place in between?  If it is truly red blood, you may still have a leaking vessel.  This is very unlikely.  More than likely, the recurrent fluid build up has created a membrane around the cavity containing the fluid.  This membrane is probably producing fluid now.  A in-dwelling drain would be the first thing I would do.  Add to that, pressure, some tight ace wraps to close off the area in the breast that may be producing the fluid, and then placement of a sclerosing agent (an agent that induces inflammation leading to fibrosis or closing of the pocket).  These 3 elements should stop the drainage. 

 

All this being said, you need a good general or plastic surgeon to do all of the above, and of course, watch closely for redness.  You are a set up for infection. 

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Repeat Fluid Accumulation after Breast Reduction?

I'm sorry to hear about the complication you have experienced.  Your treating plastic surgeon will be in the best position to advise you because he/she knows your clinical situation best. Generally speaking, if you continue to have fluid accumulation ( despite multiple aspirations),  you may need to have a  suction drain placed into the space. Hopefully this will be effective in keeping the area fluid free and allowing this space to “collapse”. Otherwise, surgical intervention ( and removal of any unhealthy tissue  or  scar tissue/ membrane may be necessary.

Again continue to follow-up with your treating plastic surgeon.

Best wishes. 

A drain needs to be placed

This can occur with any surgery. If it keeps building up fluid a drain should be place until it drys out or a agent is placed to help it stop.

Miguel Delgado, MD
San Francisco Plastic Surgeon
4.5 out of 5 stars 39 reviews

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