Another Hematoma- After Revision of Peri-areolar Lift

2 wks ago, I had a revision Peri-areolar bl after having a peri-areolar with aug 6 months ago. On day 11 I developed a Hematoma, my Doc aspirated the area taking out 70ccs of blood. Today I went back & he again aspirated what he said was old blood (so no new bleeding). I also had a hematoma my first procedure (same breast). Any ideas on why I am getting hematomas? I'm heathy, 42yo, following post op instructions. I am worried this will effect my ultimate results. Thanks for your input.

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7 Doctor Answers | Asked by perkster in Chicago IL

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Recurrent Hematoma

Although unusual recurrent hematomas can occur. I would want to know if you have had bleeding problems in the past and do you bruise easily. Perhaps you have a bleeding disorder which could be clarified by some lab tests. Massage and ultrasound are certainly helpful to help resolve residual hardness following a hematoma. With time this area should settle down and no permanent deformity should result. Express your concerns with your surgeon.

W/hy am I getting hematomas after breast surgery?

Certainly there are medications, supplements, and activities that can lead to bleeding and hematomas if taken within the first couple of weeks before or couple of weeks following surgery. There is a long list, including aspirin, non-steroidal anti-inflammatories (NSAID's) such as ibuprofen, advil, etc, certain vitamins such as vitamin E and Niacin, and a variety of herbal preparations and naturopathic remedies. Also, heavy lifting, straining, and exercise within the first... more

2 hematomas after breast lift

Dear Perkster, 2 hematomas after breast lifts are unfortunate but possible. First, ask your surgeon to prescribe therapeutic Ultrasound treatments 3 times a week for 2 weeks or more. This is performed by Physical Therapists in their office, and they usually require a prescription. These treatments may be covered by your health insurance. these treatments will help the hematoma to resolve faster, and keep the tissues soft, hopefully avoiding the dreaded capsular contracture which... more

Hematoma after breast surgery

Hematomas may occur after any breast surgery. It is somewhat unusual to have this occur twice. You may want to have your MD check for any bleeding disorders. It may also be related to any anti-inflammatories medications or herbal supplements you may have taken. Donald R. Nunn MD Plastic Surgeon.

Donald Nunn, MD, DDS

3 reviews

Atlanta Plastic Surgeon

Breast Hematomas

Hematomas after breast surgery are rare, on the order of 1% of all cases. You can increase the risk by taking aspirin and other NSAID drugs as well as many herbal supplements. This is why a complete medical history is important. Basic lab work, like a blood count, will show anemia and low platelets; however, it will not reveal if a patient is more likely to bleed after surgery. Most hematomas occur within 24-48 hours of surgery. While one can certainly occur at 11 days after surgery,... more

Joseph Mele, MD

4 reviews

Walnut Creek Plastic Surgeon

www.DrMele.com

Second hematoma after breast revision

There can be many causes of bleeding after surgery, and a second hematoma does raise a red flag. We commonly look at aspirin and other anti-inflammatory medication and have a long list of medications that can be overlooked. You should also consider nutritionals and supplementals such as garlic and gingko, ginseng, and even high doses of vitamin E. If you find you have a history of bruising you should discuss it with your family physician. A hematoma does increase the risk of capsular... more

Hematoma after Lift

Sorry to hear about your hematomas. Hematomas are a known risk of almost any surgery. It is unfortunate you have had 2 but don't blame yourself or the surgeon. Its probably nothing either of you did. It sounds like your surgeon is taking good care of you. Continue with your visits and follow instructions. Rarely do hematomas cause any long term problems. With time it will go away.