Hematoma After Breast Reduction Surgery
- Asked by 3166anon in Argentina
- 3 years ago
Hello, 19 days ago I've done breast reduction and lift (I had a C+ and asked 40% less, which doctor said he did). The problem is that my left breast is twice as swollen as the right one. Surgeon says it is a hematoma and I should just wait for it to go. Could you please tell me if this is normal? how long to wait? what if doesn't go away? thank you.
Hematoma following a breast reduction
Hematomas can occur after any surgery including breast reduction. Some surgeons place drains other do not. A significant hematoma can occur even when drains are used, so a drain will not prevent this from occurring. If your breast is twice as large as the other side then this is a hematoma that may need to be surgically drained as it can have a detrimental effect on healing causing more pain, stiffness of the soft tissue and generally delaying an otherwise uneventful recovery.
Hematoma after breast reduction
Hematoma is certainly one of the more common complications that can occur with breast reduction surgery. While there is no exact right answer, generally, if the involved breast is over 1.5 times the size of the other breast, I will typically drain this. More importantly, if I feel the hematoma will have a detrimental affect (wound healing,skin loss, infection) on the involved breast I will recommend a drainage procedure of some sort. This could be needle aspiration or an open procedure. A second opinion is worth while if you do not trust the answer you are getting from your surgeon.
Hematoma After Breast Reduction Surgery
Hematomas may occur following breast reduction surgery. They can be managed medically or surgically. If the hematoma is quite large and causing pain needle aspiration can be done in the office with quick alleviation of symptoms. Uncommonly a patient has to go back to surgery for exploration and control of bleeding causing the hematoma. Smaller hematomas can be watched and allowed to liquefy and drain.
Web reference: http://www.drvitenas.com/breast-reduction.html
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Hematoma after Breast Reduction?
Thank you for the question.
I'm sorry to hear about the complication you have experienced after breast reduction surgery.
If you and your surgeon have elected to manage the hematoma on surgically, it may take several weeks for the hematoma to “liquefy”. Application of warm compresses over the area may help expedite this process.
If the hematoma is such that there is potential for compromise of blood flow to the surrounding tissues, it should be evacuated ( and not managed expectantly).
Best wishes for an otherwise uneventful recovery.
Hematoma in breast
If you have a significant hematoma in one breast, you probably should have it evacuated because this could compromise the viability of the nipple or skin flaps.
Address the issue now
Hematoma after Breast reduction and lift
After breast reduction, hematoma should be surgically removed right away.
You need to have drainage of the fluid
You have significant blood colllection oer your description and willl need to be drained. Your doctor may have a specific reason for the delay. Please discuss your concern with your doctor .
Treating hematoma after breast surgery
From your description, this sounds like a pretty good sized hematoma. I am curious how long after the surgery you noted the hematoma. I would also like to know if you had a drain and if the doctor tried to aspirate the hematoma.
By this point in time most hematomas have started to become more liquid and may be easier to drain. I would suggest speaking to your doctor and ask him what his plan is as you are concerned enough to come on this website for answers. Obviously without seeing you or knowing your particular circumstances I couldn't make a treatment plan nor would I try to.
Sitting down with your plastic surgeon I feel is the best start to treatment. Good luck.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.