Hematoma Without Bruising or Pain?

I am 4 1/2 weeks post revision w/implant exchange to silicone. Full capsulectomy on right and pocket revision on left. History of pstosis, opted against lift. Drains for 2 1/2 weeks on right, 3 weeks on left (fluid never completely clear, just reduction in amount to 7.5cc daily) Left breast is still larger than right, doc thinks it may be a hematoma and would like to drain. Can I have a hematoma without pain, bruise or hardness? (In defense of surgeon, breast was harder at last appt.)now softer.

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10 Doctor Answers | Asked by vidasdestino in Tennessee

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Hematoma without bruising or pain?

My colleagues have given you plenty of good advice to consider, but I would add the following information for consideration. You are just over 1 month post-op R capsulectomy and L capsule revision, and you had drains in each breast for 2 1/2 and 3 weeks! Fluid out and blood out may help to reduce capsular contracture from those standpoints, but did you consider that while the fluid and blood was draining out a few skin or ductal bacteria may have been "sneaking in" around the drain... more

Breast Hematoma

It is possible to have a hematoma without pain, bruising or hardness. It is difficult to tell what you have just by looking at your photos. Your surgeon has the best vantage point to make decisions concerning your situation and if you trust him then I would suggest that you follow his/her advice. If you are not sure, then a second opinion by a BC plastic surgeon can be helpful. Good luck.

Hematoma?

The left side has a little more superior fullness. I would obtain an ultrasound in this situation, since the findings are not "classic" for hematoma. That test should be helpful to clear up the diagnostic confusion. All the best,

Breast augmentation revision

You are 4 and a half weeks out, a hematoma without pain is possible and without bruising if you just recently bled is possible as well. But since you are so far out from surgery it is unlikely. It is more likely that you have a seroma although 7.5 cc / day when the drain was pulled is a very low output. Your surgeon of course be able to tell the best by the way they feel and the changes that have occured over the past several weeks.

Can one have a hematoma without bruising and pain?

Looking at your one picture carefully, the left breast doesn't look larger than righ in volumet. It has a different shape. It seems fuller on the upper pole. There was no capsulectomy on the left, therefore the capsul is tighter on that side and the breast looks bigger. The appearance is not unusual when only one side gets the capsulectomy. If there is a fluid collection, it will be a seroma at this point and if it is assymtomatic I would not wory about it. If my theory is corect a... more

Sonogram will diagnose hematoma or seroma after breast implants

Hi. You should have a sonogram right away if a fluid collection is suspected, although it does not sound like you have one. If you do have a fluid collection, an interventional radiologist can aspirate it under ultrasound control, and so spare you another operation.

Hematoma After Breast Augmentation

As my colleagues have already answered, it is possible to hematoma after your surgery without pain. With the information given, it seems unlikely, however, but no pictures can ever substitute for a direct physical examination which your surgeon has been performing. Certainly imaging such as an ultrasound could delineate the size/volume of the potential hematoma/seroma. If your surgeon is suggesting that surgical exploration is necessary, the rest of us on this forum are in no place to... more

Hematoma after implant exchange

I would certainly want to go with your PS "gut" instinct. Yes you can have a hematoma without the pain and bruising, though it is not as common. If it has been a while, see your PS again and discuss your concerns with him/her.

Hematoma after breast implant revision

It is possible to develop a hematoma or a seroma after breast implant removal and replacement surgery, and sometimes these fluid accumulations may not present with pain or bruising. If it is not clear whether or not there is a fluid collection in the breast of around the breast implant, an imaging study such as an ultrasound may be performed to confrim the diagnosis.

Breast hematoma without pain and bruising

It is possible to have a breast hematoma after capsulectomy and replacement without pain or bruising, only a fullness or size discrepancy. The fact that you did have a drain in place does speak against, as the type of drainage and fullness may suggest hematoma to your surgeon earlier rather than later at four weeks. As surgeons we all follow our instincts based on experience and examination. If your surgeon's instincts direct him to drain the breast we should not dissuade him. Best... more