Breast Augmentation: Q&A

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Hematoma Day of Breast Augmentation, 2 Blood Vessels Bleeding, Why Would this Happen?

9 hours after my breast aug. my left breast start leaking blood. It stopped on my way to my doctors and by the time they put me back into surgery it was 2 times the size of my right breast. The doctor took me back into surgery, drained and cleaned the area, removed and reinserted the implant. He inserted a drain for the next few days. They said I had 2 blood vessels that were bleeding. What causes this? Is it normal to have to pay additional costs for this? What happens from here?

9 Doctor Answers | Asked by BBLange in Sacramento
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Great Doctor

Hats off to your plastic surgeon. He did the right thing by evacuating the hematoma immediately. Hematoma is a common risk of breast augmentation surgery especially if the implants are place under the muscle. The national average is about 5% of cases. I would thank your surgeon for taking great care of you.
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Hematoma Day of Breast Augmentation, 2 Blood Vessels Bleeding, Why Would this Happen?

From your excellent written description I must compliment your chosen surgeon upon his care for you. Unfortunately "things happen", but the care you receive was excellent and appropriate. As for additional fees that is your surgeon's determination. In my practice I do not charge for "immediate" complication surgery. From here let's hope you obtain an excellent result. Best to you.
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Complications of breast augmentation

1-2 % of patients may have hematomas. some depends upon the method and experience of the surgeon. Unfortunately, most patients will need to pay for at least the operating room and anaesthesia. The surgeons fees are up to your doctor. All patients accept a certain risk of unusual events that can occur . Make sure

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Bleeding After Breast Augmentation

There can be a variety of causes for bleeding after your breast augmentation surgery. A clot can be dislodged from a blood vessel by your body movement, by high blood pressure, by disappearance of epinephrine in the anesthetic, by clotting abnormalities, among other things. Post surgical bleeding is a known possible complication of surgery. It is fortunate that it was discovered early so that your surgeon could deal with it promptly. Hopefully you will have a good outcome in spite of the... more
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Breast Augmentation - Hematoma Day of Breast Augmentation, 2 Blood Vessels Bleeding, Why Would this Happen?

I'm obviously very sorry to hear about this complication. Complications, including this one (which is well known for this or any other surgery) can occur and one consolation is that this one, if recognized and addressed early enough (as it appears to have been for you) has a very high rate of success and, ultimately, you getting the result you wanted. That is not the case with all complications, so it may be helpful to look at it that way. As with most complications,... more
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Postop hematoma

Hematoma can occur after any surgery and, assuming you weren't taking anti-coagulants, can occur when small clots dislodge. Hopefully, everything should go on to heal well and your doctor treated the complication appropriately. Generally, revision of a cosmetic operation is not covered by health insurance but the surgeon will not charge a fee for his services. If the revision was performed outside his own office, there might be a facility charge. Consult your patient financial agreement... more
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Issues regarding breast hematoma

Unfortunately, bleeding and its manifestation as a hematoma, is a known risk of breast augmentation. There are several causes of it. Anything that can dislodge a clot from a vessel that had been cauterized can precipitate this bleeding. An elevated blood pressure can do this such as that caused by significant pain after surgery or some exertional activity. Blood thinners that had been taken within 10 days prior to surgery can also be a culprit. Unfortunately, there are costs for taking... more
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Complications are a part of surgery

I'm sorry to hear about your complication. Unfortunately, postoperative hematoma is a known complication after breast augmentation, occuring about 1-2% of the time. At the completion of the procedure, the surgeon makes sure there is no evidence of bleeding, however, blood clots can become dislodged for a number of reasons in the immediate postoperative period. This is what causes the hematoma. Even with good surgical technique, hematomas happen to the best of us... more
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Hematoma recovery

Hello, Sorry to hear about your experience. When surgery is performed blood vessels are usually cauterized which seals with a little blood clot. For reasons that cannot be known sometime, your body can push these clots out and restart the bleeding. This can occur if your blood clotting ability is slow due to genetics or medication such as aspirin or from increase vessel pressure as can be caused by an increased heart rate and blood pressure. There is a sligtly... more
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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.

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