I had a hematoma 11 days post op after revision a peri-areolar breast lift (had implants put in 6 months ago). The doc immediately aspirated and then aspirated it again 4 days later, stating there was no new blood. My breast is badly bruised & swollen. I have read a hematoma can cause scar tissue and am also worried the swelling can impact the healing of my incision. Do you have any recs to help heal the hematoma beyond what my doc has already done? Creams? Ice? Massage? Anything? Thanks.
Doctor Answers 4
Hematoma post op breast lift revision
Hi. You are 11 days post op and this seems to be tissue bruising. Your doctor has aspirated and this breast does not seem overly enlarged. Since your breast implants are now protected over 6 months, (assuming that you did not have any implant work 11 days ago), then you should absorb this hematoma/bruising over time. This is very early and you need time. Bruising in the tissue does not usually cause a capsular contracture considering implants placed so long ago. Be patient...stay close to your ps and you will do fine. Any creams or ice/heat is individual to ps's so ask the right questions.
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Hematoma after Breast Lift?
Thank you for the question and picture.
Hopefully, the hematoma that you have experienced is located in the breast tissue and not around the breast implants that had been previously placed. I suggest massage to all my patients who have breast implant surgery.
Hematoma after Breast lift
Since your implants were done 6 months ago, and I assume that there was no implant work done at this second surgery (consisting of periareolar breast lift revision only), then the hematoma should be in your subcutaneous tissue only and not in the implant pocket, so it should not affect your implant pocket or cause capsular contracture as it probably would if it was around your implant. In that case, the hematoma should be drained at surgery to hopefully prevent this. Hematomas in the subcutaneous tissues eventually liquify over 10-14+ days and can be aspirated as your surgeon has done. Sometimes not all the old blood is easily found and aspirated, and the surgeon wants to avoid hitting and rupturing the implant. If the swelling is significant but no more can be blindly aspirated, they can consider getting an ultrasound exam to see if there is any fluid collection that can be drained or aspirated while visualized by ultrasound so that it is found and the implant is protected. A certain amount of blood may cause some thickening in the tissues will have to resolve over what could take 6 months or so.