Breast Augmentation: Q&A

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Hematoma in Breast - Will It Clear Up on Its Own?

doctor has told me that it should clear up on its own should i be worried its making my sternum hurt?

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17 Doctor Answers | Asked by London5779 in London
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Hematomas often resolve but sometimes need surgery.

The majority of small hematomas will resolve overtime on their own. They start as a firm area and soften over a few weeks. Ultimately, they are absorbed by the body and leave no discernible deficit. For large hematomas, particularly around implants, an operation is usually necessary to remove them. This is because very large hematomas may never go away completely and can lead to issues such as infection, capsular contracture, or firmness in the breast.
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Hematome of the breast

  Whether it will clear with no after effects depends on the size.If the breast is hard and rigid it is better to remove it.If it is small and localized you should do fine.
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Hematoma After Breast Surgery

A hematoma, if it is not large enough to cause vascular compromise to your skin and or cause numbness or tingling in your arms, will eventually resolve. You may, however, be at higher risk for capsular contracture.

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Breast hematoma

A breast hematoma if large will not go away on its own and should be evacuated.  You may be more prone to a capsular contracture as well.
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Breast Hematoma

The first issue is what kind of breast surgery have you had?  If an implant is involved, the present of a hematoma will in all likelihood contribute to the possibility of a capsular contracture.  That said, it would be easiest to treat that now and try to avoid dealing with a capsular contracture in the future.  If there is no implant as in a breast reduction or lift, the issue would then be the size of the hematoma.  If small it may resolve on its own or we may wait... more
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Hematoma

If you have implants, the hematoma needs to be evacuated - yesterday.  If it is left to resorb on it's own, you will get a capsular contracture.  If you had a reduction or a lift and there is no implant and if the hematoma is not enlarging and is not tight,  it is reasonable to wait for it to absorb on it's own. Lisa Lynn Sowder, M.D.
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Breast hematoma treatment

If you truly have a significant breast hematoma and if you have implants, you need it drained so you have less chance of getting a capsular contracture.
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Hematomas and breast augmentation

My preference is to surgically evacuate any hematomas of significance around a breast implant.  Studies show a much higher rate of capsular contractures later, if this is not done.
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Hematoma after Breast Augment

It depends upon the size of the hematoma. A large and possibly expanding hematoma in the early post operative period should be surgically treated. A small, non expanding hematoma occurring a few weeks after surgery can be treated with observation. However, you should understand that this will greatly increase the risk of capsular contracture which may require eventual surgical treatment. If you simply have bruising associated with the surgery, then this can safely be treated with... more
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Treatment of breast implant augmentation surgery hematoma

Expanding hematomas which threaten wound integrity or vascularity with impending exposure have to be treated. Treatment of a stable hematoma is more controversial with some surgeons opting for evacuation to minimize risks of capsular contracture or organized clot whereas other prefer observation with thoughts of resorption and minimizing repeated implant exposure.
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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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