Normal Bruising or Hematoma? (photo)

I had breast augmentation under the muscle 2 days ago and have noticed bruising under my right breast around the incision area. I don't feel any extra pain or swelling in that breast but am worried it could be a hematoma. From the picture, does it look like normal post-op bruising or a hematoma?

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9 Doctor Answers | Asked by Kristine26940 in Indiana

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Normal Bruising or Hematoma?

Although this does not look like a hematoma, photos on the internet do not particularly provide a safe source of diagnosis. My one concern would be an allergic reaction to the adhesive on the steristrips. If you start get blisters on the red/purple areas, removal of the strips should be considered. A call to your surgeon is in order. \ Thanks, best wishes.

Appears to Be Normal Bruising

Thank you for your question and photos. This looks like normal bruising. A hematoma is usually not subtle. It is typically painful, swollen and very bruised on the affected side. Keep your regularly scheduled appointment with your doctor to ensure that your recovery is unventful. Good luck.

Bruising

Based on your photos, it does not look like you have a hematoma, but rather some bruising around your incision. Please followup with your PS for a check up. I'm sure you'll love your results in a few weeks. Dr. Basu Houston, TX

Normal Bruising or Hematoma?

Best to be seen in person by your surgeon to check this issue. Very hard to diagnose via the internet.

Postoperative healing

Hi, it appears to be bruising and not a hematoma. Did you follow up? What did he say? How is it now?

This is not a hematoma. Lack of asymmetric swelling is the key!

At least at the time of the photographs (thanks for including), there is no asymmetric swelling of your breasts on the frontal view, only peri-incisional bruising. This is almost always caused by the skin incision closure sutures, and usually does not represent bleeding within your implant pockets. This, of course, depends on your surgeon having used a fluid-tight closure of the deep tissues (breast fascia to abdominal wall muscular fascia) beneath the skin closure.... more

Bruising or Hematoma after Breast Augmentation

At the point the pictures were taken, you have a bruise or a clinically insignificant hematoma (i.e. one that does not require intervention). If the area of bruising gets larger or the breast becomes significantly larger, please see your plastic surgeon.

Breast implants

The photos you show may be a sign of early bruising or possibly a hematoma. Hard to say without an exam.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Normal Bruising or Hematoma after Breast Augmentation?

Thank you for the question and pictures. Based on the pictures, I think that it is most likely that you are experiencing “normal bruising”. However, keep in mind that your plastic surgeon is your best resource when it comes to precise diagnosis, advice, and/or reassurance. I am sure that he/she will want to be involved and know of any concerns/questions you have; you may want to send him/her the same pictures/questions. By the way, I think you are on your way to... more