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What Are Signs of a Hematoma After Breast Augmentation?

asked 2 years ago by balvarez02000 in miami, florida
Latest answer by Remus Repta, MD
Question viewed 10,020 times
Tags: under muscle, hematoma

I had breast augmentation a little over a wk ago, the implants were placed submuscular, my left breast seems to be slightly more swollen then my right, and causes me much more discomfort than my right breast, especially when i wake up. I worry this may be a sign of a hematoma or something is wrong.

17 answers to What Are Signs of a Hematoma After Breast Augmentation?

Post Op Hematoma with Breast Augmentation

Minor differences in swelling and tenderness are not usually a cause for concern. If you have a significant hematoma, the difference will be obvious and dramatic. In either case, if you are concerned you should contact you surgeon who can give you an expert opinion.

Mark Preston, MD
Columbus Plastic Surgeon

Signs of a hematoma after breast augmentation

Signs of hematoma after augmentation are: Marked swelling, black and blue, increasing pain, uneven breasts. If you have any of these symptoms and signs GO no RUN to the operating surgeon. I assume the operating surgeon is in MIAMI? If not, please call my office to see me ASAP. You may need drainage surgery! From MIAMI Dr. Blinski

Darryl J. Blinski, MD
Miami Plastic Surgeon

Signs of hematoma after breast augmentation

Hello, It is not uncommon to have one breast hurt more and feel tighter than the other. This is almost routine since our anatomy is not always the same from one side to another. Signs of a hematoma that needs to be fixed includes: Expanding size of the breast Significant brusing Progressively worse pain Usually all of these signs are noted together when a breast hematoma occurs. All the best, Dr Repta

Remus Repta, MD
Phoenix Plastic Surgeon

www.aaaplasticsurgery.com

If you have a hematoma you will most likely know it

If you have a hematoma you will most likely know it. Most likely, any significant hematoma would present with one sided prominent pain, swelling and brusing occuring over a short peirod of time and considerably disproportionate to the opposite normal breast.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Bleeding AFTER Breast Augmentation - How Do You Know

The bottom line - if you are worried - arrange to be seen by your Plastic surgeon who WILL know. Personally, from what you describe, I am not too concerned. Bleeding after a Breast Augmentation (Hematoma) is seen in the first few days - not a week later and is associated with a large difference between the breasts, with swelling, bruising and a lot of pain on that side. Your symptoms are not classic. But, again, if you are worried, see your surgeon. Dr. P. Aldea

Peter A. Aldea, MD
Memphis Plastic Surgeon

Signs of hematoma after a submuscular breast augmentation

From what you are describing this does not sound like a hematoma. Breast hematomas usually present within the first 48 hours and are commonly unilateral (one side) significant swelling, firmness and bruising. If you had a hematoma you would know it! Fortunately enough, this sounds like normal post-operative swelling which is never symmetric and usually more pronounced on your dominant side. I hope this helps. Dr. Trussler

Andrew P. Trussler, MD
Dallas Plastic Surgeon

Breast Hemotoma

The typical signs involve significant swelling of the breast, increased pain or more pain versus the opposite breast, and purple discoloration, These findings can slightly less prominent in women of color especially the purple discoloration. The diagnosis depends on the surgeon's experience when findings are not obvious.

Earl Stephenson Jr., MD, DDS
Atlanta Plastic Surgeon

Hematoma after breast augmentation

The signs of a hematoma after breast augmentation depend on how soon after the surgery it develops. Statistically, if one gets a hematoma, it is more likely to be in one side or the other but less likely in both sides. Therefore, the first clue will often be that one side doesn't look anything like the other. Mild asymmetry is very common but large asymmetry isn't. Within the first few days look for an increase in size of one... more

Barry Stuart Handler, MD
San Diego Plastic Surgeon

Hematoma or Swelling After Breast Augmentation

The most devistating complication after a breast augmentation is a hematoma. Although very rare it's unfortunate when it happens. A hematoma will develop almost immediately after surgery resulting in a signigicantly larger breast on one side. The patient is taken back to the OR and the pocket is cleaned out but unfortunately the patient is still left with a large bruise that will spread down the abdominal wall before fading. There can be some asymmetry due to swelling but a hematome... more

Christopher L. Hess, MD
Fairfax Plastic Surgeon

www.hessplasticsurgery.com

What is your doctor's opinion

Your description of the breast size difference and pain is not consistant with hematoma . You would had more brusing and also pain with hematoma. Please send pictures.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon

Sonogram of breast will detect hematoma after breast implants.

Hi. You may well have a hematoma, and it should be addressed right away. The signs of hematoma after breast implants are swelling and pain. You need a sonogram.

George J. Beraka, MD
Manhattan Plastic Surgeon

Signs of a hematoma after breast augmentation

A subtle difference in swelling between the two sides is normal and not indicative of a hematoma that needs to be re-operated upon. A significant hematoma, one that needs surgery, has a dramatic difference between the 2 sides. Differential pain is also normal.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Hematoma after breast augmentation

It's not unusual to have slightly different amounts of swelling between the breasts, but a significant difference, which occurs within a short period of time, is concerning and requires immediate evaluation. A hematoma would also be associated with at least moderate pain. Although your situation does not sound concerning, you should certainly contact your surgeon today just to run it by him or her and possibly be seen. Good luck, /nsn.

Nina S. Naidu, MD
New York Plastic Surgeon

Signs of a hematoma

I agree with Dr. Jejurikar but if you have concerns, I would speak with your plastic surgeon who may want you to come in for an exam. Signs of a hematoma include asymmetric swelling, pain with arm motion, bruising and asymmetric pain as well. It is not uncommon to have a little more discomfort and swelling on one side compared to the other depending on what had to be done at the time of your surgery. I hope this helps Dr Edwards

Michael C. Edwards, MD
Las Vegas Plastic Surgeon

www.medwardsmd.com

Minor asymmetry is usually not a sign of hematoma

Hi, Hematoma after breast augmentation is usually not subtle. It manifests as a sudden increase in pain and swelling in a breast, accompanied shortly thereafter by bruising and discoloration. What you describe is relatively common initially after breast augmentation; for whatever reason, one side stays slightly more swollen and tender than other. Still, if you have any concerns, don't hesitate to contact your surgeon. Any exam by him or her should help give you peace of mind. Hope this... more

Sam Jejurikar, MD
Dallas Plastic Surgeon

Hematoma after breast augmentation

Usually a hematoma following an augmentation will be accompanied by a significant difference in the size of the affected breast rather than a small degree of difference that you describe. However, if you think there is any possibility of a hematoma, you should contact your surgeon immediately. It is not uncommon to see a slight degree of size difference early due to asymmetric swelling.