Should a Small Hematoma Just Be Observed or Immediately Drained to Reduce Risk of Cc?

I had my breast augmentation surgery on a Tuesday, and on Wednesday my PS observed my right breast had a small hematoma. He wants me to come back in 48 hours to observe if it has stabilized. I am nervous about the increased risk of capsular contracture and was wondering if it is better to just clean it out, even if it is a small hematoma, or just let my body absorb it. What is the link between small hematomas and cc? I am not in pain, haven't taken any pain meds. Just nervous about cc now.

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2 Doctor Answers | Asked by maggiethomas

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Capsular Contracture: The Relationship with Hematoma

Capsular contracture is caused by inflammation around breast implants. In some cases, the cause is likely bacterial, and in other cases, the cause may be due to blood or blood products which collect around the implant. A collection of blood around an implant stimulates inflammation and scar tissue formation. For my patients, any significant collection or hematoma is drained surgically. This does reduce the chance of encapsulation but may not eliminate it... more

Hematoma after breast augmentation

The blood of a hematoma if left alone tends to consolidate into scar tissue over time, and this can contribute to capsular contracture. A small amount may be acceptable, and some negligible amount of blood within the operated space probably happens in virtually every case. But how much is too much? That is a question that doesn't have an easy answer. For some surgeries a small hematoma can be watched and perhaps aspiration attempted (usually after several days when it... more