Best Way to Treat a Hematoma After Breast Augmentation?
- Asked by scmngal in south carolina
- 3 years ago
Breast augmentation 10 weeks ago - at the 5 week post-op mark, plastic surgeon was unhappy with healing and performed a pocket revision for both breasts and bumped up implant size. Within 7 days I developed a mass of fluid below my left breast (size of half a baseball - red and really sore) but PS wasn't overly concerned and prescribed antibiotics and a wait and see approach.
It's been 4 weeks and I still have swelling & pain. PS doesn't want to drain it for fear of risking infection. I am suspect of his approach - what to do?
Hematoma after breast implant surgery must be drained.
Hematoma after breast implant surgery must be drained. This is an infrequent complication of breast augmentation, but is probably the one most physicians fear the most. Plastic surgeons that perform large numbers of augmentation will invariably see and treat patients with this condition -- it happens to all surgeons. Despite the fact that I have developed a technique to perform breast augmentation and lose less than a teaspoon full of blood for the entire operation, I have had 2 or 3 patients with post-operative hematomas that I had to drain.
Hematoma after breast augmentation is one of the contributing factors to capsular contracture and even implant infection and therefore need to be drained to help prevent these complications.
It is hard to second guess your surgeon -- he/she has followed you through this process and has been able to examine you and should have a better idea of what should be done. There are ways to drain fluid collections sterilely and with minimal risk of puncture of the implant. You may want to discuss these options with your surgeon
Hematoma and fluid after breast augmentation needs to be removed
Don't feel bad about getting a second opinion. Any risk of draining the fluid or removing it surgically, especially if it is a hematoma, is negligible compared to the risk of doing nothing. Just leaving it there will be a set up for future complications like capsular contracture, especially with an untreated hematoma which will turn into a fibrotic mass of scar tissue.
Hematoma after breast augmentation
Recent Breast Augmentation Reviews
Breast Augmentation Photos
Fluid Collection after Breast Augmentation
The whole story is both confusing and suspect. I am not sure why a surgeon would "bump up" implant size a mere 5 weeks after the augmentation risking operation through inflamed tissue and when facing a seroma / hematoma would risk an abscess or capsular contracture by not getting a diagnostic study (such as an ultrasound) with possible needle guided drainage.
This is not what most of us would do. There must be more to this than has been shared.
Breast implants and fluid
I agree that this story is a little confusing, but an ultrasound to evaluate the fluid is often helpful if there is still a large amount there. I normally favor draining the fluid to prevent an infection and possible capsular contracture. If you are not receiving a good explanation of what's going on, you could see another surgeon in the area for evaluation and another opinion. Good luck, /nsn.
You need to have drainage of the fluid
You have described possible hematoma and if it is not removed ,you willl have capsular contracture. Please discuss your concerns with your plastic surgeon and if he is not ready to treat and remove the hematoma/seroma then seek second opnion. You will need to have full explortion and hematom /seroma removal as soon as possible.
Strange breast augmentation story
What you are describing is most unusual. The early implant change is strange, the fluid collection isn't normal etc. I'd agree that an ultrasound would be helpful and the fluid should be draine under almost all circumstances. Maybe visit another doctor in your area for a second opinion.
Web reference: http://www.randcosmeticsugery.com
Fluid collection following implant removal and replacement
This is a difficult problem to diagnose over the internet and it is hard to second guess the treating physician but based on your description, I would be compelled to drain the collection. One non-invasive option is to obtain an ultrasound to evaluate the mass. While it is possible that an exploration or treatment will result in possible infection, the alternative of not treating could lead to a higher rate of capsular contracture.
Hematoma after breast augmentation
I think that most plastic surgeons would probably drain the hematoma. Most surgeons would also be unlikely to perform a revision breast surgery at 5 weeks.
Web reference: http://www.dassmd.com/breast-augmentation/index.html
Fluid around breast at 2.5 months after augmentation
Wow this is one of the most interesting situations I've hear of yet. First I'm baffled by why your surgeon when back in at 5 weeks. If I have any concerns I wouldn't consider going back in until 6-8 months later. The breasts need to heal before any revision is considered.
The mass you have needs to be opened up and cleaned out. The risk of infection is high with any fluid collection around the implant so it needs to be removed.
My advise, find another surgeon who understands what needs to be done.
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