Ok so according to my previous questions all surgeons say that I should have the pocket cleaned out and the blood removed from the breast. I was told by my surgeon to wait it out. He does not want to go back in due to the fact that it might cause infection. He says that it will heal on its own and not to worry about it. I am definitely worried! Every response I got from here says for it to be removed. Can this actually heal on its own and everything be ok? I had silicone under the muscle.Imonabx
Answer: What would happen if I chose to let my hematoma just drain? My incision has been draining for days now. Will I get CC? Sorry to say in my opinion you are too late (over 3 weeks from surgery) to prevent a capsule contracture now due to the delay in operative drainage! BUT you still need manuel irrigation and removal of the hematoma!!! By waiting "ALL" this time with all these postings here on RealSelf the standing/pooling blood has initiated fibrosis or capsular formation. I do not understand your surgeon's reluctance to drain a hematoma?? Are you sure your surgeon is a boarded Plastic Surgeon???
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CONTACT NOW Answer: What would happen if I chose to let my hematoma just drain? My incision has been draining for days now. Will I get CC? Sorry to say in my opinion you are too late (over 3 weeks from surgery) to prevent a capsule contracture now due to the delay in operative drainage! BUT you still need manuel irrigation and removal of the hematoma!!! By waiting "ALL" this time with all these postings here on RealSelf the standing/pooling blood has initiated fibrosis or capsular formation. I do not understand your surgeon's reluctance to drain a hematoma?? Are you sure your surgeon is a boarded Plastic Surgeon???
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CONTACT NOW Answer: An untreated hematoma after breast augmentation can lead to capsular contraction Thank you for your question. I'm sorry that your surgeon does not want to remove the hematoma.In my opinion there is more likelihood of infection if you leave an open draining hematoma in place than if you are properly treated by removal of the implant removal of the hematoma cleansing of the pocket with triple antibiotic solution and replacement of your breast implant. I suggest you see your surgeon again and demanded to be treated and if not then seek consultation elsewhere.
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CONTACT NOW Answer: An untreated hematoma after breast augmentation can lead to capsular contraction Thank you for your question. I'm sorry that your surgeon does not want to remove the hematoma.In my opinion there is more likelihood of infection if you leave an open draining hematoma in place than if you are properly treated by removal of the implant removal of the hematoma cleansing of the pocket with triple antibiotic solution and replacement of your breast implant. I suggest you see your surgeon again and demanded to be treated and if not then seek consultation elsewhere.
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June 8, 2014
Answer: Hematoma after breast surgery Thanks for your question and photosI would recommend going back to your surgeon and explain your fears and concerns.In my practice, i would have gone back to the OR and remove the blood clots. I would explore to make sure there are no other bleeding sites and apply irrigation with triple antibiotics saline solution and then I would close over drains. Best Wishes
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Answer: Hematoma after breast surgery Thanks for your question and photosI would recommend going back to your surgeon and explain your fears and concerns.In my practice, i would have gone back to the OR and remove the blood clots. I would explore to make sure there are no other bleeding sites and apply irrigation with triple antibiotics saline solution and then I would close over drains. Best Wishes
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June 9, 2014
Answer: Postop Breast Hematoma Bleeding around a breast implant has a much higher incidence of capsular contracture and potential for infection. Treating this conservatively is not the standard of care. As plastic surgeons, complications occur and have to be dealt with. We would all like to treat these conservatively without reoperation, but our teaching is to treat more aggressively to prevent future problems. I would suggest you get a second opinion to clarify your problem. All of us online have not seen you in person and can't give you an exact answer.
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CONTACT NOW June 9, 2014
Answer: Postop Breast Hematoma Bleeding around a breast implant has a much higher incidence of capsular contracture and potential for infection. Treating this conservatively is not the standard of care. As plastic surgeons, complications occur and have to be dealt with. We would all like to treat these conservatively without reoperation, but our teaching is to treat more aggressively to prevent future problems. I would suggest you get a second opinion to clarify your problem. All of us online have not seen you in person and can't give you an exact answer.
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June 7, 2014
Answer: What would happen if I chose to let my hematoma just drain? My incision has been draining for days now. Will I get CC? (photo) Thank you for your question! Certainly postoperative hematomas of the breast with implants have a much higher chance for infection as well as capsular contracture. Also, there is a significant higher incidence of wound healing issues, as the liquefied blood clot will attempt to egress from the breast pocket. I would recommend exploration and evacuation of the breast. There are risks and benefits of everything done in surgery, but I believe the advantages outweigh any disadvantages for this issue. Best wishes!
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Answer: What would happen if I chose to let my hematoma just drain? My incision has been draining for days now. Will I get CC? (photo) Thank you for your question! Certainly postoperative hematomas of the breast with implants have a much higher chance for infection as well as capsular contracture. Also, there is a significant higher incidence of wound healing issues, as the liquefied blood clot will attempt to egress from the breast pocket. I would recommend exploration and evacuation of the breast. There are risks and benefits of everything done in surgery, but I believe the advantages outweigh any disadvantages for this issue. Best wishes!
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