Breast Augmentation: Q&A

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Should I Worry About Hematoma? Should It Be Treated?

I had BA 2 weeks ago (Mentor textured silicone implants, 300cc mod+ prof). Immediately following surgery I retained a lot of water around my abdomen and had a lot of bruising around my breasts. Some of the blood migrated to the left side of my abdomen, which is now finally disappearing. However it's taking a lot longer in my breasts, especially the left. It used to be my smaller breast-now it's very slightly bigger and firmer than the right. Last week, my PS told me it would heal naturally.

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Mentor hematoma 300-349cc silicone implant moderate plus profile textured implants

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13 Doctor Answers | Asked by Asian Mom in Israel

Doctor Answers (13)
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No Hematoma

It does not appear that you have a hematoma, but you do have extensive bruising. You did the right thing by following up with your PS. Try placing ice bags on and around your breasts to decrease the bruising and pain. Frozen bags of vegetables work great for icing. Purchase 6-8 large bags of vegetables, corn or peas work best, broccoli and cauliflower are too lumpy. Place them in a large freezer bag and drape them completly over the breast. When the... more

Extensive bruising after breast augmentation

That is a lot of bruising on both of your breasts for 2 weeks out from surgery. Bruising simply from the trauma of surgery (which should be minimal for 300 cc implants plased through an inframammary approach!) should be slight if not nonexistent. Hematoma left around implants will predispose you to capsular contracture. Consider a second opinion.

Hematoma after Breast Augmentation

Your surgeon would be able to easily diagnose a hematoma. Symptoms are typically moderate to severe swelling and pain on one side, not symmetric bruising with one side slightly more swollen.

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Breast implants and hematomas

You do have a lot of bruising and it is normal for the discoloration of bruising to migrate according to gravity while it changes color and finally resolves. You may or may not have a hematoma but the good thing is that all of the skin looks healthy and you do not sound like you have much pain. Expanding hematomas cause pain and affect the overlying skin. 2 weeks is still a bit early.

Hematoma after Augmentation

Without the benefit of an exam or additional photos, it appears that you do not have a hematoma; but you do have a significant amount of bruising. The migration that describe of the eccymosis descending into the abdomen is normal and is due to gravity. Hematomas do rarely occur following an augmentation and should be treated promptly.

Breast hematoma vs bruising

You seem to be unusually bruised for a BA but equally so on each side and the two sides look comparable in size indicating that you probably don't have a significant hematoma. It looks like just extensive bruising which should resolve spontaneously but keep in close touch with your surgeon to be sure.

Hematoma After Breast Augmentation

It is difficult to assess whether you have a hematoma, but extensive bruising on one side is always cause for alarm. The two other signs are one side more swollen than the other and increased pain. If all three of those are present I would be very concerned you have a hematoma.

Hematoma versus bruising.

Since you have bruising on the right as well, it is more likely ecchymosis than a hematoma. IF you remain concerned, possibly as your surgeon to get an ultrasound alhough this may require more out-of-pocket expoenses.

Breast augmentation

This looks more like bruising than a hematoma. Not draining a hematoma can result can lead to an infection, implant malposition, additional scarring, and others.

Is it a hematoma?

The main question is it a hematoma or just excess bruising.If it is a hematoma then it should be drained.If it is not drained the incidence of a hard breast reulting is quite significant.How do I know it is a hematoma? If your breast is swollen,hard and painful it is likely a hematoma.

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