I have been diagnosed with a hematoma almost 2 week post op and instructed to just rest and medicate.

Thank you for your questions. If the swelling is due to bruising or swelling in the tissue itself, then it is probably ok to watch and wait. If however, there is a true hematoma, meaning a collection of blood in the pocket next to the implant, I usually advise patients to proceed with having that removed in surgery. Hematoma around the implant risks a higher rate of capsular contracture down the road. Make sure you discuss your options with your board certified plastic surgeon.Good luck!

Significant hematomas after breast augmentation should generally be drained in the operating room.  If it is a very small hematoma in the skin itself and not in the implant space it may not require a trip to the OR.  Your board certified plastic surgeon should be able to guide you through this problem.  Hematoma is also different from a bruise, or ecchymosis, which may occur normally with surgery.