Would A Breast Hematoma Post BR Permanently Affect The Final Result And Shape?

Six weeks ago had a breast reduction with a lift as soon as I work up in recovery I new there was something wrong with the right one when my bandages came off my right was a completely different size and shape I developed a hematoma since then I have had it drained three times it's gotten smaller but the shape hasn't changed is the normal? Could the hematoma have effected the shaping of the breast permanently? If so is this something that will have to be surgically fixed?

Doctor Answers 5

Breast hematoma

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
Thank you for your question. A hematoma can be very mild or very pronounced in its presentation. A mild one may induce slightly more swelling and increased bruising and will likely resolve on its own. A more severe hematoma can result in dramatic asymmetry in terms of swelling, feelings of light headedness due to loss of blood, severe bruising, and can be rapidly growing. If you every experience the latter, then I would contact your surgeon immediately and if you have trouble, you may even go to the ER. Larger hematomas often have to be surgically drained as was your case.
Swelling can linger for considerable amounts of times, especially if you had the procedure done more than once.  I would wait several months before assessing whether any revision may be needed as most times the hematoma evacuation will resolve without causing distortion to the breast.

Effect of hematoma on breast reduction outcome

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
A hematoma can delay the healing of the affected breast. It can take a considerable amount of time for the residual hematoma to be reabsorbed by the body Ultimately, the breast should go on to heal without affecting the longterm outcome. At this time, I would not conclude that you will require revisional surgery based on the postop complication.

Breast shape will recover after reduction and bleeding

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

A hematoma after breast reduction can be quite uncomfortable and does require immediate drainage. Though the breast will stay swollen and firm longer than the side without the bleeding, the breast will recover, soften, and become like the other side.

Best of luck, peterejohnsonmd

Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 44 reviews

Breast reduction and post-op hematoma

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Sorry to hear that you suffered from a complication following your surgery, but I can reassure you and say that it is still too early in the healing process to determine the shape of your breasts.  Following breast reduction, I have found that it can take 3 months for the breasts to settle under normal circumstances.  The time frame can be much longer if you have had a complication such as a hematoma that required drainage -- the inflammatory response following an event like this can last for several weeks to months.  The body's healing process can take unto one year.  I would encourage to be patient (I know that this is hard) and to communicate openly with your plastic surgeon.  

Anureet K. Bajaj, MD
Oklahoma City Plastic Surgeon
5.0 out of 5 stars 21 reviews

Breasts Reduction and Hematoma?

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Thank you for the question.

Your plastic surgeon will be able to give you a much more precise assessment as to any long-term effects after the hematoma. Generally, however the presence of the hematoma will not necessarily change your long-term outcome. It is likely that the tissues have stretched and/or been involved with additional swelling in that area;  it may take a few months for the symmetry to improve.

I hope this helps.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.