Breast Reduction Hematoma?

It has been exactly 2months after my breast reduction. The minute I left the hospital I noticed that my left breast is DOUBLE the size of my right. I went back & the doctor said that it was a Hematoma and that it will resolve on its own. The bruising is gone, but the hematoma is not. Size? It is about a fist and a half large on the side of my breast. I am not numb, I can feel the nipple just fine, and the skin is normal color. I need a 2ed opinion. What do you think? leave it?

Doctor Answers 6

Hematoma after breast reduction surgery

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

Hematoma is certainly one of the more common complications that can occur with breast reduction surgery. While there is no exact right answer, generally, if the involved breast is over 1.5 times the size of the other breast, I will typically drain this. More importantly, if I feel the hematoma will have a detrimental affect (wound healing,skin loss, infection) on the involved breast I will recommend a drainage procedure of some sort. This could be needle aspiration or an open procedure. A second opinion is worth while if you do not trust the answer you are getting from your surgeon. 

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.
You may want to consider a second opinion if the breast is not resolving on its own.

May need surgical drainage of a hematoma

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

Hematomas can occur after any surgery including breast reduction.  Some surgeons place drains other do not.  A significant hematoma can occur even when drains are used, so a drain will not prevent this from occurring.  If your breast is twice as large as the other side then this is a hematoma that may need to be surgically drained as it can have a detrimental effect on healing causing more pain, stiffness of the soft tissue and generally delaying an otherwise uneventful recovery.

Concerns after Breast Reduction?

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

Always  best to check with your own plastic surgeon about concerns after surgery.  If still in doubt, a second opinion with a board-certified plastic surgeon in your area may be helpful to you.

Online consultants will not be able to provide you with meaningful diagnosis, treatment recommendations, or reassurance.
Best wishes;  hopefully, you will be very pleased with the  long-term outcome of the breast reduction procedure.

Treatment of hematoma after breast reduction

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
Some hematomas will resolve on their own whereas others should be drained. I would recommend a second opinion. Consideration should be given to daring a hematoma of this size.

Hematoma after breast reduction

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

If you have a hematoma, it sis really up to your doctor to decide how to treat it. If you are concerned, then I suggest you get a second opinion but his will require an exam.

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.