Bruising/hematoma on middle part of breast. Advised to put Hirudoid cream on it. Should I see a dermatologist? (photos)

Question

Hello. I would like to ask about the bruise or hematoma tha appeared one day after my procedure. Doctor advised me to put Hirudoid cream. After a month it has darkened however it doesent seem to completely go away. It looks like it has dark spots which looks like black heads and it is a little bit embosed. It worries me as it hasnt completely disappered and too visible. Should i visit a dermtologist for this? Doctor told me to just continue applying the cream. Also i am far away from him now.

Camille Cash, MD · Answer

While in the initial photo the area appears to be bruised it does not appear to be the case in the subsequent photos.  If you are not able to visit with your surgeon then an appointment with a dermatologist may be a good idea.

Daniel Barrett, MD · Answer

Dear trxym,
based on your first photos, it looks like you had a bruising but I'm not sure about bruising on third photo. I understand your concern. However, without a proper assessment it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment. Only after thorough examination you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Luke J. Curtsinger, MD · Answer

That doesn't look like a bruise.  More like a rash that could be fungal or hypersensitivity rash.  Additionally, you are now getting some dark, hyperpigmentation spots.  That can be toned down with some hydroquinone, but I think a dermatologist would be ideal to help make a proper diagnosis.

Brian Widenhouse, MD · Answer

It does appear from the photo that you have some type of rash. A dermatologist may be your best option.Good luck!

Daniel Zeichner, MD · Answer

Hi and welcome to our forum!The initial photograph appears to represent a bruise.  A hematoma would be manifested by increasing breast size, increasing pain, increasing bruising. Bruising between the breasts is not unusual and requires no treatment.  The followup photos appear to demonstrate a phenomenon separate from the bruise. Is this a hypersensitivity to the Hirdoid cream? This drug is a "heparinoid" substance, which is used to alleviate pain, reduce inflammation, and promote resolution of bruising.  This drug can cause local skin reactions such as contact dermatitis and allergic reactions in hypersensitive individuals.  ( I must admit I am totally unfamiliar with this drug).I recommend evaluation by a dermatologist sooner than later.Best wishes...

Bruising/hematoma on middle part of breast. Advised to put Hirudoid cream on it. Should I see a dermatologist? (photos)

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Bruising/hematoma on middle part of breast. Advised to put Hirudoid cream on it. Should I see a dermatologist? (photos)

Answers (6)

Answer: Breast Augmentation in Charleston, SC

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Answer: Rash (?) between breasts after augmentation

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