Is additional surgery always required with post-op (breast reduc/lift) hematoma? Is it safe to "wait and see"?
Doctor Answers 2
#BreastReduction - Hematoma post-op
That being said, and in a general sense only, it is often a question of degree. The larger the hematoma the greater the indication for its early evacuation. Your situation is complicated by the fact that it's two weeks later. With each passing day the need and urgency for evacuation of a hematoma like this presumably diminishes. Furthermore, there is always at least some bleeding after a surgical procedure, and determining what constitutes a normal amount versus a clear hematoma is not always that precise. And, finally, collections of blood will often liquefy and resorb on their own. As long as you are otherwise okay (no fever, chills, sweats, redness, infection or signs of systemic problems) treating it expectantly - letting your body try to heal itself - is not unreasonable at this stage.
Remain in contact with your PS and, if you have any hesitation, seek a second opinion in person. That's the only way you can be fully assessed.
I hope that this helps and good luck,
Dr. Alan Engler
Member of RealSelf100
Hematoma after a Breast Reduction
If you have any more questions about breast reduction surgery, please read my book, "Cosmetic Breast Surgery - a complete guide from A to double D".
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