Which is the best way to treat my hematoma? (Photo)

Hematomas present early after a breast augmentation should be evacuated immediately.  That means opening up the skin, getting rid of all the blood creating the hematoma, finding the source of the bleeding if possible and stopping the bleeding, and closing up the skin incision over a drain which should be left in at least 3 days to decrease the chance of a recurrence of the hematoma and also removing any concurrent seroma that may have formed.By 3 weeks, your hematoma probably already solidified.  Once it solidifies, then you get what is known as lysis of the hematoma.  This lysis (liquification of the hematoma) can then be drained.  Unfortunately, the cavity formed by the solidified hematoma and/or lysed hematoma can lead to a pocket which then fills with fluid known as a seroma which becomes much more difficult to resolve.All the above means you need to see your plastic surgeon right now and get the hematoma out of you.  It's presence can lead to infection, capsular contracture, and/or distortion of the ultimate results of your breast lift/augmentation.  Cold and heat will have no positive effects on your hematoma at this point, and aspirin will increase the likelihood of expansion of your existing hematoma.

It is best to follow-up with your surgeon to manage your hematoma. There are a number of different treatments and I would say that after 3 weeks your could probably stop the ice and hot packs. I would recommend not taking aspirin as this thins your blood and can make the hematoma more difficult to form clot for absorption. #PlasticSurgery #BreastAugmentation #BreastImplants #Implants #Recovery

It is hard to tell if this is a hematoma or a subcutaneous contusion. You require examination by a plastic surgeon. If it is a hematoma it should be evacuated in the operating room.

Thank you for your pictures. The best way to treat a hematoma is early drainage. If your hematoma was not drained then it may be organized (solid) and now it is up to your body to get rid of it. That is a slow process.  This may ultimately lead to capsular contracture.  Only time and patience will treat your hematoma.  

Hello anniepie22,Thanks for your question.From your pictures it is difficult to tell if you have a hematoma.  I assume your surgeon made this diagnosis.If this is a hematoma, you have to go back to surgery to have it drained and the source of bleeding identified and stopped. Blood around an implant increases the risk of infection and capsular contracture (hardening of the implant pocket).  This then increases the chances you will either lose your implant or require revision surgery.Aspirin is a blood thinner and its use for 2 weeks before surgery and for the first 2 weeks after surgery increases the risks of bruising, bleeding, and hematoma.I suggest you go see your surgeon ASAP.Good luck,Dr. Shah

This needs to be treated by going back to surgery and draining the hematoma.  This can cause long term problems with your implants and result.  Aspirin causes bleeding and will make it worse.

The only way to treat this hematoma is with surgical evacuation.  Aspirin will make it worse.  It will not resolve with ice and heat.  You need some attention from your surgeon, who seems to be ignoring your concerns.

I appreciate your question.

You have posted multiple questions. You need to be seen and examined by your Surgeon as soon as possible.  If you do have a hematoma, you need to be taken back to the operating room to have it evacuated.  Please call your Surgeon.



The best way to assess and give
true advice would be an in-person exam.

Please see a board-certified
plastic surgeon that specializes in aesthetic and restorative breast surgery.



best of luck!



Dr Schwartz

Thank you for your question and photographs.  I can see the asymmetry between your breasts, but your breast does not look like a classic hematoma.  Did you have an ultrasound or in-person examination by your surgeon to diagnose a hematoma?  If the hematoma is large enough that it is causing this difference in volume, best to have it evacuated to prevent an infection and capsular contracture

Hematomas should be evacuated. That is the best way to treat them.  Blood in the pocket can lead to capsular contracture.  Aspirin and NSAIDs can cause more bleeding and make hematomas worse. It should not be taken. Please follow up with your surgeon. Hope this helps and good luck!