What can be done to speed up the healing process of a hematoma? (photos)

Thank you for your question and for sharing your experience. A hematoma is a collection of blood that can cause discomfort, particularly if it's near sensitive areas like the abdomen. Hematomas often form after surgery or injury, and while they usually stop expanding on their own by exerting pressure internally, they can still cause pain and discomfort.

The most effective way to address a hematoma is through drainage, typically done with a needle in the office. Depending on the size and age of the hematoma, you may need multiple drainage sessions, sometimes daily or every other day, to fully resolve it. This process can take one or more weeks, depending on the severity of the hematoma.

Unfortunately, there isn’t much that can be done to speed up the healing of a hematoma on its own, other than allowing your surgeon to drain it if necessary. Leaving it untreated could lead to the formation of scar tissue, which can cause a painful lump that is harder to treat later. For this reason, it’s important to follow up with your surgeon as soon as possible to discuss drainage options and avoid long-term complications.

I recommend contacting your plastic surgeon to explore the best treatment plan for your hematoma and alleviate your discomfort.

Sincerely,
Dr. Katzen

Generally, a Hematoma will be absorbed by your body over time. In some circumstances a Hematoma may become hardened, making it a little more difficult for your body to absorb it as fast. Different techniques such as massaging with some castor oil or applying a heating pad to the area as well, can facilitate in breaking up the tissue more so your body can absorb it faster. In some situations if these techniques do not fully resolve the problem , a physician may suggest having the hematoma drained or surgically removed.

It looks like you have a very nice result. A small hematoma like this is often just an inconvenience as long as the pain continues to improve. Drainage is the most direct way to speed up healing. It may take 2 or 3 weeks for the hematoma, which is usually like Jell-O, to become more fluid. In the meantime, your surgeon may suggest gentle massage or perhaps just leaving it alone. Your discomfort should improve over time either away.

Hematomas usually resorb with time, although this may vary depending on their size and location. To facilitate resorption, you can apply warm compresses after 48-72 hours, as this stimulates circulation to the area. Staying well hydrated and consuming foods rich in vitamin C may also help.Drainage is usually considered only if the hematoma is very bothersome or large, as in many cases it resolves without intervention. In general, allowing it to reabsorb naturally is safe, but it is important to continue medical follow-up to ensure proper recovery.

Your surgeon will work with you to help dissolve the hematoma. Even with no intervention they often resolve on their own. A small hematoma does not typically require draining. Closely follow your surgeon's instructions for best results.

I’m wondering, who interpreted the ultrasound reading? Was it interpreted by a radiologist or was it interpreted by your surgeon?It’s important that the interpretation is made by someone who has the skill to clearly differentiate a hematoma from a seroma.
At six months, a typical hematoma should have been resorbed.
I suggest you continue following up with your provider and get his or her guidance for ongoing care.
If you don’t feel like you’re getting the care, you need then schedule an in person second opinion consultation.
Best,
Mats Hagstrom MD