Can I have a hematoma without bruising?

You most certainly can have a hematoma without bruising.  Bruising is often a late sign.  Check with the plastic surgeon.  It is hard to tell from this photograph.

Thanks for your question.You most likely do not have a Hematoma. Hematomas are normally unilateral and show a large
difference in size between one breast and the other. They are extremely painful on
the effective side, and will show bruising. Consult with your PS about your concerns. All the best,Dr. JSB

Hello and thanks for your post. Hematoma that requires immediate attention are large and cause a great deal of pain. Based on your photos, that's not happening. Seek the advice of your PS for your spitting suture. Best, Dr. ALDO.

Thank you for your question. It is best to have an in person physical assessment to provide you with the most accurate answer. Please schedule a follow up with your surgeon. Best, 

Your breast seem fine based on just seeing your picture. I would recommend that you see your surgeon for further evaluation. 

In the posted photo I see NO swelling which would indicate a hematoma. Best to see your surgeon ASAP. 

From your photos, you do not appear to have a hematoma.  It would be unusual to get a hematoma bilaterally.  Also, with an enlarging hematoma, there is usually quite a bit of pain and discomfort associated with it.  You likely have swelling that is waxing and waning with your activity.  Swelling usually takes at least three weeks to resolve for the most part.  You should consult with your surgeon to discuss your concerns.

It does not look like you have a hematoma.  Swelling can come and go especially with increased activity.  Please follow up with your PS.

From your photo, it doesn't look like you have a significant hematoma.  However, if there is any question, I suggest you have your surgeon see you to be certain.  Best wishes, Dr Lepore.

It's doubtful you have a hematoma.   See your plastic surgeon to confirm.  You may need to limit your physical activity until you are healed.  Take care of yourself.