I woke up one day with big, painful and hard left breast... it happen almost suddenly! I went to the PS and he did say it was a hematoma and I will see him wednesday again. My question is how often it goes away on its on and how often surgery to drain the blood is necessary? thanks
Answer: Hematoma 16 days after surgery
It is believed that hematoma may contribute to capsule contracture. The longest I had a patient develop hematoma was 14 days. I took the patient back to the operating room to evacuate the hematoma and stop the source if the bleeding. Patient is now months out and didn't skip a beat. My vote is to reiterate and remove the hematoma.
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Answer: Hematoma 16 days after surgery
It is believed that hematoma may contribute to capsule contracture. The longest I had a patient develop hematoma was 14 days. I took the patient back to the operating room to evacuate the hematoma and stop the source if the bleeding. Patient is now months out and didn't skip a beat. My vote is to reiterate and remove the hematoma.
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Answer: Breast hematoma Thank you for your question and for sharing your photo. A hematoma can be very mild or very pronounced in its presentation. A mild one may induce slightly more swelling and increased bruising and will likely resolve on its own. A more severe hematoma can result in dramatic asymmetry in terms of swelling, feelings of light headedness due to loss of blood, severe bruising, and can be rapidly growing. If you every experience the latter, then I would contact your surgeon immediately and if you have trouble, you may even go to the ER. Larger hematomas often have to be surgically drained.
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Answer: Breast hematoma Thank you for your question and for sharing your photo. A hematoma can be very mild or very pronounced in its presentation. A mild one may induce slightly more swelling and increased bruising and will likely resolve on its own. A more severe hematoma can result in dramatic asymmetry in terms of swelling, feelings of light headedness due to loss of blood, severe bruising, and can be rapidly growing. If you every experience the latter, then I would contact your surgeon immediately and if you have trouble, you may even go to the ER. Larger hematomas often have to be surgically drained.
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September 18, 2015
Answer: Surgical Intervention Necessary Postoperative bleeding and resultant hematoma formation can occur following breast augmentation surgery.When this situation arises, surgical intervention is usually always indicated to avoid long-term complications.When blood is left within the implant pocket following postoperative bleeding, the wound healing process can be adversely affected.Under these circumstances, undrained hematomas can result in pain, breast distortion, capsular contracture, implant displacement, and infections.For these reasons, hematomas should be drained as soon as possible when they occur after breast augmentation surgery.It’s important that you discuss this issue with your plastic surgeon.If you’re unhappy with his response, a second opinion may be appropriate.
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September 18, 2015
Answer: Surgical Intervention Necessary Postoperative bleeding and resultant hematoma formation can occur following breast augmentation surgery.When this situation arises, surgical intervention is usually always indicated to avoid long-term complications.When blood is left within the implant pocket following postoperative bleeding, the wound healing process can be adversely affected.Under these circumstances, undrained hematomas can result in pain, breast distortion, capsular contracture, implant displacement, and infections.For these reasons, hematomas should be drained as soon as possible when they occur after breast augmentation surgery.It’s important that you discuss this issue with your plastic surgeon.If you’re unhappy with his response, a second opinion may be appropriate.
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January 30, 2015
Answer: Hematoma after breast augmentation
Surgery is generally indicated for an expanding or tense hematoma. Othertimes a well contained hematoma that is stable can be allowed to liquefy and then be evacuated with aspiration at 7-10 days using a blunt cannula to avoid implant injury. Small stable hematomas can be observed. In your case, The breast does not look significantly tense or larger than the left and observation could be a reasonable option.
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January 30, 2015
Answer: Hematoma after breast augmentation
Surgery is generally indicated for an expanding or tense hematoma. Othertimes a well contained hematoma that is stable can be allowed to liquefy and then be evacuated with aspiration at 7-10 days using a blunt cannula to avoid implant injury. Small stable hematomas can be observed. In your case, The breast does not look significantly tense or larger than the left and observation could be a reasonable option.
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August 18, 2015
Answer: Hematoma Management VARIES Depending On SIZE
With regards to a hematoma after breast augmentation, it just depends on the size and the symptoms. From your picture, it appears you have some minor bruising in the lower pole. This in itself is usually not a reason to go in and drain the hematoma. However, if the rest of the breast is firm, tense, and painful, then I would go in and evacuate the old blood. Rarely do you find what caused the bleeding, but old blood sitting around the implant can cause an imflammatory reaction that can lead to more scar tisssue ( capsular contracture) down the line. I hope this helps.
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August 18, 2015
Answer: Hematoma Management VARIES Depending On SIZE
With regards to a hematoma after breast augmentation, it just depends on the size and the symptoms. From your picture, it appears you have some minor bruising in the lower pole. This in itself is usually not a reason to go in and drain the hematoma. However, if the rest of the breast is firm, tense, and painful, then I would go in and evacuate the old blood. Rarely do you find what caused the bleeding, but old blood sitting around the implant can cause an imflammatory reaction that can lead to more scar tisssue ( capsular contracture) down the line. I hope this helps.
Helpful 1 person found this helpful