Hematoma 16 Days After Breast Augumentation - Will It Go Away?

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.

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.