How long does it take a hematoma to heal after breast reduction?

Question

Breast reduction 10 days ago. On day 2 large Hematoma developed on the side of breast and Spread to back. I was given a shot of blood thinner In the recovery room due to pulmonary embolism History. Dr thinks this caused hematoma. Jp drain is still in and pulling 3-4 tbls of what looks Like thick dirty motor oil . Drain site is very sore And slightly pink at opening.the black blood is about 2/3 gone But wondering if drain should still be left in. How long until hematoma heals? Very painful!!

Stephen Bresnick, MD · Answer

Sometimes hematomas are drained in the operating room, especially if they are compromising the healing process or skin circulation. If those things are not a factor, a drain is usually left in until it produces about 30 or less cc per day. It seems by your description that your doctor is taking good care of you, and with your history of pulmonary embolus, a blood thinner is very important.

Jon S. Wilensky, MD · Answer

The healing time for a hematoma after breast reduction can vary. Generally, smaller hematomas may resolve within a few weeks, while larger ones may take longer. It’s crucial to follow your surgeon’s post-operative care instructions and attend follow-up appointments for proper monitoring and guidance on your specific recovery timeline. If you have concerns about your healing progress, it’s advisable to consult your surgeon.

Tom J. Pousti, MD · Answer

I'm sorry to hear about the complications you have experienced. At this point, it is very important that you keep in close contact with your plastic surgeon who will be able to assess your progress,   any need for further intervention, and timing of drain  removal based on physical examination ( clinical evaluation). Generally speaking,  in my opinion, it is better to be conservative and leave the drain  in place until its  output is minimal ( for patients in your situation). 

	 Best wishes for an otherwise uneventful recovery; hopefully you will enjoy the benefits of the breast reduction procedure in the long-term.

Steven Wallach, MD · Answer

A blood thinning medication can certainly cause  a hematoma.  But that is the risk if you need to protect against DVT and PE.

David L. Abramson, MD · Answer

Hematoma is a well known complication of this surgery. The cause can frequently not begin pointed. The drain needs to stay in until the drainage decreases. You surgeon will need to determine the exact amount of time.

Stuart B. Kincaid, MD, FACS (in memoriam) · Answer

Sorry to hear about your discomfort. Having a hematoma is nothing that can not be healed. Everyone heals on there own rate. Your surgeon will determine when the GP drains are D/C, once he sees the amount is decreasing. Be patient it will heal.

How long does it take a hematoma to heal after breast reduction?

Answers (6)