I had bilateral breast reduction/lift and minimal underarm lipo done on Monday. The bruising was quite severe (and yellow) days 3-4 and on day 5-6 I started to develop a red/purple colouring above and below the incision along the bottom of my right breast. The right breast is definitely more painful than the left but not particularly more swollen. I'm worried that it's a hematoma but no amount of research can show me what a hematoma LOOKS like. Is this normal? I've included photos.
How Do I Tell if I Have a Hematoma After Breast Reduction? (photo)
Doctor Answers 4
Hematoma after breast surgery
From your pictures if you do have a hematoma, it is not very big. Evacuation of small hematomas is usually not necessary. Sometimes they will liquefy and can be aspirated after a short period of time.
Talmage Raine MD FACS
Clinical signs of hematoma
almost always involve enlargening of the area, whether its after a facelift, augmentation, or tummy tuck. The discoloration you show, though considerable, is not unusual and the coloring showing your blood is being resorbed. Its really hard to have a significant hematoma without major swelling accompanying it.
Hematoma following breast reduction
Bruising following breast reduction is universal. The amount of bruising, skin discoloration and associated swelling is different in every patient. This may be due to surgeon technique as well as patient related factors. When there is question and concern regarding hematoma you should see your surgeon so that they can examine you and make a decision based upon numerous factors.
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