Hematoma removal breast augmentation. Is it acceptable to remove implant wash out tissues and put it back in? (photo)

Question

I had a Breast Augmentation on 10-24-17 and from the beginning the right breast felt different. It was more painful, very sore, tight, and up very high compared to the left breast. On day 3 PO I spoke with a RN at my surgeons office and she said it was normal for 3 DPO. Had my first follow up day 8 PO and surgeon feels there is a hematoma and is planning on going to open me back up on day 13 PO. Is it normal to have to wait that long for removal of hematoma? I'm in bad pain

Deborah Sillins, MD · Answer

If you have a hematoma the sooner the blood is removed and the pocket washed out the better. Blood is a good medium for bacteria to grow and you could get an infection

Nelson Castillo, MD · Answer

Thank you for sharing your question and photographs and I am sorry to hear of your hematoma.  Whether diagnosed clinically or with an ultrasound it is imperative to remove the hematoma as quickly as possible to avoid infection and tissue inflammation.  The same implant can be washed and reused. Hope this helps.

Gary L. Ross, MBChB, FRCS · Answer

The sooner a haematoma is removed the better. It is not unusual during this op to remove, wash out and replace the implant. Contact your PS again.

Francis (Frank) William Rieger, MD (retired) · Answer

It is appropriate to evacuate the hematoma, vigorously wash out the breast pocket and the surface of the implant, use a drain in the breast pocket( in my practice I always do this) and replace the same implant if possible.  This may not be possible if there were to be fluid in the breast pocket that is not hematoma ( such as seroma and suspected infection).  I would always advise this sooner than later, usually several days at the most after the problem is identified.Good luck to you.Frank Rigger M.D.  Tampa Plastic Surgeon

Hematoma removal breast augmentation. Is it acceptable to remove implant wash out tissues and put it back in? (photo)

Answers (4)

Answer: When should a breast hematoma be drained once it is noted after surgery?

Answer: When should a breast hematoma be drained once it is noted after surgery?

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Everything you need to know about Breast Implants

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Hematoma removal breast augmentation. Is it acceptable to remove implant wash out tissues and put it back in? (photo)

Answers (4)

Answer: When should a breast hematoma be drained once it is noted after surgery?

Answer: When should a breast hematoma be drained once it is noted after surgery?

Browse related questions

Recommended reading

Everything you need to know about Breast Implants

Our mission is to create a world where every investment in modern beauty is Worth It.