What are signs of a hematoma 2 weeks after surgery?

If a patient unfortunately acquires a hematoma a couple weeks after surgery what are the signs, or steps a doctor would take to diagnose that it is in fact a hematoma? Besides the patient being in uncontrollable pain that isn't changed by any amount of pain medicine and dramatic swelling/ displacement of the breast acquiring the hematoma how would a doctor know? Also once the doctor does believe it is a hematoma what does he/she do to treat it? And what happens if the Dr. doesn't treat it?

Doctor Answers 4

Hematoma with breast surgery

The symptoms that would suggest a hematoma would be persistent bruising, localized or asymmetric swelling, and tenderness. The ways to diagnose for certain would be with an ultrasound or needle aspiration. If the hematoma is small, it might resolve on its own with just time, massage, and application of warm compresses. But if it is more significant, it should be evacuated and washed out. 

Raleigh-Durham Plastic Surgeon
4.8 out of 5 stars 84 reviews

Hematoma after surgery

Luckily a hematoma two weeks after surgery is very rare.  It typically presents as significant pain and swelling which occurs suddenly on only one side.  The treatment is surgery to stop the bleeding and remove the blood from around the implant.  Not treating the problem can lead to capsular contracture in some patients.

Mahlon Kerr, MD, FACS
Austin Plastic Surgeon
4.9 out of 5 stars 217 reviews

Hematoma (breast tissue bleeding) 2 weeks after breast augmentation. How to know? How to fix it?

One of the complications we warn our patients about is a hematoma.  Hematoma is bleeding in a breast.  If this is happening you will feel a sudden increase in massive pain and swelling of the breast right before your eyes.  This can be avoided in several ways.  One way is to avoid blood thinners such as advil, aleve, ibuprofen, fish oil, green tea and several other culprits.  These products thin the blood and increase your chances for bleeding.  Avoiding pushing, pulling, lifting or strenuous activity is another way to avoid this complication.  On the rare occasion that a patient has a hematoma that has been confirmed, compression to the breast area with a tight wrap is the first step followed by emergency surgery to evacuate the blood. Very rarely does the implant get damaged.  You can still end up with a beautiful result however, the surgery is expensive and the breast with the hematoma will take much longer to heal. 

Brian J. Parker, MD
Las Vegas Physician
4.1 out of 5 stars 11 reviews

Late breast hematoma

Fortunately breast hematomas are very uncommon after breast augmentation. When they occur it is usually only 1 to 2 days after the surgery, however it could occur 2 weeks later. A relatively sudden change with one side becoming suddenly larger and more painful would suggest a hematoma or other fluid collection. Other than a physical exam, sonography of the breast could help with the diagnosis. Certainly the treatment for a breast hematoma would be exploration of the implant pocket, evacuation of the blood and control of any ongoing bleeding. The outcome of not treating a hematoma is not good.

Jeffrey K. Scott, MD
Sarasota Plastic Surgeon
5.0 out of 5 stars 54 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.