I would like a second opinion: I feel this is a hematoma but the office says that it’s fine, what are your thoughts? (Photos)

Question

I am 9 days post op. There was a point where this breast was larger and more painful but that subsided early on. However, the breast just doesn’t look right to me. It’s been bruised and new bruises developed a few days ago. Now there’s oozing for two days intermittently. I’m just worried I have a hematoma and it’s not being managed appropriately.

Ronald J. Edelson, MD · Answer

It does appear that you have a hematoma if the breast. I would take you to surgery and explore the area even if I wasn’t sure you have a hematoma. If you go to surgery and no hematoma is found there is no harm done. Best to be certain in a case like this.

Pejman Aflaki, MD · Answer

Hello and thank you for your question and sharing your photos. There is a significant size difference and one breast is larger. Drainage from breast augmentation incision 9 days post op is concerning. You could well have a hematoma. You should see your surgeon ASAP. Best,
  
Pejman Aflaki, M.D.
  
Johns Hopkins-trained double board-certified plastic surgeon

Kenneth Hughes, MD · Answer

Hello, thank you for your question. A hematoma after surgery may need to be drained surgically or can be observed. It really depends on the size and location of the hematoma, and whether it appears to be compromising your overall results.

Chris Funderburk, MD · Answer

I understand your concern. It's not possible to say from a photo without a physical exam. But I am always concerned when I see swelling or bloody drainage from a breast. If the area continues to expand, it is almost certainly a hematoma. Ask your provider if he or she has a diagnostic ultrasound at the clinic, or if they can send you to a fellow plastic surgeon who can check. That is one way to easily confirm if the exam is not diagnostic.

Chad Robbins, MD · Answer

Hello and thank you for your question and photo's.  It appears to be a large hematoma from what I can see.  I would go see your PS today and have him see it.

David Finkle, MD · Answer

Based on the history and photographs, you have a hematoma, and a large one at that.  I would recommend surgical drainage.Good Luck!

Mahmood Kara, MD - Account Suspended · Answer

Hello. 
Thank you for your inquiry and congratulations on your surgery! 
  
It is important to have an in-person medical assessment regarding this issue as it is difficult to determine virtually.
  
Continue to update your doctor in the matter and follow their post-op protocol.
  
It is important to get cleared by your doctor before engaging in specific physical activity before the 3 month healing period has ended as the healing stage is crucial for healthy results.
Our tips for recovery following breast augmentation are to wear a supportive sports bra for 3 months post-operative and refrain from lifting anything heavier than 10 lbs for 3 weeks as we don't want any strain at your incision sites. Make sure to keep the area of your stitches clean by cleansing with hydrogen peroxide daily. Showering is encouraged! But, no sitting in water for 2 weeks following surgery (no baths, hot tubs, pools etc.). 
  
Please note that this response does not substitute patient-doctor relationship.
  
We welcome any and all patients seeking advice to come in for a complimentary consultation available for limited time only.
  
During the COVID-19, we are offering complimentary online consultations as well as in-office consultation with social distancing and masks. Procedure done in-hospital private surgical facility while taking covid-19 precautions. We utilize UV-light to clean the air of viruses and bacteria during our consultations and surgery.
  
We invite you to come in to discuss your options more thoroughly.  Please send us an email at info@drkaraplasticsurgery.com with the subject line: "Attention Meagan" and we will be happy to coordinate your appointment!
  
M.Kara,MD,FRCSC (27+ years experience)
  
- Specializing in 24 hour recovery/ out to dinner breast augmentation in-hospital private surgical facility for your added safety and peace of mind

I would like a second opinion: I feel this is a hematoma but the office says that it’s fine, what are your thoughts? (Photos)

Answers (7)

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