Will the hard lump left behind after hematoma improve or heal?

Question

I developed a small hematoma 4-5 days PO right underneath my areola. 2 months PO I can still see a faint bruise and the area underneath has hardened. It feels about the size of a cherry. It seems this is most likely due to scar tissue? It has also caused my breast to have a slightly different appearance like it didn't "drop" as well as the other one. Will this scar tissue left behind lessen over time or go away? Or will the lump stay unless removed? What are the treatment options for this ?

Christopher J. Davidson, MD, FACS · Answer

For this question - definitely check back in with your surgeon.  Most hematomas resolve within 2 months - but scar tissue can remain or even form.  I generally recommend massaging scar tissue - firmly, 5 minutes twice a day - if this is what it is.  But definitely get it checked out to make sure it is something simple!  Best of luck!

Farbod Esmailian, MD · Answer

In general, hematoma that is left alone with eventually liquefy and be absorbed by the body.  In some cases the hematoma with lead to scar formation as you are describing.  With time these will usually resolve.  They can be encouraged with massaging of the area as well.However, if there is an implant associated with the hematoma things change.  If the hematoma is present in the implant pocket, when left alone could lead to capsular contracture.I would recommend following up with your plastic surgeon or with a board certified plastic surgeon to determine if you are developing capsular contracture.  If caught early enough, there are times that it can be prevented from getting worse and in some cases can be reversed.Hope that helps.

Payman Danielpour, MD, FACS · Answer

I highly recommend that you see your surgeon and have him assess this in person.  This may be scar tissue, fat necrosis or even the start of a capsule so make sure you see your surgeon soon.

Paul M. Parker, MD, FACS · Answer

Typically, the scar tissue from a small hematoma will improve and resolve with time. Best bet though is to discuss options with your surgeon. Sometimes injecting some steroid into the scar tissue will speed the resolution of the scar tissue.

Sharline Z. Aboutanos, MD · Answer

Thank you for your question. It is difficult to give you advice without examining you in person. I recommend that you see your plastic surgeon so that they can examine you and give you guidance regarding the area of concerns. Good luck with your recovery.

Will the hard lump left behind after hematoma improve or heal?

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Will the hard lump left behind after hematoma improve or heal?

Answers (5)

Answer: S/p hematoma

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