Question About Appearance? I had Mentor saline implants 330 cc filled to 390 on the left and 400 on the right. (photo)

The surgery went fine. I had a hematoma in my right side which my surgeon drained on 9/10. I am concerned about the unevenness. Do I need to let time just pass for them to settle? I am working very closely with my PS and he is seeing me very regularly.

Doctor Answers 6

Asymmetry after evacuation of a hematoma following a breast augmentation

A hematoma even if drained will delay the healing on that side for several months.  Give it time an your asymmetry will likely settle down. 

Atlanta Plastic Surgeon
4.5 out of 5 stars 19 reviews

Hematoma after surgery

Thanks for your inquiry and sorry you got a hematoma-unfortunately they do happen.  My best advice is to continue to see to your plastic surgeon who sounds committed to a good outcome.  You are at greater risk for capsular contracture after having a hematoma. 

Vishnu Rumalla, MD
Dallas Plastic Surgeon
5.0 out of 5 stars 200 reviews

What happens after breast hematoma

After a hematoma the breast will remain more swollen and inflammed for a considerable period of time. If the pocket cleaned up well, over time you can do well, but there is a chance of firmness or capsular contracture after hematoma, perhaps as high as 50%. It may take six months or more to see how your result settles.

Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 43 reviews


Yes, you need to be patient, as you are, and give it time. The hematoma will slow the process on that side, so continue to see your surgeon on a regular basis, and just wait.

Gregory Sexton, MD
Columbia Plastic Surgeon
4.9 out of 5 stars 73 reviews

Question About Appearance?

The hematoma typically will cause an increase in swelling on the affected side that can persist for a couple of months. Continue to follow up with your surgeon, and yes, you will need to let some time pass.

All the best. 

Jourdan Gottlieb, MD
Seattle Plastic Surgeon
4.6 out of 5 stars 45 reviews

Asymmetry After Hematoma

   Dear M4kids,   The short answer to your question is wait and be patient for now. It is not uncommon for the breast that had a hematoma to take longer to heal and "settle" like the other breast. That being said, your right breast is at a higher risk of developing a capsular contracture and may ultimately require another surgery. It sounds like your surgeon is following you closely and will advise you about your options. Good luck and be patient. 

Douglas L. Gervais, MD
Minneapolis Plastic Surgeon
4.8 out of 5 stars 176 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.