I am 2 weeks post abdominoplasty and got hard hemetoma . Is it ok to leave it alone to self heal? (photo)

Dear Gigi,It is true that small hematomas can be managed conservatively with observation.  The body will start to break down the hematoma and the resulting seroma can be aspirated.  If the incision healing is affected, if the hematoma becomes infected, or if there are other issues that are worsening, a surgical approach should then be taken to evacuate the hematoma.  Your plastic surgeon can guide you along this process.  Some consideration should be given to the health of the surrounding tissues as significant pressure can lead to some fat necrosis.  Another consideration is the possibility of a pseudo-bursa formation secondary to the hematoma.All the best,Dr. Remus Repta

I would continue on the advice of your plastic surgeon as he has done all your exams.  You should see him on a weekly basis to see the progress.  What you can look for is that you develop fevers of 101.8 or higher, an odor, or if the redness gets worse and starts to spread.  Any of these signs can be infection so you want to make sure you call your plastic surgeon if you have any of these signs.