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The hematoma is a collection of blood in the pocket of dissection after surgery. It's a rare complication. If it's small it can be watched as it can reabsorb on its own, although there have been reports of increased capsular contracture (hardening) after this complication. If it is large (significantly more swollen on one side) or if it is rapidly growing (Expanding hematoma) the patient needs to be urgently re-explored, the clots removed, the bleeding vessel stopped, the pocket washed out with the triple antibiotic saline solution and the implant placed back.The key is to try to minimize the chances of it happening: Making sure the patient is off aspirin, Motrin or other NSAIDs, off other meds that can affect clotting, off certain supplements like Vit E. Make sure the patient does not have a history of a clotting disorder. In the OR, make sure that the dissection is carried out carefully with good hemostasis with the cautery. Post-op make sure that if the patient has a history of hypertension that the blood pressure is well controlled. At home avoiding early vigorous exercise and very hot bath is a good idea.I have specialized in Breast surgery for a quarter century, have placed over 8,000 implants and rarely see this complication.JP RIOU MD FACS
After the acute problem with the hematoma is dealt with, there is a long term risk of capsular contracture. This is why it is so important for you to follow the instructions from your plastic surgeon meticulously.
When discussing all the details about breast augmentation with my patients during the consultation we talk about complications. Hematoma is one possible complication that can occur although rare. If it does happen it will need to be addressed possibly by more surgery.
If you develop a hematoma after surgery, that breast will be explored to determine where the bleeding is coming from and to stop the bleeding and evacuate the blood. I hope that this helps!
There will be no long-term consequences from a hematoma after breast augmentation if it is surgically drained. Expected treatment increases the risk of capsular contracture.
Thank you for your question. If you do happen to get a hematoma after a breast augmentation, it is most likely that it will need to be evacuated through surgery. If you are concerned about the risk and need more detail information I would recommend discussing it in further detail with your PS.If you would like more information on breast augmentation you can download a free copy of my breast augmentation planner at ABetterBreast.com.
If you develop a hematoma after breast augmentation surgery you will need additional surgery to evacuate the blood collection and to ensure no further bleeding.
Hematoma after breast augmentation is something that needs to be dealt with surgically. The blood is an irritant and sure will lead to capsular contracture. It could be confirmed via an ultrasound. The implant should be removed, the pocket washed out, and a new implant replaced. Good luck.
A hematoma following BA should be managed with surgery as the risk for skin complications, deformities and capsular contracture is fairly high not to mention asymmetry and infection risks.
If most circumstances, a hematoma after breast surgery would require operative evacuation to prevent further problems. It would require a quick surgery to remove the old blood, stop the bleeding, and try to minimize the chances of getting capsular contracture in the future.
I often tell patients to keep them taped for six weeks or longer. Usually the tapes are changed. I have patients sometimes place paper tape over the incisions as an alternative.
If no complications have occurred in the first 2-3 weeks (such as infection, wound breakdown, haematoma, seroma etc) you can expose your self to the sun. However I would strongly recommend to wear your swimsuit and make sure you protect the scars with a steristrip or sunscreen lotion...
You are corecct at first the muscle and skin is tight making the breast appear more flat initially. Be patient typically for swelling to subside and the implant to settle ('fluff') takes 6 weeks to 3 months. Conitnue to follow up with your surgeon as directed.