What is the prognosis for normal healing after a hematoma has been evacuated?

Thanks to the realself surgeons, I was able to diagnose and seek treatment for my hematoma. I am now 5 days postop from the evacuation and my PS says the incisions are looking good. In your experience, does treatment for a hematoma put me at a higher risk for capsular contracture, or is that simply for untreated hematomas? Am I at a higher risk for another bleed post-evacuation?

Doctor Answers 6

Prognosis for normal healing after removal of breast implant hematoma is excellent

Thank you for your question.  In my experience Removal of a breast implant hematoma, cleansing of the pocket with antibiotic solutions and replacement of the breast implant has actually led to quicker healing and a better ultimate result than the untreated side.  I believe the benefit of removing blood and all tissue fluid around the implant and reinserting the implant actually has a beneficial effect on your healing.

Hematoma after a breast augmentation requires urgent evacuation

Bleeding is a risk of all surgery including breast augmentation.  If left untreated there is a very high risk of developing a capsular contracture.  If the hematoma is a large one and treated appropriately with removal of the implant, cleansing of the pocket and replacement of the implant there is no increase in the risk of the later development of a scapular contracture.  

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 19 reviews

Significant hematomas after breast augmentation should be surgically drained.

Treatment of a hematoma after a breast augmentation expectantly leads to higher rate of capsular contracture. Proper treatment is removal of the blood from the pocket, cleansing the pocket, and reinserting the prosthesis.

Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon
4.8 out of 5 stars 36 reviews

Hematoma affect final result after breast augmentation

In my experience, when the hematoma is treated immediately, full evacuation of all blood, control of whatever is bleeding and antibiotic irrigation, there is no discernible effect of the final result.

Mark D. Epstein, MD
Stony Brook Plastic Surgeon
5.0 out of 5 stars 238 reviews

Hematoma and washout

Once the washout is performed( if caught early) and the incision is closed, I find in some cases there is some more swelling on the treated side but eventually it improves and matches the other side.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Hematoma following Augmentation

Your surgeon treated you well and appropriately in evacuating your hematoma, cleaning out the pocket, and replacement of your implant.  Leaving the hematoma to absorb without surgery increases your chance for contracture, but a well performed evacuation should not.  Additional bleeding post evacuation and careful control of any small bleeding points is rare.

John M. Griffin, MD (retired)
Atlanta Plastic Surgeon
5.0 out of 5 stars 5 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.