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.
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.
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.
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.
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.