What are the signs off having hematoma? What do you do to prevent it from developing?

Hi. Hematomas, or focal collections of blood, can develop after surgery slowly or suddenly, at any point after surgery.  Controlling bleeding is not just a technical maneuver for the surgeon, but directly related to allowing for a small plug on the end of the injured vessel to mature.  The use of blood thinners (like NSAIDS containing aspirin, ibuprofen, motrin, or prescribed meds like Coumadin & xarelto) would obiviously increase the risk.  Increases in blood pressure and heart rate could mechanically disrupt the plug, so limiting activity and positions postoperatively is important. You will physically see focal swelling & with time, extensive bruising. If you are concerned that you have a hematoma, contact your surgeon right away. Best wishes,

Dear tee.nisha06,In most cases the patient will complain of sudden increase in size of one breast, swelling, significant asymmetry, pain, tenderness, bruising, etc. Every plastic surgeon will do his best to try to prevent hematoma.Daniel Barrett, MD, MHA, MS 
Certified, American Board of Plastic Surgery  
Member, Am. Society of Plastic Surgery