Best Course of Treatment for a Hematoma?

Hematoma formation following
breast implant removal can occur for a variety of reasons but is fortunately
rare.When post-operative hematomas are
small, they often resolve spontaneously.Larger hematomas often require treatment to prevent secondary
complications.Treatment may include
repetitive needle aspiration, CT-guided drain placement, or occasionally open
surgical drainage.When large hematomas are not evacuated, there’s an
increased potential for wound breakdown, infection, and scarring.These problems can ultimately impact the
aesthetic result from breast implant removal.Early intervention will ultimately minimize the potential
for complications, improve your aesthetic result, and improve the quality of
recovery.It’s therefore important to
maintain close contact with your plastic surgeon.Your plastic surgeon should be able to
formulate a treatment plan that not only addresses your anatomic findings but
your aesthetic concerns as well.

Given your recent explant and mastopexy surgery, combined with the presence of a hematoma, it's important to follow a careful and informed approach to treatment. Here’s a comprehensive guide tailored to your situation:
Immediate Steps and Management
1. Ice Application:
o When to Use Ice: For the first 48 hours after noticing the hematoma, apply ice packs to the affected area to reduce swelling and pain. Use the ice pack for 15-20 minutes every hour as needed.
o How to Apply: Wrap the ice pack in a cloth or towel to prevent direct contact with the skin, which can cause frostbite.
2. Heat Application:
o When to Use Heat: After the initial 48 hours, switching to warm compresses can help improve blood circulation and facilitate the reabsorption of the congealed blood.
o How to Apply: Use a warm (not hot) compress for 15-20 minutes several times a day.
Pain Management
1. Over-the-Counter Pain Relievers:
o Medications such as acetaminophen or ibuprofen can help manage pain and reduce inflammation. However, avoid aspirin as it can increase bleeding.
2. Rest and Elevation:
o Rest and limit physical activities that could strain the affected area.
o Elevate your upper body slightly when resting to help reduce swelling.
Monitoring and Follow-Up
1. Observe for Changes:
o Monitor the hematoma for any signs of infection (increased redness, warmth, or pus), growth, or changes in symptoms.
o Keep track of any significant changes in the size or feel of the hematoma.
2. Follow-Up Visits:
o Attend all scheduled follow-up appointments with your plastic surgeon to monitor the hematoma’s progression and overall healing.
o If the hematoma does not improve or worsens, your plastic surgeon might consider other interventions.
Special Considerations
1. Avoiding Strain:
o Avoid heavy lifting, strenuous exercise, and activities that might put pressure on the chest area.
2. Support Garments:
o Wear any prescribed support bras or garments as directed by your plastic surgeon to help reduce swelling and support the healing tissues.
When to Seek Immediate Medical Attention
1. Severe Symptoms:
o If you experience severe pain, significant swelling, fever, or any signs of infection, contact your plastic surgeon immediately.
2. Rapid Changes:
o A rapidly expanding hematoma or one that becomes increasingly painful or hard may require urgent evaluation.
Following your plastic surgeon’s guidance is crucial since they are familiar with the specifics of your surgery and recovery process. Using ice packs in the initial phase followed by warm compresses, managing pain with appropriate medications, and monitoring the hematoma closely will help in ensuring proper healing. Always err on the side of caution and consult your plastic surgeon if you have any concerns or if symptoms worsen.