Is the treatment removing the implant and capsule then cleaning out the old hematoma?

Your photos are not entirely clear and do not allow complete evaluation of your breasts, however, your description and one view of one of the photos potentially sounds like you may have a postoperative hematoma. A hematoma, if present, should be evacuated, as it can potentially become infected, and it can also increase your incidence of capsular contracture, both of which could potentially require surgical correction. You shuld be seen by your plastic surgeon for evaluation ASAP to determine if surgery is needed. 

Dear Fastfox27,Thank you for your question. Given that you are 2 months from surgery, if the area is not getting bigger or significantly worse, I would recommend observation. You can ask your surgeon about starting massage to break-up some of the scar tissue. After 6-12 months if you are still unhappy you can consider revision.It is my practice to try to keep the breast pocket as bloodless as possible, because blood can irritate the breast capsule and cause a condition called capsular contracture. If your breast implant becomes overly visible, painful or firm I would ask you surgeon as these are potential signs of capsular contracture.Good luck,Nirmal R. Nathan, M.D.

Certified, American Board of Plastic Surgery

Member, American Society of Plastic Surgeons

I am sorry to hear about the complication you have experienced.   Management of a hematoma will vary from one plastic surgeon and from one patient to another.  Some plastic surgeons will recommend returning to the operating room for drainage;  others will allow for gradual resolution of the hematoma (typically these types of collections may liquefy and absorb, or require aspiration, within a few weeks).
 As long as the hematoma is not increasing in size and/or causing compromise of the overlying incision lines or tissues ( and you are followed closely by your plastic surgeon) is, then continued "observation" will likely be just fine.
 If in doubt, request follow-up with your plastic surgeon, earlier than already scheduled if necessary, to discuss your concerns/questions. Best wishes for an outcome that you will be pleased with long-term.