Ok so according to my previous questions all surgeons say that I should have the pocket cleaned out and the blood removed from the breast. I was told by my surgeon to wait it out. He does not want to go back in due to the fact that it might cause infection. He says that it will heal on its own and not to worry about it. I am definitely worried! Every response I got from here says for it to be removed. Can this actually heal on its own and everything be ok? I had silicone under the muscle.Imonabx
Answer: Hematoma after breast surgery Thanks for your question and photosI would recommend going back to your surgeon and explain your fears and concerns.In my practice, i would have gone back to the OR and remove the blood clots. I would explore to make sure there are no other bleeding sites and apply irrigation with triple antibiotics saline solution and then I would close over drains. Best Wishes
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Answer: Hematoma after breast surgery Thanks for your question and photosI would recommend going back to your surgeon and explain your fears and concerns.In my practice, i would have gone back to the OR and remove the blood clots. I would explore to make sure there are no other bleeding sites and apply irrigation with triple antibiotics saline solution and then I would close over drains. Best Wishes
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Answer: What would happen if I chose to let my hematoma just drain? My incision has been draining for days now. Will I get CC? (photo) Thank you for your question! Certainly postoperative hematomas of the breast with implants have a much higher chance for infection as well as capsular contracture. Also, there is a significant higher incidence of wound healing issues, as the liquefied blood clot will attempt to egress from the breast pocket. I would recommend exploration and evacuation of the breast. There are risks and benefits of everything done in surgery, but I believe the advantages outweigh any disadvantages for this issue. Best wishes!
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Answer: What would happen if I chose to let my hematoma just drain? My incision has been draining for days now. Will I get CC? (photo) Thank you for your question! Certainly postoperative hematomas of the breast with implants have a much higher chance for infection as well as capsular contracture. Also, there is a significant higher incidence of wound healing issues, as the liquefied blood clot will attempt to egress from the breast pocket. I would recommend exploration and evacuation of the breast. There are risks and benefits of everything done in surgery, but I believe the advantages outweigh any disadvantages for this issue. Best wishes!
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June 7, 2014
Answer: Your surgeon may be in error. None of us here has all the facts that your own surgeon does, but for a breast augmentation patient whose incision has been draining blood, this is also a way for bacteria to enter the implant space. Bleeding plus or minus bacteria equals capsular contracture (or implant removal). Antibiotics cannot sterilize an already-contaminated implant, only prevent you from getting sick from bacteria entering your bloodstream. They're already in that draining wound, even with antibiotics.Let me guess--your surgeon performs surgery at a hospital, and re-operation would cost $$$. Who pays? If this wasn't discussed before surgery, it better be discussed right now. Waiting will not end well, and in fact, you may have already waited too long for a satisfactory outcome. "Going back in" does NOT cause an infection--your open wound can cause an infection!!!Unless you also had a lift and a separate space where bleeding could occur and drain from that is NOT connected to your implant pocket, this blood is coming from your pocket, and your implant is already contaminated. Even if you were "lucky" and avoided an infection, your likelihood for capsular contracture is way more than 50%. Have a long, hard discussion with your surgeon, and then get a second opinion or two. It may already be too late for the expected outcome, but may be soon enough to avoid a bigger disaster. Best wishes! Dr. Tholen
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June 7, 2014
Answer: Your surgeon may be in error. None of us here has all the facts that your own surgeon does, but for a breast augmentation patient whose incision has been draining blood, this is also a way for bacteria to enter the implant space. Bleeding plus or minus bacteria equals capsular contracture (or implant removal). Antibiotics cannot sterilize an already-contaminated implant, only prevent you from getting sick from bacteria entering your bloodstream. They're already in that draining wound, even with antibiotics.Let me guess--your surgeon performs surgery at a hospital, and re-operation would cost $$$. Who pays? If this wasn't discussed before surgery, it better be discussed right now. Waiting will not end well, and in fact, you may have already waited too long for a satisfactory outcome. "Going back in" does NOT cause an infection--your open wound can cause an infection!!!Unless you also had a lift and a separate space where bleeding could occur and drain from that is NOT connected to your implant pocket, this blood is coming from your pocket, and your implant is already contaminated. Even if you were "lucky" and avoided an infection, your likelihood for capsular contracture is way more than 50%. Have a long, hard discussion with your surgeon, and then get a second opinion or two. It may already be too late for the expected outcome, but may be soon enough to avoid a bigger disaster. Best wishes! Dr. Tholen
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June 7, 2014
Answer: Hematoma = surgical treatment Are you getting incorrect advice. Leaving the hematoma will definitely need to an infection and capsular contracture. Cleaning it out with minimize the chance of infection. You may have to get a second opinion.
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June 7, 2014
Answer: Hematoma = surgical treatment Are you getting incorrect advice. Leaving the hematoma will definitely need to an infection and capsular contracture. Cleaning it out with minimize the chance of infection. You may have to get a second opinion.
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June 7, 2014
Answer: What would happen if I chose to let my hematoma just drain? My incision has been draining for days now. Will I get CC? Hi and thanks for your question. Acute expanding hematomas should be drained. However, an old hematoma that begins o drain through the incision site can be treated conservatively.After 29 years of performing beast augmentations in the land of breast implants, Miami, fl., I have seen a few. Some, I have taken back to surgery immediately and some, I have treated conservatively. If you have implant exposure then I would suggest that you go back to surgery. However, as your pictures show, you have a slow constant ooze of dark old blood, it is my opinion that you can wait it out.There is a high likelihood that you will go on to form a capsule contracture. Of the patients that I have treated conservatively in my practice about 50% went on to form a capsule contracture. Of that 50% a very small percentage were Class IV and required a capsulectomy.Follow your surgeon's advice and continue an opne dialogue. Good luck.
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June 7, 2014
Answer: What would happen if I chose to let my hematoma just drain? My incision has been draining for days now. Will I get CC? Hi and thanks for your question. Acute expanding hematomas should be drained. However, an old hematoma that begins o drain through the incision site can be treated conservatively.After 29 years of performing beast augmentations in the land of breast implants, Miami, fl., I have seen a few. Some, I have taken back to surgery immediately and some, I have treated conservatively. If you have implant exposure then I would suggest that you go back to surgery. However, as your pictures show, you have a slow constant ooze of dark old blood, it is my opinion that you can wait it out.There is a high likelihood that you will go on to form a capsule contracture. Of the patients that I have treated conservatively in my practice about 50% went on to form a capsule contracture. Of that 50% a very small percentage were Class IV and required a capsulectomy.Follow your surgeon's advice and continue an opne dialogue. Good luck.
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