A member asked:

I have developed a haemotoma in my left breast after breast augmentation surgery 2 weeks ago. how do they treat it and how can i prevent infection? is this a serious condition?

12 doctors weighed in across 6 answers
Dr. Troy Ross answered

Specializes in Occupational Medicine

Common: It isn't serious, but it's best to check with your doctor. Infection is unlikely, but if the hematoma is big enough it may leave a calcium deposit (lump) after it heals.

Answered 5/20/2013

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Dr. Susanne Gee answered

Specializes in Dermatology

Drainage: Hematomas are blood filled bruises and can be prone to infection. Drainage and cleaning the area with multiple rinses is most helpful for healing. If the hematoma is deep, a trained professional may have to drain it with a needle, extracting the blood this way. It's best to have this evaluated by the surgeon and/or nurse of the surgeon. They are familiar with treating this complication.

Answered 11/28/2017

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Dr. Thomas Fiala answered

Specializes in Plastic Surgery

Depends on size: If the hematoma is medium to large in size, and especially if it's causing significant swelling of the breast - i prefer to take the patient back to surgery, and wash out the hematoma with the patient under anesthesia. This reduces the risk for future capsular contracture, .

Answered 1/5/2019

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Dr. Ly Phan answered

Specializes in General Surgery

Sit tight: As long as the skin is approximated and no sign of infection on the hematoma pocket. Most will reabsord on its own. Just another view on the same problem.

Answered 6/27/2015

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See your surgeon: Many patients mistake bruising with a hematoma. Bruising is discoloration of the skin after surgery which is normal. A hematoma is bleeding that causes the breast to swell, become more painful and discolored. Your surgeon should examine you as if you do indeed have a hematoma, it will likely need to be treated surgically. Bruising will not cause a capsular contracture, a hematoma can.

Answered 10/8/2013

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Dr. Dennis Dass answered

Specializes in Plastic Surgery

Hematoma: This is a serious condition and you should go see your surgeon right away. They can determine if you need surgical treatment. http://www.dassmd.com/breast-augmentation/index.html.

Answered 9/28/2016

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