A member asked:

I have developed a hemotoma in my left breast after breast augmentation surgery. does this mean i'll have capsular contracture? i'm very worried! help

13 doctors weighed in across 6 answers
Dr. Kenneth Lee answered

Specializes in Surgery - Plastics

Maybe: Unfortunately a hematoma (blood collection) puts you at much higher risk for capsular contraction. This is dependent on how large the hematoma is- the larger it is- the longer it takes the body to resorb this blood- resulting in contraction. Many times, your plastic surgeon should release it because of this. See your surgeon for details.

Answered 4/14/2014

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Increased risk : Hematomas are associated with a higher risk of capsular contracture. Having said that, I have had patients with hematomas that did not go not to capsular contracture so it is not inevitable. A variety of treatments may be used to treat the hematoma and prevent the capsular contracture and close follow up with your surgeon is essential for optimal management.

Answered 5/29/2013

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Not Necessarily.: Patients who have experienced any sort of inflammatory process around breast implants, including hematoma, are at greater risk for developing breast implant encapsulation. Your plastic surgeon may have specific suggestions for you to help reduce chances. Best wishes.

Answered 5/29/2013

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Breast hematoma: Hematoma will put you at increased risk for a capsular contracture. Exact numbers will vary.

Answered 7/5/2013

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See your surgeon: Many people confuse bruising with hematoma. Bruising is dark discoloration of the skin and does not cause capsular contracture. A hematoma is large swelling of a breast due to internal bleeding which needs to be addressed by your surgeon and can lead to capsular contracture if left untreated.

Answered 12/10/2013

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Dr. Thomas Fiala answered

Specializes in Plastic Surgery

Large hematomas: Around a breast implant are certainly correlated with an increased risk for capsular contracture - but it's not 100% definite that you will have one. I like to treat this by taking the patient back to the or, and removing the hematoma, and washing the pocket out.

Answered 8/26/2013

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