Do I have a capsular contracture after my hematoma?

I'm 2 weeks post-op. My PS confirmed I had a "slight" hematoma in my right breast at 4 days po. That breast has hard lumpy nuggets in it and the whole breast is very firm. It is nothing like my left. It rides high but isn't larger in appearance. My PS gave me the option to have a full blown surgery to drain it, remove the implant and put the same implant back under general anesthesia. Or, wait and see. I opted to wait. Now I think I made a mistake. I don't know what my options are or what to do.

Answers from doctors (4)


More About Doctor David J. Levens, MD

Published on Jun 14, 2021

Waiting for resolution of a small hematoma (blood collection) postop is a reasonable option. A small amount of blood is to be expected postop but a clinically significant hematoma can be a factor that may lead to capsular contracture. Follow up closely with your plastic surgeon to help guide any possible treatment (s).

Answered by David J. Levens, MD (View Profile)

Waiting for resolution of a small hematoma (blood collection) postop is a reasonable option. A small amount of blood is to be expected postop but a clinically significant hematoma can be a factor that may lead to capsular contracture. Follow up closely with your plastic surgeon to help guide any possible treatment (s).

Published on Jul 11, 2012


Edward Domanskis M.D.

Published on Oct 09, 2018

The hematoma will resolve and cause some scar tissue, which may resolve but it will take a long time.

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Answered by Edward Domanskis M.D.

The hematoma will resolve and cause some scar tissue, which may resolve but it will take a long time.

Published on Jul 11, 2012


More About Doctor Harry Glassman, M.D.

Published on Oct 03, 2018

It would have been a better choice to have had the blood evacuated shortly after your initial surgery. In my experience, blood around the implants leads to progressive capsular contracture and another surgery. Generally, I wait 5 to 6 months before performing the capsulectomy. I suggest that you ask your plastic surgeon whether he or she recommends you take oral Accolate to limit the extent of the contracture that is likely to progress.

Answered by Harry Glassman, M.D. (View Profile)

It would have been a better choice to have had the blood evacuated shortly after your initial surgery. In my experience, blood around the implants leads to progressive capsular contracture and another surgery. Generally, I wait 5 to 6 months before performing the capsulectomy. I suggest that you ask your plastic surgeon whether he or she recommends you take oral Accolate to limit the extent of the contracture that is likely to progress.

Published on Jul 11, 2012


More About Doctor Joseph Cruise, MD

Published on Oct 03, 2018

You are just 2 weeks post-op, so your breasts have a lot of healing to go through still. It would be too early to know if you have developed a capsular contracture, and it is unlikely this would be the case so early on.

Breasts almost always heal asymmetric at first and, with the hematoma issue, it makes sense it could be more swollen than the other. I would recommend continuing an open line of communication w/ your PS as he/she is the one monitoring your recovery and is best suited to handle any issues that arise.

If you are not experiencing any symptoms that are cause for alarm, such as a fever, new swelling, redness, etc., your breasts will likely just need to go through the recovery process, which can take up to 3-6 months. At that point, you will know where things stand with your result.

Answered by Joseph Cruise, MD (View Profile)

You are just 2 weeks post-op, so your breasts have a lot of healing to go through still. It would be too early to know if you have developed a capsular contracture, and it is unlikely this would be the case so early on.

Breasts almost always heal asymmetric at first and, with the hematoma issue, it makes sense it could be more swollen than the other. I would recommend continuing an open line of communication w/ your PS as he/she is the one monitoring your recovery and is best suited to handle any issues that arise.

If you are not experiencing any symptoms that are cause for alarm, such as a fever, new swelling, redness, etc., your breasts will likely just need to go through the recovery process, which can take up to 3-6 months. At that point, you will know where things stand with your result.

Published on Jul 11, 2012


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