Evidence-Based Cosmetic Breast Surgery by Eric Swanson

Author:Eric Swanson
Language: eng
Format: epub
Publisher: Springer International Publishing, Cham

Hematoma

Low hematoma rates are reported in breast implant core studies, in the range of 1.2–2.9% [11, 12, 102]. In my experience, hematomas develop within 24 h in almost all cases and most occur within the first 12 h (Fig. 4.9). A telltale sign is the inability of the patient to abduct her arm without pain on the affected side. Today patients often send selfies on their cellphones if they develop excessive swelling. This practice prevents some needless visits to the clinic.

Fig. 4.9This 27-year-old woman underwent a breast augmentation at 11 a.m. Her 390 cc smooth, round, moderate plus profile saline implants (Mentor Corp.) were inserted subpectorally using an inframammary incision. Four hours later, at 3 p.m., she called the office to report increasing swelling and pain on the right side. She returned to surgery promptly for treatment. Because there was no delay in recognizing and treating this complication, she had minimal bruising on the right side. The pain was relieved immediately. She is seen before surgery (above), later in the afternoon after surgery after developing a right breast hematoma (center), and immediately after evacuation of the hematoma (below) on the same day. She did not develop a capsular contracture

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