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honeybee

Small Hematoma - Anyone been advised to have them drained when small?

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Last night I was doing my massages and all of a sudden my left breast swelled up. I thought it would go down over night but when I woke up it was still there. I emailed my PS about it and he said he wanted pictures as it didn't sound right. I sent him shots a few hours later but in the meantime read the net and self diagnosed myself with a hematoma or seroma. I knew it wasnt normal swelling because it was only in one breast and the normal swelling post surgery had subsided 4days ago. Lots of PS's on the net forums said they should be drained ASAP or i would increase my risk of CC. So I contacted a local PS and he said he doesnt help with other people patients (A huge help he was) and so I drove myself to the hospital.

From the physical exam they agreed with my self diagnosis and sent me off for an ultra sound to see if it was bleeding or fluid. THe ultrasound confirmed that I had a 1.5cm by 2cm hematoma but the bleeding had already stopped. The hospital staff were so amazing. There was no judgement that I had them done in Thailand and in fact they were really impressed with how great my lift was and how beautifully my scars have healed, praising my PS highly. They said they see a lot of shoddy overseas work coming through the hospital but obviously I chose really well and had done my research. They also said they see this happening with patients of good Australian PS's too. Apparently it is a common complication of surgery and likely my massage just affected a weak blood vessel. They stressed that it had NOTHING to do with my plastic surgeon and unfortunately it was my bodies healing rate that no one could have predicted.

They then checked my blood for infection, sent a PS to see and recommended I lay off using my left arm, avoid warm showers and do no exercise until it has gone away (so long stationary bike). Observation for such a small hematoma is the best treatment in their eyes. They said I would need to check with my PS to see if he recommended draining but they advised against it because it can increase the chance of infection. By the time I got home my PS had emailed me back and told me to get it checked out. I then told him what the Drs found and asked for his opinion. He said exactly what the Aus Drs said because it would be more risky handling the implant again for something so minor. He told me to keep him updated with photos.

I suppose the only thing Im upset about is now I have increased my risk of CC :( Some PS's drain it no matter how small because the procedure is more simple than one for CC down the track. I guess time will tell. I really do trust my PS (especially now I have had the nod from the aus doctors). I would be interested to know if anyone else has read about someone who has experienced such a small hematoma and whether the PS drained it? It also sucks a little that my PS isnt in the same country as me for when stuff like this happens, but I guess that is a consequence of the overseas discount. As far as complications goes, I read that is is one off the best to get (if you can say that).

:)

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Wow honeybee what an experience hey! Well I hope it all goes well and settles down just perfectly for u I can't shed any light on ur problem because so far the only thing that Iv had a concern with is waking up with a migrain so yeh I guess that's me whipped out for the day good luck honey hope it gets better real fast ;)

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hi honeybee, sorry to hear bout the small bleed but i too have had the same thing, mine swelled about 8 hrs after surgery but my PS left it for 2 weeks incase it fixed itself cos they dont like reopening increased risk of infection. Anyways my 2 week post op visit i was still swollen but not as bad and he decided to operate to drain cos im a small framed girl with a bigger implant it wouldve taken months to go down and advised me its the quickest option for quicker recovery.

The op is too easy only took 15mins and i was out of OR and waiting to feel better and then was sent home i have been sweet since the drain and my boob looks heaps better :) i have pics in my photo albums. If u have any questions pls ask as i was doing my own head in googling bleeds and the thought of increased CC scared me but my surgeon said its not true, so yeh.

Hope i could help :)

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Hi Honeybee,

Sorry to hear about your complication, but thankful that it has all worked out ok for you. If you dont mind me asking, how much roughly did it cost you to have yourself checked out in Aus? Was this covered at all by medical insurace, health care etc?

Thanks :)

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Billychic, I Hope your head starts feeling better soon. I have never had a migraine but I hear they are hellish :/

Thanks Xliviax! I'm glad yours all worked out fine. I hope mine will go down on its own because it is pretty small and not around the implant itself. I will keep an eye on it. I have sent you a FR :)

melc_22, it was covered by medicare because I went to the emergency department. They said to keep an eye on it and if it gets anyworse come into emergency straight away and they will drain it (which means that will be covered too). The PS at the hospital clearly didn't specialise in BAs though so I am not 100% confident that it would be my best option. However, he mentioned that there were several other PSs there that couldnt attend to me because they were all doing a major op and I am assuming the one I would get would know about BAs. The one thing he did say was that because it was non urgent they were reluctant to medel in another surgeons work because they dont know the techniques used and exactly what the PS was trying to achieve.

If I had of gone to the GP I expect I would have gone about 75% of the money back for the ultrsound under medicare too. The PS I called before I went to the hospital didn't want a bar of me so I think the biggest challenge would be finding a PS that was willing to step in if it was a non urgent complication. He said he doesnt like taking on another PS's problems.

My advice for anything urgent is go to the emergency and for everything else head to your GP and get a referral to a local PS because I assume what the PS fixes will be substantially covered by medicare if you have a referral. Personally, I trust my surgeon immensely so I am prepared to pay the $600 for return flights and get him to fix me if I run into CC down the track.

Have you got something you are concerned about or are you just being prepared?

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Hey honeybee,

I havent been over for my surgery yet i am going mid january next year. Just want to get my self prepared in case something does go wrong and i dont want to go back over to Thailand for it. Hopefully everything will be fine but you never know with any surgery, here or overseas. I havent been to see my GP at all to tell them im going over to Thailand for surgery as im worried they will talk me out of it. Do you recommend a trip to the GP before?

Thanks :)

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Honeybee sorry to head but I'm so glad you were treated so well! I have read stories on here with similar circumstances where girls were treated horribly purely for the fact they had their op in Thailand!

Can I ask what state your in and which hospital?

Good luck with the recovery I hope everything settles down properly

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melc_22, I dont really have a regular GP but I had low iron levels about a month out and was concerned the tablets might thin my blood (turns out they dont) so I told the doctor I went to for that and she didn't have anything to say about it either way. She just wished me luck. I think it is hard for the GPs when they arent familiar with BAs. My lady was from Perth medical centre. I wouldnt recommend disclosing to her because she couldnt offer me anything I didnt already know. I noticed you are going with Dr Preeyaphas and I have heard nothing but positive feedback from his patients so I wouldnt worry. If you dont want to tell your GP maybe go to another respected medical centre and see if you can find someone who has BA experience. Then if they judge you, you will have lost nothing. Dont let anyone talk you out of it, even with my hiccup I am so pleased I got it done. I was self conscious for years and years but since the op I am happy to show people (the few of my friends that know) and my confidence has skyrocketed.

Rose2704, I live in Perth and went to Sir Charles Gardiner Hospital. The too male nurses I had were incredible and had seen alot of BAs. The radiographer was very sweet and super curious about how much it cost etc and told me my scars looked great. Might have just been lucky with who I encountered though.

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Thanks for that Honeybee :)

It make me feel a little better you being in Perth! Hopefully if anything does go wrong and i become stuck ill head to St Charles Gardiner and hunt down the nice ones haha Did you have any tests done or anything in Perth before you went over to Thailand?

any shots etc?

I havent read anything bad about Dr Preeyaphas so i am feeling quite confident in my choice of surgeon so everything should be fine, but still want to be prepared for the worst juuuuust in case :)

Did you fly direct to Thailand or did you stop over?

Sorry about the 101 questions!

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Also melc_22, the best advice I found was online. From about 2weeks before no blood thinners (supplements like Vit E, Ibuprofen etc.), no smoking, no drinking, lots of water and healthy eating. Option to use oils before to help prevent stretch marks (I didnt because I already had mine from my teen years). Take high cut button or zip up items of clothing so you dont have to use your arms for the first few days. You probably wont need it but you could take a crop top that will fit your new size snuggly just in case you are not happy with the one the doc provides. The doc will provide you with your antibiotics and tell you when you need to fast once you are over there.

When I think about it, you probably only need the visit to the GP beforehand for in case you need one after, just so you are not uncomfortable seeing a stranger when you return. It made me anxious yesterday that I didnt have a GP that I could call about my issue, I was worried about who to go to but the hospital turned out to be the best because they can do all the tests etc there for free.

Hope that helps to put your mind at ease

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Haha looks like we were typing at the same time. No problems about the questions.

I flew with thai airways and they were direct flights. I only did that because my friend is scared of flying otherwise I would have been happy to go with airasia or tiger etc. and have stopovers. I flew back 8days after and was walking around with no issues by then, would have been fine to have stopovers and cruise around the airport shops. We arrived a little early to our flight home and I even manage a half an hour sleep on the chairs. I did need my friend to wheel my suitcase though because it was choc a block full with clothes I bought.

I had no shots done. The hospital was SOOOO clean over there. I was comparing it to charlies yesterday and the one in Bangkok definitely won out. I was really low in energy leading up to it so I got full bloods done (liver, androgens, thyroid etc.) to try and sort out that issue and thats when I found out about low iron. I had better peice of mind knowing I was in full health before I left but I dont think it is overly necessary if you dont have any symptoms.

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Thanks so much for your help honeybee! I should be ok, going to try and focus more on the excitement of getting them done now and just hope that nothing goes wrong. At least i know that there is some places out there who will help it it does turn pear shaped.

I hope everything goes well with your recovery and CONGRATS! on the new girls :)

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In case anyone stumbles across this thread in the future, my hematoma went away all by itself. It was 3/4 of the way gone a week after I got it so my PS said I could resume massaging it very carefully. It is now two weeks since I got it and Im pretty sure it is completely healed. Massaging it like normal. I will wait one more week before I start introducing exercise into my post op life just in case (keep my heart rate down).

My main advice if you get a hematoma is get your PS to check it ASAP and if you had it done overseas like me, head to the emergency department straight away (free to have it assessed but you might have to wait a while). If it is small it should go away by itself and if it is big you will probably need it drained. Maybe be a bit more gentle than I was with massage for the first two weeks you start doing it.

Goodluck everyone x

:)

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Hi i am going to have breast lift and breast implnt with doctor amorn poomee this november. I really appreciate if you can help the information. Feeling a little nervous. Just wantto ask, how is your doing now? Are there any more complcwtions. Andwhat aout te nipple change? D u experience a numb in te nipple area? Thank you for your help.

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