Secondary Logo

Journal Logo

Incidence of Breast Hematoma after Placement of Breast Prostheses

Mikhail, Michael M.R.C.S.; Nathan, Bassem F.R.C.S.

Plastic and Reconstructive Surgery: October 2012 - Volume 130 - Issue 4 - p 612e
doi: 10.1097/PRS.0b013e318262f3c5
Letters
Free

GUIDELINES Letters to the Editor, discussing material recently published in the Journal, are welcome. They will have the best chance of acceptance if they are received within 8 weeks of an article’s publication. Letters to the Editor may be published with a response from the authors of the article being discussed. Discussions beyond the initial letter and response will not be published. Letters submitted pertaining to published Discussions of articles will not be printed. Letters to the Editor are not usually peer reviewed, but the Journal may invite replies from the authors of the original publication. All Letters are published at the discretion of the Editor.

Letters submitted should pose a specific question that clarifies a point that either was not made in the article or was unclear, and therefore a response from the corresponding author of the article is requested.

Authors will be listed in the order in which they appear in the submission. Letters should be submitted electronically via PRS’ enkwell, at www.editorialmanager.com/prs/.

We reserve the right to edit Letters to meet requirements of space and format. Any financial interests relevant to the content of the correspondence must be disclosed. Submission of a Letter constitutes permission for the American Society of Plastic Surgeons and its licensees and asignees to publish it in the Journal and in any other form or medium.

The views, opinions, and conclusions expressed in the Letters to the Editor represent the personal opinions of the individual writers and not those of the publisher, the Editorial Board, or the sponsors of the Journal. Any stated views, opinions, and conclusions do not reflect the policy of any of the sponsoring organizations or of the institutions with which the writer is affiliated, and the publisher, the Editorial Board, and the sponsoring organizations assume no responsibility for the content of such correspondence.

The Journal requests that individuals submit no more than five (5) letters to Plastic and Reconstructive Surgery in a calendar year.

Southend University Hospital, Westcliff-on-Sea, United Kingdom

Riverside Hospital, London, United Kingdom

Correspondence to Dr. Nathan, Riverside Hospital, Brentside Executive Park, London TW8 9DR, United Kingdom, bassem@doctors.net.uk

Back to Top | Article Outline

Sir:

We read with interest the results of the audit by Collins and Verheyden of hematomas following breast implants1 and found them at odds with our own data. We reviewed the occurrence of hematoma in a consecutive series of 1230 patients undergoing cosmetic breast augmentations carried out over a period of 5 years by a single surgeon (B.N.). The incidence of hematoma was 2.5 percent. All but two were diagnosed within 24 hours and all were returned to the operating room for treatment. Two were diagnosed at the 10-day review and also were returned to the operating room.

As the majority of hematomas were diagnosed within 2 weeks of surgery and the average was 37 days in the series by Collins and Verheyden, we welcome an explanation from the authors for this seemingly long interval. The article by Collins and Verheyden does not describe the postoperative follow-up schedule, and we wonder how it differs from our practice where reviews are performed at postoperative day 1, day 10, week 6, and yearly thereafter. We also question whether the hematomas identified many months or years after surgery can truly be attributed to the primary operation.2

Back to Top | Article Outline

DISCLOSURE

The authors have no financial interest to declare in relation to the content of this communication.

Michael Mikhail, M.R.C.S.

Southend University Hospital

Westcliff-on-Sea, United Kingdom

Bassem Nathan, F.R.C.S.

Riverside Hospital

London, United Kingdom

Back to Top | Article Outline

REFERENCES

1. Collins JB, Verheyden CN. Incidence of breast hematoma after placement of breast prostheses. Plast Reconstr Surg.. 2012;129:413e–420e
2. Nathan B, Singh S. Postoperative compression after breast augmentation. Aesthetic Plast Surg.. 2001;25:290–291
©2012American Society of Plastic Surgeons