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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

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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,

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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

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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

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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
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