Late hematoma: a rare complication on breast implant

Luis Tamez Pedroza, Francisco Palacious Luna, Iram Gonzalez Vargas


Late hematoma is a rare complication on the use of breast implants but on recent year’s case reports become more frequent, there's no data regarding the incidence, authors report multiple theory’s about etiology. In this case report we report a patient who presented a spontaneous late hematoma, patient arrived at doctor’s office complaining about gradual increase over the last 15 days of left breast, we treated the hematoma with guided-ultrasound drainage with total improvement of the symptoms, 1 week later the patient returns for the same symptoms that occurred the first time, an ultrasound-guided drainage is performed again and it is decided to schedule the surgical date in 1 week, as reported on previous cases we tried non-invasive management with ultrasound guided drainage on 2 attempts but patient hematoma recurred and we decided to perform drainage, capsulectomy and implant replacement, we follow the patient through the outpatient clinic 7 months later, and she has not presented a hematoma recurrence.


Breast implant, Late hematoma, Mammoplasty, Plastic surgery

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Sherine E, Gabriel MD, John E, Woods MD, Michael O’Fallon W, Beard MC, et al. Complications leading to surgery after breast implantation. N Engl J Med. 1997;336:677-82.

Brickman M, Parsa NN, Parsa FD. Late Hematoma after breast implantation. Aesth Plast Surg. 2004;28:80-2.

Georgiade NG, Serafin D, Barwick W. Late Development of hematoma around a breast implant, necessitating removal. Plast Reconstr Surg. 1979;64(5):708-10.

Marques AF, Brenda E, Saldiva PH, Andrews JM. Capsular hematoma as a late complication in breast reconstruction with silicone gel prostheses. Plastic and Reconstructive Surgery. 1992;89(3):543-5.

Wang BH, Chang BW, Sargeant R, Manson PN. Late capsular hematoma after breast reconstruction with polyurethane-covered implants. Plast Reconstr Surg. 1998;102(2):450-2.

Görgü M, Aslan G, Tuncel A, Erdogan B. Late and long-standing capsular hematoma after aesthetic breast augmentation with a saline-filled silicone prosthesis: A case report. Aesthetic Plast Surg. 1999;23(6):443-4.

Iorwerth A, Cochrane R, Webster DJT. Case report chronic haematoma as a late complication of cosmetic breast augmentation. The Breast. 2000;9(3):158-60.

Veiga DF, Filho JV, Schnaider CS, Archangelo I Jr. Late hematoma after aesthetic breast augmentation with textured silicone prosthesis: a case report. Aesthetic Plast Surg. 2005;29(5):431-4.

Van Rijssen AL, Wilmink H, van Wingerden JJ, van der Lei B. Amorous squeezing of the augmented breast may result in late capsular hematoma formation: a report of two cases (and a review of English-language literature on late hematoma formation in the augmented breast). Ann Plastic Surg. 2008;60(4):375-8.

Kim L, Castel N, Parsa FD. Case of late hematoma after breast augmentation. Arch Plast Surg. 2018;45(2):177-9.