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The development of a hematoma (an undesirable accumulation of blood around the implant) following a breast augmentation is relatively uncommon with an estimated incidence around 1 to 4 percent. A few simple precautions can be taken before and after the surgery to help minimize the risk of it occurring.

Any medication or substance that will interfere with the body’s ability to appropriately form clots (blood thinners) will increase the probability of unwanted bleeding and therefore also increase the likelihood of developing a hematoma. Some of these include analgesics and anti-inflammatories such as aspirin, ibuprofen, Motrin, and Aleve as well as others such as Coumadin, Warfarin, and Plavix. Vitamin E, fish oils and many herbal supplements can also interfere with the clotting mechanism.

My patients are required to avoid taking most of these medications, Vitamin E and herbal supplements beginning from two weeks prior to surgery and continuing until two weeks following surgery. Specific blood thinners such as Coumadin and Warfarin are usually stopped two to three days preoperatively and restarted around two to three days postoperatively. Approval from your primary care doctor to temporarily discontinue this medication is mandatory.  My patients are also provided with a comprehensive list of medications, both generics and proprietary, that should be avoided.

Hematomas are also frequently caused by activities that involve considerable exertion, heavy lifting or repetitive upper extremity movements. This would include sports, aerobics, jogging and similar activities. Though recommendations vary among physicians, I request that my patients avoid these activities for three weeks following surgery. For professions such as a hairdressing, nursing or waitressing, women can return to work sooner but with some restrictions.

A few simple precautionary steps are all that are need to minimize the risk of developing a hematoma and its undesirable consequences.

For further information on breast augmentation, breast implants or any other cosmetic procedure, you can contact my office in Scottsdale, Arizona at 480-451-3000.

Steven H. Turkeltaub, M.D. P.C.
Scottsdale and Phoenix, Arizona

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A Message Regarding Coronavirus/COVID-19

As always, our highest priority is to ensure YOUR safety and well-being.

With coronavirus/COVID-19 still a health issue, we want you to know that we are continuing to take extreme infection control measures in our office to maximize cleanliness and keep the environment as sanitary and safe as possible. This also means that only patients will be permitted to come into our office and everyone will have their temperature checked.

In an abundance of caution, we are requesting that if you are experiencing a fever, cough, chills, fatigue or any type of respiratory illness, please delay any upcoming appointments at our practice. We can talk with you by phone or email to establish a new date and time for the appointment. You may also want to contact your healthcare provider for further evaluation.

We do offer Virtual Consultations and Telemedicine through doxy.me. This is best used for specific situations including postoperative questions and as a substitute for some postoperative office visits relating to certain procedures. However, if you are planning to proceed with surgery, an in-office evaluation will be required.

We are all in this together and really appreciate your cooperation. If you have any questions, please feel free to contact us by phone or email.