Management of Acute Hematomas and Methods to Mitigate Risk.

Abstract

One of the most common complications in dermatologic surgery is postoperative bleeding which can result in hematoma formation and suboptimal healing outcomes. Identifying preoperative, intraoperative, and postoperative risk factors can reduce the risk of bleeding complications. However, despite best risk mitigation practices, hematomas remain a possible outcome of cutaneous surgery. Expanding hematomas causing functional pain and compromise to the surrounding neurovasculature should be evacuated. The authors herein discuss the risks associated with bleeding complications, methods to manage these risks, and a protocol to follow if an acute hematoma were to occur. J Drugs Dermatol. 2025;24(3):289-293. doi:10.36849/JDD.8453.