My guess is that the removal of the papilloma might help reduce the pain from the hemotoma. But the area will probably be very sensitive and until the numbing takes effect might be very painful. Its always good to ask, though. I took a picture of my breast, edited to show only the problem area, and attached it to my message in the portal - not sure if you’re comfortable with that. But it was highly effective for them to know what I was talking about - words sometimes don’t do justice to explain what is a unique situation.
Also, my second surgery was postponed because my skin had a reaction to cream I used and they said it would compromise the outcome. The hematoma may be the same - they should decide that.

Are they going to use general anesthesia so you won’t feel anything? Your nerve endings in that area are already heightened. If it were me I’d try to talk to the anesthesiologist before surgery to share your concerns. They may be able to add something that will calm the already irritated nerves. Gabapentin targets that - but may not be able to be used if it depresses your neurological system too much along with general anesthesia - but could maybe be used if they’re planning on numbing it locally.
I had incredibly extensive bruising after my breast surgeries, purple from breast to hip - but it caused no pain. Mine though was from small vessels leaking blood because of a reaction to nsaids.

Thank you. General will be used for the excision surgery, but the seed localization procedure will be done a few days before surgery. I am dreading that numbing needle as I found the 3 numbing shots behind the nipple very painful, the biopsy itself was fine. They took 12 core samples, so they had to numb a large area. I am hoping the seed procedure will need less numbing. I plan to ask if I can safely apply 5% lidocaine cream to the aerola area myself.

Sent picture in portal to surgeon, waiting for intraductral pappiloma removal, this new spot concerns me. Burning and throbbing started again after resolving and this is not where the biospy needle was placed.