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3 Months Post Tummy Tuck After 250lb Weight Loss: Incision Lines Now Leaking

At Week 3 Developed a Seroma, Had Jp Drain in Till Aout 2nd Month, with Lg Output 1000cc & up/24hrs. Never aspirated, but drain out about 3-4 weeks, and now my lower abd has a football sized protruding area, numb& red. Lower incision lines have started to leak fluid. Ps does not seem to be alarmed... I'm worried about sepsis, any ideas

Doctor Answers (6)

Recurrent seroma problem after an abdominoplasty


It is most likely that you have a recurrence of your seroma.   Unfortunately these seromas are not uncommon in massive weight loss patient.  You will more than likely need to have another drain placed until this has resolved.  

Atlanta Plastic Surgeon
5.0 out of 5 stars 7 reviews

Seroma after tummy tuck


You most likely have a seroma after your tummy tuck procedure.  This is especially common after larger tummy tucks after massive weight loss.

Persistent seromas (fluid collections) this long after a tummy tuck will most often require surgery to help them resolve.

Richard H. Fryer, MD
Salt Lake City Plastic Surgeon
5.0 out of 5 stars 76 reviews

Tummy tuck


It sounds as if you have a persistent seroma. this will likely no resolve without drainage and may require a return to the operating room to eliminate the seroma cavity.

David L. Abramson, MD
New York Plastic Surgeon
3.0 out of 5 stars 4 reviews

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Draining fluid after tummy tuck


    This does sound like a persistant, non-resolving seroma (fluid collection under the abdominal skin) that needs to be addressed.  You can have a non-infected seroma which would require the placement of a drain in the office or even a trip back to the operating room to stitch the cavity closed and leave a better drain at that time.    

    Seromas can also become infected secondarily and cause big problems.  Make sure you convey your concerns to your plastic surgeon so that he or she can tell you what they plan to do.  If you don't feel reassured, get the opinion of another surgeon. Good Luck.

Erez Sternberg, MD
Jacksonville Plastic Surgeon
5.0 out of 5 stars 15 reviews

Your surgeon should be concerned


You have recurrent seroma that require drainage. You may develop infection if not treated. If your surgeon does not or can not help, seek second opinion from a board certified plastic surgeon.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon
5.0 out of 5 stars 51 reviews

Seroma after tummy tuck


I sound like you may have a recurrent seroma though without photos it is difficult to say.  If you are leaking through your incision you should address this again with your PS as you may need to be taken back to surgery and have a drain placed and some some quilting sutures placed.

Delio Ortegon, MD
San Antonio Plastic Surgeon
4.0 out of 5 stars 13 reviews

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