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

asked 1 year ago by loribearlover4521
Latest answer by Richard H. Fryer, MD
Question viewed 398 times
Tags: 3 months post-op, drainage, fluid, incision, leak, massive weight loss, numb, options, protruding, seroma

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

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

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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.
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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.
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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... more
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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.
+1

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.

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