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
3 Months Post Tummy Tuck After 250lb Weight Loss: Incision Lines Now Leaking
Doctor Answers (7)
Seroms after Tummy Tuck
Pablo Prichard, MD
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.
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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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.
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.
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.
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.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.