A seroma is mainly a nuisance and not dangerous

Richard P. Rand, MD answers: How long will a seroma last after tummy tuck and liposuction?

I had tummy tuck surgery combined with liposuction 40 days ago, and although I am pleased with how I look as I have got my body back to what it used to be, I have also developed a seroma.

One week after surgery my doctor determined I had a seroma and for the two weeks following he has been taking this fluid away by syringe every day. It has now been three weeks since he took the last syringe of fluid and my doctor has now advised me that my body will remove the small amount of remaining fluid itself.

It's now been six weeks since my surgery and although I feel well I am still worried that there may be some remaining fluid, which could be harmful to me. Can anyone tell me how long a seroma should last and how I should examine myself to ensure there is no remaining fluid?


Richard P. Rand, MD
13 months ago

A seroma is not rare after a tummy tuck. In fact, it is the most common complication in some series (10%). In order to minimize these numbers, it is always best to leave a drain in you for long enough until the output is less than 25cc per day. This usually takes 7-10 days after surgery and longer in patients who have had massive weight loss. Doing this, I haven't had to drain a seroma in the last three years.

Seromas are harmless and won't alter your result as long as they don't get infected. Serial aspirations and occasional replacement of a drain will almost always resolve them.

You know if you still have a drainable seroma if you tap on the side of your lower abdomen and a fluid wave like a water bed flows across the abdomen to the other side. If you aren't sure, just go back to your doctor and they will take care of you.

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