Seroma after abdominoplasty

Adam David Lowenstein, 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?


Adam David Lowenstein, MD
1 month ago

As other physicians have said here, seromas or not uncommon after surgery. Those of us with low rates of postoperative seromas usually leave drains in following abdominal surgery for a longer period of time. Once a seroma forms, percutaneous aspiration is the usual therapy as you've described. It is also true that your body contributes to seroma resolution by absorbing the fluid over time. Sometimes chronic seromas can form where the wall of the seroma becomes thicker and better absorption does not happen. This occurs in a minority of cases.

If your physician had aspirated your fluid collection and you now have no clinical evidence such as bulging or apparent fluid below the skin, it is likely that the seroma is either completely resolved or on its way to being so. If however you have reaccumulation of the fluid which is also common, further aspiration may be necessary. The fluid collection, unto itself, is unlikely dangerous to you unless it gets infected. Things to watch for would be a fever, redness, or increased pain.

Without those signs, it is very unlikely that she need to worry about anything. In fact if it does not appear that you have excess fluid reaccumulated in that area, it is very unlikely that you have a residual problematic seroma. No further tests would be required aside from examination by your plastic surgeon on a normal scheduled basis.

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