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Seroma After Tummy Tuck - Non Surgical Removal?

asked 1 year ago by Yeruham8467 in Yeruham, 01
Latest answer by Ricardo A. Meade, MD
Question viewed 1,731 times
Tags: non surgical, removal, seroma

I had an abdominoplasty a year and half ago resulting in a seroma 10x15 cm. Is there a solution after this time to remove it without surgery?

15 answers to Seroma After Tummy Tuck - Non Surgical Removal?

Seroma after a tummy tuck

This sounds to me like you will need another operation to correct the seroma cavity since the cells lining it are probably still producing fluid and need removal. Best wishes

Ricardo A. Meade, MD
Dallas Plastic Surgeon

www.DoctorMeade.com

Seroma one year after a tummy tuck

A tummy tuck is a safe and effective procedure to contour the abdomen, create a tight waist, and remove extra skin, fat, and stretch marks. Patients should expect a significant recovery process after the surgery. However developing a seroma one year after your surgery can be unusual. At this stage, your best bet is to return to your board-certified plastic surgeon and let him evaluate your abdomen and this new collection. They will appreciate the opportunity to help you achieve a great... more

B. Pat Pazmino, MD
Miami Plastic Surgeon

www.miamiaesthetic.com

Non-surgical treatment of Seroma

Non-surgical treatment of the serma could be carried out with placement of a seromacath or having the interventional radiologists place an indwelling seroma catheter and/or considering slcerotherapy.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Seroma & pseudobursa

It sounds like you have a "pseudobursa", which is a fluid-filled sac beneath the skin. These can happen with long-standing seromas. The only answer I know to fix this is to operate, fully excise the sac, and place drains, or do internal quilting sutures. Seromas seem to be more common in tummy tuck patients that also have liposuction of the abdomen or flank areas, and in the massive-weight loss population. Best wishes,

Thomas Fiala, MD
Altamonte Springs Plastic Surgeon

Treating an established seroma

Seromas (fluid collections) occur in ~ 5% of abdominoplasty patients. Generally, they can be treated with needle aspirations in the office followed by wearing compression garments. Rarely, seromas persist several months. If they do, often surgical removal is the only option as the lining that forms the fluid cavity needs to be removed. Another nonsurgical option is to place a drain in the fluid cavity and inject a sclerosing agent that may help the lining scar in... more

Naveen Setty, MD
Plano Plastic Surgeon

Seroma long after tummy tuck.

While seromas can occur after a tummy tuck, most are self limiting and respond to serial aspirations and continuing the abdominal binder. Once they have persisted as long as your has, there is a lining to the seroma which prevents it from resolving. The next least invasive procedure would be to place a drain and try to sclerose the lining of the pocket with a concentrated antibiotic solution. If this does not resolve it, surgery may be needed to remove the lining. more

Jeffrey M. Darrow, MD
Boston Plastic Surgeon

Seroma after one year

If you have a seroma after a tummy tuck one year after surgery, you probably have a pseudobursa that has formed and will need sugery to remove it.

Steven Wallach, MD
Manhattan Plastic Surgeon

Treating the established seroma

Once the pocket has had time to line itself with tissue like the inside of an oyster, there is no treatment that will resolve a seroma other than surgery. Prior to that, serial aspiration and sometimes secondary drain placement is necessary.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Seroma after Tummy Tuck

At a year and a half after tummy tuck, it is unlikely for your seroma to resolve on its own. By this point, the seroma has formed a capsule that will need to be resected to allow the cavity to collapse. If seroma is recognized in the immediate postoperative period, it is important to consider percutaneous needle drainage and compression garments to prevent recurrence. If this fails to treat the problem after repeated attempts, I recommend insertion of a... more

Paul S. Gill, MD
Houston Plastic Surgeon

Seroma more than 1 year after abdominoplasty

In addition to needle drainage (or SeromaCath drain placement) your surgeon may consider injecting a sclerosing agent (such as doxycycline) to help eliminate the seroma cavity if it continues to persist.

Karol A. Gutowski, MD
Chicago Plastic Surgeon

Seroma Management

As my colleagues have stated, seromas are generally succesfully managed with needle aspiration in the office and rarely warrant any further surgical intervention. If you had a large seroma, it will likely require several aspirations and continued compressive therapy.

C. Bob Basu, MD
Houston Plastic Surgeon

www.basuplasticsurgery.com

Seroma after Tummy tuck.

A seroma after a tummy tuck is not unusual problem and usually responds to serial aspirations and lessens with time. Despite these measures , the fluid may persist and a collection at 18mo. post op. is unlikely to resolve spontaneously or with further aspiration. A lining may develop around the collection, a "pseudo cyst", and surgical removal of the entire fluid and cyst wall with subsequent obliteration of the space and drains... more

Stephen Delia, M.D.
Boston Plastic Surgeon

Seroma after a year and a half

No. At this point, surgical correction will be required. Sorry. sek

Scott E. Kasden, MD
Dallas Plastic Surgeon

Resolving an 18 month old Fluid Collection - seroma

Regarding: "Seroma After Tummy Tuck - Non Surgical Removal? I had an abdominoplasty a year and half ago resulting in a seroma 10x15 cm. Is there a solution after this time to remove it without surgery?" I never encountered or heard about an 18 month Tummy Tuck seroma and would be curious to know more details such as do you have any OTHER medical history (such as previous radiation to the area)? and what was done to try and solve it. Seromas can be resolved with serial... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Seroma after a tummy tuck

A seroma can be removed by a needle aspiration, you do not need to have surgery. Seromas tend to take a long time to resolve and you may need multiple needle aspirations. It is not very common to have one 1.5 years after surgery, however Sincerely, Martin Jugenburg, MD