I have a "complex" abdominal seroma 7 weeks after a free flap done as reconstruction for bilateral mastectomy?

These areas  be opened and revised as well as injected.  Please find an experienced Board Certified Plastic Surgeon and member of the Aesthetic Society using the Smart Beauty Guide. These Plastic Surgeons can guide you on all aspects of facial surgery, breast augmentation and body procedures including tummy tucks or mommy makeovers!

After large surgery that you had it is common to have lots of fluid drainage. Seroma can be difficult and requires time to resolve. Work with your plastic surgeon. If it continues to drain that amount after another 2 weeks then there are few things one can do. It may require surgery to close the space.Samir Shureih MD.FACSsshureih@msn.com

I'm sure your plastic surgeon can walk you through the next steps. But assuming the fluid output does not decrease significantly in the next week or two, the next step will be to inject a "sclerosing" agent through the drainage tube. This agent will cause the front and back surfaces of the seroma cavity to adhere together and either eliminate (hopefully ) or at least significantly decrease the size of the seroma. If that does not work, then a surgical procedure to remove the seroma cavity surfaces (and basically "start over") will be needed.Good luck.