i had a seroma which was aspirated about 6 times. the swelling can be palpated above the scar almost like a 'filling or padding'. surgeon said it was lymphodaema and would settle but it hasnt. i think it may be a pseudobursa. when i said this to him he said it wasnt, however he did say that should there be a need for any further treatment for example a scan then i would be liable to pay. im really worried about this. could you advise. thankyou in anticipation
Its Been 1 Year Since my Tummy Tuck and I Still Have a Swelling Above Scar. Ps Said It Was Lymphodaema. Think Its Pseudobursa?
Doctor Answers 6
Swelling one year after?
An exam would be needed and if a fluid wave is present, another aspiration could confirm what you have. If your surgeon isn't helpful (like he should be) then get a second opinion. Your surgeon should be your advocate and be looking out for your interests, but there are always exceptions to this rule.
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Impossible to tell without exam but the story sounds like a bursa. If it has been a year and the area is persistently swollen and full it may be worth a return to the OR to remove it. Work with your surgeon.
Swelling 1 Year After Tummy Tuck
Either lymphedema or a seroma is possible. An ultrasound is a quick and easy way to find out. A seroma and it's surrounding pseudobursa will show as a distinct cavity on ultrasound. Lymphedema has it's own appearance.
I would suggest you get the ultrasound. It is fairly inexpensive even if you or the surgeon pays for it. There are also hand-held units that your plastic surgeon may be able to access for a quick check. Good luck to you.
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I agree that either lymphedema or a residual seroma could cause what you describe. An ultrasound test would be easy and reliable. It would most likely be covered by insurance. If not perhaps there is a lower price the radiologist could charge you for self pay. Discuss it with their business manager.
Ps Said It Was Lymphodaema. Think Its Pseudobursa?
SInce you have a history of seroma, I would be suspicious of a pseudobursa. An imaging study would help make the diagnosis. Fluid would be seen as likely would be a thickened wall around the seroma. If there is still fluid at a year, this is a pseudobursa, and surgical excision is probably the only way to resolve the problem.
A photo would help!.
Thanks for your question, all the best.
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