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Bloated Final Result from Liposuction?

Two weeks ago, my plastic surgeon removed 300cc of fluid and I was very flat. Today, on my 4th week after Liposuction, I returned to my surgeon to see if I needed to have more fluid aspirated. My abs look big and jiggles in a wave like motion. It hurts very little and feels like there's a small balloon inside. When I press one side, the other lifts.

My surgeon inserted a syringe only in one spot, but nothing came out. I no longer have a seroma, according to my surgeon. Why am I suddenly bloated? Is this my final result? Could it be pre-menstrual bloating? I look 4 months pregnant.

Doctor Answers (10)

Seroma

+1

When all of us are saying the same thing you probably should believe it. Seromas need to be aspirated several times. If you surgeon removed 300cc the first time I guarantee that the next time he'll need to remove at least 250cc. After that it will go down but will need to be aspirated multiple times. I stop when I only get out <30-40cc.

I don't think your surgeon found the pocket and you need to go back. The longer the seroma remains the more of a capsule will be created. If it gets too bad surgery will need to be performed to remove the capsule. Good luck.


Fairfax Plastic Surgeon
5.0 out of 5 stars 16 reviews

You likely have a seroma

+1

 You likely have the unusual complication of a seroma which needs to be drained.  Your surgeon may need to not only drain out the fluid but leave in a tube to continually drain out the fluid.  Good luck.

David Shafer, MD
New York Plastic Surgeon
5.0 out of 5 stars 55 reviews

Probably a recurrent seroma

+1

I am sure you will have additional follow up visits with your plastic surgeon at which point he/she can perform additional aspirations.

Soimetimes an aspiration may not yield any fluid on one date and will produce more on the second attempt.

If you do not have a visit scheduled in the next week, I would contact the office to notify them of your symptoms. Review these with the assistant if he/she is not available.

Your symptoms sound very suspicious for a recurrent seroma and my guess is that the next aspiration will yield a larger amount of fluid.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 43 reviews

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May require another attempt

+1

Dear New,

It sounds like you have a reaccumulation of your seroma.  Sometimes the seroma can be missed with a single needle insertion site.  Your surgeon may want to take another "stab" at it from a different location.  If unsuccessful again he/she may suggest a sonogram.  Good luck!

Kenneth R. Francis, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 31 reviews

Second guessing...

+1

Based on your very good description, you do have a seroma, and my guess is that he didn't hit the right spot with the needle.  If you don't put the needle where the fluid is, you will get a dry tap.  Have himn try again, based on physical exam.

sek

Scott E. Kasden, MD
Dallas Plastic Surgeon
4.5 out of 5 stars 45 reviews

You need a sonogram right away.

+1

Hi. You most likely have a large seroma. After 4 weeks, aspirating it with a needle is not enough. And it is easy to miss a seroma with a blind attempt at needle aspiration.

We would get a sonogram right away, and then we would have an interventional radiologist insert a drain into your seroma under ultrasound monitoring. Then the drain should stay in place for a week.

If a seroma becomes chronic, you may require surgery. So it is important to deal with this promptly.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon
5.0 out of 5 stars 9 reviews

Still sounds like a seroma

+1

Your verbal description is classic for a seroma.  It is possible that your surgeon missed the fluid pocket and that you still have a lake of fluid needing drainage.  An ultrasound will confirm if this is the case.  Discuss this with your doctor.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
5.0 out of 5 stars 48 reviews

I'd bet you still have a seroma

+1

Some times there are septations in a seroma that make them harder to access. It may take several different puncture sites, or as mentioned, an ultrasound to access the seroma.

I would return to your surgeon and tell him or her your concerns and I'll bet it can be taken care of.

Good Luck.

Scott Tucker, MD
Winston Salem Plastic Surgeon
5.0 out of 5 stars 13 reviews

Seroma likely

+1

It certainly sounds as if you have a seroma. It is hard to imagine that a single aspiration of 300 ccs. would be enough to permanently cure an existing seroma. Of course, it also be difficult to get a needle in just the right space to find a shrinking seroma especially if there is fear of causing damage or injury. An ultrasound would be indicated if a seroma is suspected but not easily located by a blind needle.

Robin T.W. Yuan, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 7 reviews

Post Op Bloating with Liposuction

+1

Dear Anewme, what type of liposuction did you have?

it sounds like there is still some fluid remaining- difficult to tell without an exam of your tummy. You may have an ultrasound done to confirm this and the radiologist can put in a needle to drain the fluid.

It is necessary sometimes to insert a drain for a period of a few days to weeks to stop the collection of fluid.

With Warm Regards,

Trevor M Born MD

Trevor M. Born, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 46 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.