Swelling and Fluid Accumulation After Male Breast Reduction

It's now exactly three weeks after Vaser gynecomastia surgery and I have the same amount of swelling as I did two weeks ago. The pectoral region seems squishy and there is a substantial swelling, while being able to push the fluid around. My question is: will the swelling subside or is it possible for fluid accumulation to remain indefinitely? The swelling is more pronounced in the left than in the right (see pictures). Thank you for any information.

Doctor Answers 12

Swelling After Gynecomastia Surgery

Thank you for your post. Based on your description it sounds like you may have a seroma, or fluid accumulation. I would recommend that you be seen by your surgeon because if you do have a seroma, it will likely need serial aspiration. Seromas are one of the risks of this surgery, usually due to the space created once the tissue has been removed. For this reason, in my practice I more often than not, choose to leave drainage tubes which are removed several days after the procedure.

Sincerely,

Dr. Dadvand


Los Angeles Plastic Surgeon
5.0 out of 5 stars 16 reviews

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Seroma?

Sounds like you may have a seroma, which is a fluid accumulation within a "space" under the skin.  Sometimes this resolves on its own.  Other times it needs to be drained in the office. You should follow up with your doc for sure.  Seromas can harden or get infected.

Tim Neavin, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 10 reviews

Swelling and Fluid Accumulation After Male Breast Reduction

You may have a seroma or hematoma that can sometimes occur after gynecomastia reduction surgery.  You may need percutaneous drainage of the fluid.  Contact your surgeon.  Good luck and be safe.

John T. Nguyen, MD, FACS, FICS
Double Board Certified Plastic Surgeon

John Nguyen, MD, FACS
Houston Plastic Surgeon
5.0 out of 5 stars 29 reviews

Swelling & Fluid Collections Following Gynecomastia Surgery: What to Do

It’s unusual for patients to develop fluid collections following liposuction for gynecomastia. Although swelling following this procedure is common, the development of seromas is rare.

                  When diffuse swelling occurs after surgery the best treatment is the use of a compression garment. When an obvious fluid collection occurs, removal of the fluid is necessary to avoid secondary complications. Fluid can be aspirated with a needle and syringe with good results. If the fluid reaccumulates after multiple aspirations, then insertion of a drain should be considered.

                  In the majority of cases conservative management is appropriate. Patients who are suffering from significant post-operative swelling should consult their surgeon. 

Seroma fluid needs to be removed

I can not view the pics, but if fluid is present it should be removed. If not removed the fluid can lead to a list of potential problems. Your plastic surgeon will know how to deal with this issue.

Miguel Delgado, MD
San Francisco Plastic Surgeon
4.5 out of 5 stars 39 reviews

Seroma fluid collection after gynecomastia (male breast) reduction

Seroma after gynecomastia occurs relatively frequently but is usually easily treated with repeated aspiration over a 2-3 week period. Occasionally it may persist and require drain placement but that is highly unusual. I have never observed a permanent seroma in my experience.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 56 reviews

Fluid collection after male breast reduction

 

After liposuction of the chest for the correction of gynecomastia, one of the risks is the attenuation of fluid and a possible hematoma or seroma. Depending on the size of the collection the treatment of the symptoms varies. If it is a small collection your plastic surgeon may elect to closely observe this and to recommend anywhere a tight compressive garment at all times. If it is a larger collection however your plastic surgeon may elect to you insert a needle and to drain this collection. Afterwards a compressive garment is extremely important to make sure that the collection does not regionally.

Pat Pazmino, MD
Miami Plastic Surgeon
4.5 out of 5 stars 64 reviews

Seroma after gynecomastia correction must be removed.

Hi.

It sounds like you have fluid collections in your chest after male breast reduction.  These are called seromas and must be removed with a needle.  In New York City we do a sonogram to identify these liquid collections.

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

Male chest reduction, recovery, gynecomastia, liposuction

Dear Bogdan 111

If you had fluid in the area then you need to have this drained as soon as possible.  This most likely would require the insertion of drains since it is 3 weeks + post surgery.

With Warm Regards,

Trevor M Born MD

Trevor M. Born, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 58 reviews

Swelling and fluid accumulation after gynecomastia reduction

Regarding :

1. "will the swelling subside ?" Yes. But , it takes months to resolve.

2. "or is it possible for fluid accumulation to remain indefinitely?" Significant fluid accumulation should be either drawn out with a needle or a drain needs to be placed. It is NOT a good idea to let a fluid collection sit as it may get infected and may even result in uneven healing of the breast.

You should have your surgeon examine you to make sure what you are describing is in keeping with normal healing.

Hope this was helpful.

Peter A. Aldea, MD
Memphis Plastic Surgeon
5.0 out of 5 stars 73 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.