I had seroma about 2 weeks after my tt, my drain was taken out too early before draining under 25cc. I've been aspirated twice and the last time nothing came out. They say I don't have it anymore but I still have tht "waterbed" feeling when I touch my lower stomach. A month later I been having stabbing pains along my incision, is it a seroma complication? I also developed a pouch because of the seroma will my belly eventually flatten out after the seroma is gone or am I stuck with this forever?
Answer: Soft tissue swelling versus seroma can be difficult diagnosis after abdominoplasty.
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CONTACT NOW December 17, 2018
Answer: Seroms after Tummy Tuck Thank you for your post. Seromas can be painful and cause a cosmetic deformity, as well as sometimes leak. The whole point of drains is to keep a seroma from happening in the first place. If a drainless procedure was performed, and you had a seroma, or you had drains that were pulled and you subsequently had a seroma, then you should be drained, otherwise a capsule builds around the fluid making it permanent. If a capsule builds around the seroma (pseudo bursa or encapsulated seroma) then the only way to remove the seroma is to surgically open the areas and excise the capsule, and close over drains to prevent another seroma from happening. If the seroma is encapsulated and is tight and painful, then it can be confused with just swelling or fat. An ultrasound is useful in distinguishing these and identifying the extent of the seroma. If the seroma is not yet encapsulated, then it is usually loose and has a 'fluid wave' or water bed type feel. Occasionally, a seroma can also become infected, especially if a permanent braided suture was used. This will have a hot, red appearance, and will eventually open up. I have never seen an infection from sterile aspiration of fluid.Best wishes,Pablo Prichard, MD
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December 17, 2018
Answer: Seroms after Tummy Tuck Thank you for your post. Seromas can be painful and cause a cosmetic deformity, as well as sometimes leak. The whole point of drains is to keep a seroma from happening in the first place. If a drainless procedure was performed, and you had a seroma, or you had drains that were pulled and you subsequently had a seroma, then you should be drained, otherwise a capsule builds around the fluid making it permanent. If a capsule builds around the seroma (pseudo bursa or encapsulated seroma) then the only way to remove the seroma is to surgically open the areas and excise the capsule, and close over drains to prevent another seroma from happening. If the seroma is encapsulated and is tight and painful, then it can be confused with just swelling or fat. An ultrasound is useful in distinguishing these and identifying the extent of the seroma. If the seroma is not yet encapsulated, then it is usually loose and has a 'fluid wave' or water bed type feel. Occasionally, a seroma can also become infected, especially if a permanent braided suture was used. This will have a hot, red appearance, and will eventually open up. I have never seen an infection from sterile aspiration of fluid.Best wishes,Pablo Prichard, MD
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June 1, 2013
Answer: Recurring seroma after an abdominoplasty
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June 1, 2013
Answer: Recurring seroma after an abdominoplasty
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May 31, 2013
Answer: Seroma after tummy tuck
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May 31, 2013
Answer: Seroma after tummy tuck
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