My TT+ lipo was 5/26/10 I am 4 weeks post op. On day 11 drain was pulled since had 25cc in 24hrs.1 day later more fluid came, not in same area, but lower more in mid-incision/pubic area. my dr waits 2 weeks between draining. is this typical? also Dr doesn't use needle aspiration, PS makes small snip on the incision line drains the seroma this way. with all that I've been reading of TT & seromas, I have yet to read that another Dr uses this method.What are your thoughts? no other problems with TT
What is the Best Way to Drain Seromas Post Tummy Tuck?
Doctor Answers (6)
Seroms after Tummy Tuck
Pablo Prichard, MD
Best way to drain seroma after TT
Needle aspiration or open incision line mare both vaible options. Sometimes even a drain needs to be placed. If there is an infection you will need antibiotics. If the seroma is there a long time, your incision will need to be partially open, the fluids and capsule removed and closed.
Treatment of an abdominal seroma
Aspiration is probably the most common method of treating a seroma accumulation after a tummy tuck. This is typically repeated on a weekly or biweekly basis.
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Seroma and Tummy Tuck
Seroma can occur with tummy tuck surgery. It is usually managed with aspiration of the seroma continued use of a compression garment and limiting activity. If aspirations become recurrent then management may need to proceed to a replacement of a drain. Very rarely does the management evolve to the point of surgery or the use of medicines injected to produce scarring of the seroma pocket.
Tummy Tuck Seroma Drainage
Despite all the claims out there, there is no proven way to prevent drainage after a Tummy Tuck. As a result, drains are extremely helpful. If a seroma (fluid collection) occurs after drain removal, it is best drained by placing a needle and syringe percutaneously (through the skin) and aspirating the fluid. I prefer to see my patients every 3-4 days because by frequent aspirations the seroma is kept small and the opposite walls are in contact with one another leading to healing. I do not understand the logic of repeatedly opening ?the the incision or ? the former drain opening and thereby risk infection and or poor scarring.
Seroma after tummy tuck is unusual but easily treated.
Seroma is an accumulation of fluid called serum that can occur after surgery. The purpose of drains placed at the time of an operation is to pull out the fluid that collects early on. As you heal, the production of serum in the surgical area decreases and the drains can be removed. Sometimes the drains come out and serum production continues, a collection of serum forms under the healed skin and needs to be removed. The most common way of treating a seroma is by removal with a needle placed through the skin into the collection of fluid. The serum should be pulled into a syringe through this needle until no more can be removed. In my office, I see the patient every 2-3 days and repeat this procedure until there is no more seroma visible. It is my experience that within a week to 10 days of this treatment, the problem resolves.
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