Seroma 3 Weeks Post Mommy Makeover. Also Had BL and Rippling Around Nipples Are Horrible? Doctor Answers, Tips
Mommy Makeover: Q&A
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Seroma 3 Weeks Post Mommy Makeover. Also Had BL and Rippling Around Nipples Are Horrible?

i m 3 weeks post op from a mommy makeover. i am unsure if the lower abdominal swelling above my incision but below my belly button could result in a seroma.i am concerned about this outcome. also i had a benelli lift done and the rippling around my nipples are horrible and appear odd. will this too heal with time i am unable to load a picture to my email to post. my blackberry is acting up at the moment.

4 Doctor Answers | Asked by bizzybody87
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Seroma?? Rippling Around Nipples

I don't wish to give any false reassurance without the benefit of at least a photograph. Swelling is common, seromas not common. A call to your surgeon and the visit if needed will usually resolve your question about whether there might be a fluid collection . As far as the pleating around areolae, these are typical after most breast lifts. When the areola was sutured typically 2 circles of unevenness size are sewn together and this results in "gathers" or "pleats". If... more
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Concerns after Mommy Makeover?

Thank you for the question. As you can imagine, your plastic surgeon will be in the best position to rule out complications after physical examination. This physical examination will be necessary to differentiate “normal” swelling of the abdomen from a seroma. Arrange for an earlier than otherwise scheduled follow-up with him/her if necessary. Irregularities/pleating around the areola is part of the healing process after Benelli breast lifting surgery.... more
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Rippling around areolas and abdominal seroma

The area above your tummy tuck incision is commonly swollen this early after a tummy tuck and can last for several months...this is due to lymphatic fluid that is temporarily trapped above the scar and typically resolves on its own...if you are concerned about a seroma, see your surgeon...an exam will quickly answer the question...rippling or pleating around your areolas are generally the norm this early after a periareolar type mastopexy...again, time will help these to flatten but may take... more

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Concerns 3 weeks after Tummy Tuck and Breast Lift

It sounds normal from your description. The area between your belly button and scar is always the most swollen after tummy tuck. A seroma is possible but impossible to tell by your description. Pleating is always an issue with a Benelli type of mastopexy. The best recommendation is to return to your surgeon for evaluation.
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Comments (1)

meyerjr 15 Apr 2013
I think you are getting good advise from the Drs here. As the husband of a woman who was diagnosed with a seroma, maybe I can provide some lay perspective. -Avoid freaking out, keep drinking water early and often, do your best to get your rest. -where the compression garment as much as possible. -contact your surgeon for a first available appointment and bring a note pad with questions. Also, if possible, being a husband or close friend to drive you plus to listen during the exam. -the Doctor will almost certainly examine you while standing and laying down. We found that a seroma is easily diagnosed compared to other swelling or a hematoma. The seroma feels and acts like a small water bed that will ripple as you press any corner of the swelling. -Having a seroma is not life threatening but requires prompt and persistent attention. Of course we all hope you do not have a seroma - or that a seroma quickly disappears after only a couple drainings. But if not, below is info (NOT medical advise) that we learned from living it out. -if you are diagnosed with a seroma, you may find that the surgeon has minimal expierence with treating it. Typically, you will be referred to an imaging department to get an abdominal, external ultrasound. Usually performed by an Ultrasound Technician and interpreted by a radiologist, the findings will be reported back to your surgeon. Most surgeons do not do the draining of the seroma, rather they refer the patient to a radiologist who uses Ultrasound to guide a needle into the seroma and a vacuum is applied to drain as much fluid as possible. IF this is your path, do your research and try to find an Interventional Radiologist, sometimes working in a clinic's wound treatment department. These type radiologists ar much more proactive and aware of seromas, compared to the radiologist who work out of a clinic's breast imaging/diagnostic center. -Depending on how new the seroma is, you may be able to have it resolve before it becomes chronic and thicken. Once a psudobursa encapsulates the seroma, the swelling will remain, even if the fluid no longer gathers and then you will need to have the whole thing surgically removed. That procedure will be a mini-tummy tuck with excision of the mass and then a revised, re-stretched flap close and suture. Hope this helps you and future readers. Please consider posting your experience here so you have a journal of your treatment and other can learn more about what happens when a mommy makeover does not go as desired.

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