4 Weeks Post Op Seroma Fluid from Incision with Open Wounds

asked 6 months ago by eleni123 in scotland
Latest answer by Steven Wallach, MD
Question viewed 286 times
Tags: 1 month post-op, causes, drainage, incision, options, seroma

hi i had breast augmentation in egypt 4 weeks ago, after 10 days i burst my stiches and seroma fluid started, i eventually got closed up 4 days later, iv seen 5 plastic surgeons and cant get any help, iv been to hospital in england and scotland and they are letting the seroma fluis come out my incisions as they wont fully heal with the water, 4 plastic surgeons say leave it as there is no infection from tests, they say it will stop i leak a tablespoon a day from both incisions, im alone, help

8 answers to 4 Weeks Post Op Seroma Fluid from Incision with Open Wounds

Breast augmentationand leakage

At 4 weeks out from a breast augmentation and fluid draining probalby requires removal of the implant to allow for adequate healing. A foreign body with an open wound and possible subclinical infection will probably not heal. If it does, you will more than likely have intermittent problems with infection and capsular contracture. Your best solution is probably remove the implant, let it heal and start over in 3-4 months.

Steven Wallach, MD
Manhattan Plastic Surgeon

Fluid drainage 4 weeks after Breast Augmentation is usually Extrusion and requires removal of implant with later revision

Leakage of fluid from a Breast Implant Incision 4 weeks after Breast Augmentation is a classic sign of Breast Implant Extrusion or loss of implant. Trying to suture the wound and close the incision risks infection and is not recommended. Accepted therapy is to remove the implant, allow you to heal and replace the implant at 6 months. The problem is that with the implant exposed to the outside of the body the risk of serious infection is very high. Cultures at this point are not... more

Brooke R. Seckel, MD
Boston Plastic Surgeon

www.drseckel.com

Remove the implant?

I would agree that there is PROBABLY a sub clinical infection that is causing the seroma; I would say you should consider removal of the implants with capsulectomy and placement of drains. However, it is difficult to say exactly what is going on without examining you. I would say see the plastic surgeon in town who has the best reputation and see if he/she had a similar case.

Andre Aboolian, MD
Beverly Hills Plastic Surgeon

Seroma after breast augmentation

At four weeks post op I would question whether you have an infection that may be the source of your drainage. See a board certified Plastic Surgeon experienced in breast surgery. Your implants may require removal if persistent drainage. Donald R. Nunn MD Atlanta Plastic Surgeon.

Donald Nunn, MD, DDS
Atlanta Plastic Surgeon

4 Weeks Post Op Seroma Fluid from Incision with Open Wounds

From reading your description I see an undercurrent of the issue of "cheap" out of country surgery and no local surgeon wishes your headache. Have you offered to pay for the extra care needed or even reoperation. My guess is you need removal of the implant and capsule with closure over a drainage system. Cost here in USA about $4,000. Try the approach of offering payment for care.

Darryl J. Blinski, MD
Miami Plastic Surgeon

Seroma or hematoma treatment after breast augmentation

You are in a very difficult situation as you went out of the country and now have a problem that is not easy to fix. It is understandable that most surgeons there will not touch this. You should try the plastic surgery department at your local university hospital, maybe in Edinborough or Glasgow. They will usually take the more complicated cases. I hope you realize that this format of posting questions and receiving answers lacks the face to face direct communication required for you to... more

Aaron Stone, MD
Los Angeles Plastic Surgeon

Fluid from incisions post breast augmentation

It sounds like you are not getting any help where you are. You need to see a board certified plastic surgeon to get a good evaluation. if you are still having a significant amount of drainage 4 weeks post breast augmentation, you may have a low grade infection around the implants and they may need to come out. I would get it checked by someone soon.

Rick Rosen, MD
Norwalk Plastic Surgeon

Drainage from Incisions after Breast Augmentation

Thank you for the question. Given that you are dealing with a complicated situation after your breast augmentation, I would suggest that you find the most experienced board-certified plastic surgeon in your area and trust his/her advice after direct examination. This approach will serve you better than advice you receive online from physicians who cannot examine you in person. Best wishes.