What should I do when a seroma turns into a bursa and my abdomen continues to swell and cause discomfort 7 years later?

Challenging chronic seromas are a difficult situation. Often it is the patients unique anatomy which contributes to the scenario. The traditional tummy tuck operation removes the entire scarpa fascia which has been shown to have upwards of 17% of the lymphatic drainage for the abdominal wall. By preserving this layer the patient is able to keep intact their own drainage system. As a result NO DRAINS” are needed at the time of surgery as the excess fluid is reabsorbed by the lymphatics in scarpas fascia. Look for s Board Certified Plastic Surgeon to help you with your journey to your “IDEAL SELF”

Hello,I'm sorry to hear about your discomfort and concerns. I recommend that you see one or more board certified plastic surgeons in person for examination and advice. There may be a few options, including surgical incision of the tissue. All the best 

Hello
I’m really sorry that you feel unhappy with your results and with the things that you’ve have deal with. You still have some choices to resolve your issue. I encourage you to visit a certified plastic surgeon to be evaluated again and give the best treatment recommendation specific on that. Try to find a doctor that you fill comfortable with. Good luck.

Dr. Israel Mañon
Certified Plastic Surgeon

If you have a seroma cavity and a bursa then the only way to get rid of it is to excise it by elevating the abdominal flap.

Nadie,Sorry you experienced such a long time postoperative complication.  The answer is different with many surgeons.  I have treated seromas (a few years less than 7 years) with drainage, steroid injections and finally, excision.  The last procedure is usually the gold standard but I always try the least invasive first.  Go for several consultations.  If you have concerns about skin laxity or muscle wall weakness, the go for the revision which should address all of these concerns as well.GOod luck with whatever decision you decide.Dr T

It is important for you to be evaluated by a plastic surgeon in your area. After 7 years you should not be having discomfort and given your expense, you should be happy with your results. Best wishes. 

I would recommend you consult with a board certified plastic surgeon in your area. What will most probably need to be done, is exploration of the area, with removal of the bursae to allow proper healing to occur and the fat to stick down to the underlying muscle fascial layer.