I am 9 wks s/p diastastis recti and umbilical hernia repair (no skin tightening/removal), developed seroma, got drained x 5 over last 7 weeks. PS says she’s never had this happen before and does not know what else to do to help me. Told me to stop wearing compression garment and “live life normally” two days ago. Do most PSs have the skill set to remove a seroma surgically or are there PSs who specialize in dealing with these complications? Thank you in advance for any advice!
Answer: A seroma after tummy tuck surgery can be removed by a board-certified plastic surgeon It is not as common as it used to be but patients can still get seromas after a tummy tuck surgery. Obviously the body heals with swelling and inflammation and it will usually absorb the excess fluid but when it cannot or there is no drain to remove it, then you can get a seroma. These can usually be removed with aspiration by a plastic surgeon or sometimes even drained through a small reopening of your tummy tuck incision. Additionally, sometimes a radiologist can aspirate them using ultrasound to pinpoint their exact location. In general, the sooner you get rid of it the more chance of success. If you have repeated aspirations, then usually a drain is placed through the skin is used. Rarely, a seroma will lead to a fluid filled bursa which usually needs to be surgically removed. I would recommend that you see a board-certified plastic surgeon in your area that is a member of both ASPS & ASAPS and performs a lot of tummy tucks or of course your surgeon. I hope my answer helps and if it does, please take a moment to up vote this answer on the “respond” button on the top right. Have a great day.
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Answer: A seroma after tummy tuck surgery can be removed by a board-certified plastic surgeon It is not as common as it used to be but patients can still get seromas after a tummy tuck surgery. Obviously the body heals with swelling and inflammation and it will usually absorb the excess fluid but when it cannot or there is no drain to remove it, then you can get a seroma. These can usually be removed with aspiration by a plastic surgeon or sometimes even drained through a small reopening of your tummy tuck incision. Additionally, sometimes a radiologist can aspirate them using ultrasound to pinpoint their exact location. In general, the sooner you get rid of it the more chance of success. If you have repeated aspirations, then usually a drain is placed through the skin is used. Rarely, a seroma will lead to a fluid filled bursa which usually needs to be surgically removed. I would recommend that you see a board-certified plastic surgeon in your area that is a member of both ASPS & ASAPS and performs a lot of tummy tucks or of course your surgeon. I hope my answer helps and if it does, please take a moment to up vote this answer on the “respond” button on the top right. Have a great day.
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Answer: Seroma after diastasis repair Thank you for your question and photos. I am sorry to hear about your complication. Your operating surgeon should be able to help you, as seromas do happen after abdominoplasties about 10-20% of the time. Typically, they will resolve with serial needle drainage or placement of a drain. In some cases, an irritant (sclerosant) can be placed through the drain to scar down the pocket. The last resort would be a surgical removal of the seroma lining (pseudobursa). I would discuss with your surgeon about fixing this problem. Good luck.
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Answer: Seroma after diastasis repair Thank you for your question and photos. I am sorry to hear about your complication. Your operating surgeon should be able to help you, as seromas do happen after abdominoplasties about 10-20% of the time. Typically, they will resolve with serial needle drainage or placement of a drain. In some cases, an irritant (sclerosant) can be placed through the drain to scar down the pocket. The last resort would be a surgical removal of the seroma lining (pseudobursa). I would discuss with your surgeon about fixing this problem. Good luck.
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February 26, 2018
Answer: Recurrent Seroma after TT Thank you for your question. There are plastic surgeons that could help you with the treatment of a recurrent seroma. There are several options including sclerosing agents and possible need for surgery. A board certified plastic surgeon can evaluate you, test the fluid, perhaps order a CT scan and then make a recommendation for the next step in treatment. Good luck! S. A. Earle, MD, FACS
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February 26, 2018
Answer: Recurrent Seroma after TT Thank you for your question. There are plastic surgeons that could help you with the treatment of a recurrent seroma. There are several options including sclerosing agents and possible need for surgery. A board certified plastic surgeon can evaluate you, test the fluid, perhaps order a CT scan and then make a recommendation for the next step in treatment. Good luck! S. A. Earle, MD, FACS
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February 23, 2018
Answer: All Seroma's Go Away Eventually I know this is frustrating for you, but I would not go looking for a surgical fix right now. All seroma's eventually go away. It is exceedingly rare for them to require surgical intervention. That said, I have had one or two that were tough to get rid of as well. There is literature to support injections of various sclerosis agents, but having experienced that too, I wouldn't do it again. The worst case scenario is probably just placement of a drain for a week or so, but for now I would try to ignore it as much as possible with the knowledge that it really will dissipate with time - more than likely.Good Luck!
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February 23, 2018
Answer: All Seroma's Go Away Eventually I know this is frustrating for you, but I would not go looking for a surgical fix right now. All seroma's eventually go away. It is exceedingly rare for them to require surgical intervention. That said, I have had one or two that were tough to get rid of as well. There is literature to support injections of various sclerosis agents, but having experienced that too, I wouldn't do it again. The worst case scenario is probably just placement of a drain for a week or so, but for now I would try to ignore it as much as possible with the knowledge that it really will dissipate with time - more than likely.Good Luck!
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February 23, 2018
Answer: Seroma Dear Admofo,every board-certified plastic surgeon should be able to resolve seroma as well as other complications. If your plastic surgeon don't know what to do, I would suggest you to consult another board-certified plastic surgeon. Daniel Barrett, MD Certified, American Board of Plastic Surgery Member, American Society of Plastic Surgery Member, American Society of Aesthetic Plastic Surgery
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February 23, 2018
Answer: Seroma Dear Admofo,every board-certified plastic surgeon should be able to resolve seroma as well as other complications. If your plastic surgeon don't know what to do, I would suggest you to consult another board-certified plastic surgeon. Daniel Barrett, MD Certified, American Board of Plastic Surgery Member, American Society of Plastic Surgery Member, American Society of Aesthetic Plastic Surgery
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