Opening in incision a seroma? 1 month post-op. (Photos)

Question

I had a circumferential Tammy tuck almost 4 weeks ago. The front portion of my incision has some white spots appear. When I went to see my PS he tried to drain what he said was fluid but nothing came out when he placed a needle in the area and applied pressure. Last night a small hole opened in one of the white areas and I literally poured a yellowish, bloody fluid. On call PS said it was Seroma and to keep it covered until seen Monday. What can I expect from here as far as healing and treatment

Aldo Guerra, MD · Answer

Hello and thanks for this question. I suggest you see your plastic surgeon about this wound and possible seroma. Seromas certainly can lead to wound separation, but I cannot confirm that simply based on the photos. In fact, you might need a CT scan or ultrasound to see the seroma. See your plastic surgeon ASAP.Best wishes. Dr. ALDO

Nelson Castillo, MD · Answer

Thank you for sharing your question and photographs and I am sorry to hear of your seroma.  Though the opening appears to have been small in your incision I would strongly recommend visiting your surgeon for another in-person examination.  This would allow him to make sure that a residual fluid collection is not present while offering your local wound care to ensure that you go on to heal uneventfully from here.  Hope this helps.

Gary L. Ross, MBChB, FRCS · Answer

This is not unusual following the surgery you describe. Always best to be examined in person but from the photos the seroma does not appear excessive. Best to see your PS.

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