How often should a Seroma be aspirated after Gynescastia surgery?

Seromas can occur after surgery. Fortunately they almost all go away with aspiration and time. I would recommend weekly aspiration until completely resolved. It should really only take 2-4 weeks. It is important to have the aspiration be complete at each time.

The frequency of seroma aspirations (drainage) after gynecomastia surgery can vary depending on several factors, including the extent of the surgery, individual healing characteristics, and the plastic surgeon's approach. A seroma is a collection of clear fluid that can accumulate in the space created by surgery. The goal of aspirations is to remove this fluid and prevent complications.Here are some general considerations:1. Early Postoperative Period:• Seromas often develop in the first few weeks after surgery. During this period, it may be necessary to have frequent aspirations, sometimes multiple times a week, to manage the fluid buildup.2. Decreasing Frequency Over Time:• As time passes and the body heals, the frequency of seroma aspirations typically decreases. Your plastic surgeon will monitor the amount of fluid being produced and adjust the frequency of aspirations accordingly.3. Individual Variability:• The response to surgery and the likelihood of developing a seroma can vary from person to person. Some individuals may experience minimal fluid accumulation, while others may require more frequent aspirations.4. Surgeon's Guidance:• Your plastic surgeon will provide specific instructions on how often aspirations are needed based on your individual case. They will assess your progress during follow-up appointments and determine the appropriate course of action.5. Resolution of Seroma:• The goal is for the seroma to gradually resolve over time as the body absorbs the fluid, and the healing process continues. In some cases, the seroma may resolve without the need for repeated aspirations.It's important to communicate closely with your plastic surgeon during the postoperative period. If you notice any changes in the surgical area, experience increased swelling, or have concerns about fluid accumulation, contact your plastic surgeon promptly. They can evaluate your situation and determine the appropriate course of action, which may include further aspirations or other interventions.Always follow your plastic surgeon's postoperative care instructions and attend scheduled follow-up appointments to ensure the best possible outcome and minimize the risk of complications.

Thanks for the question. Seromas after surgery are rare, but do occasionally occur. I typically drain the seroma 2-3 times a week, along with making sure that counter-pressure with gauze pads or washcloths are used under the garment. However, if the seroma volume does not start to go down after several weeks of aspiration, you may need to have a drain placed. In very rare instances, revision surgery for seroma may be necessary, though I have personally never seen that. Good luck. 

A seroma is a collection of serous fluid.  This is a yellow fluid that is normal in our bodies.  A seroma after gynecomastia surgery can happen.  I typically aspirate these collections every 3-4 days.  If the volume of aspirate does not decrease after several visits then something more has to be done.  There are percutaneous drains that can be placed into the pocket.  Another solution is injecting the pocket with Lidocaine (a local anesthetic) and Doxycycline an antibiotic.  This irritates the tissue so that the two sides stick together and the space is closed off.

One option is for your surgeon to place a Seromacath.  It's basically a percutaneous drain placed in the office that will stay there for a few days, probably no more than a week.  This may allow the seroma to stay collapsed long enough for the space heal together.

Thank you for sharing your question. 
It’s fairly common for gynecomastia patients to have postoperative fluid collections, especially in the acute postoperative period. Between the frequent follow-up appointments with aspiration, in addition to your compliance with compression garments and activity limitations, it sounds like you’re doing everything you should be at this point. 
I recommend continuing close monitoring with your Plastic Surgeon and evacuation as needed, as well as being patient with the process. Good luck to you with the rest of your recovery! 
Peter A. Felice, MD

Goodevening and thank you for your question,As per the current situation it is advisable that you dont aspirate the seroma which is collecting and just wear pressure garments with additional pressure in the form pads or towels. This will settle down automatically , this has been my experience over these years. This will settle on its own unless there is any infection happening or inner blood clot. Hence , you are advised to see your plastic surgeon.Thanks and regards ,Dr. Amit Gupta