How often should a Seroma be aspirated after Gynescastia surgery?

Question

One side collects 30cc of fluid within 5-6 hours after aspiration. It has be aspirated 7 times but the last 3 times the fluid comes back at around 30cc with little reduction. It collects another 30cc within a few hours of aspiration. I am wearing my compression shirt 24/7 minus showers also wearing a compression wrap since the surgery. 19 days since surgery.

Ronald Schuster, MD · Answer

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.

Jon S. Wilensky, MD · Answer

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.

Eric Desman, MD · Answer

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.

Christopher L. Hess, MD · Answer

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.

Douglas J. Mackenzie, MD · Answer

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.

How often should a Seroma be aspirated after Gynescastia surgery?

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How often should a Seroma be aspirated after Gynescastia surgery?

Answers (7)

Answer: Seroma After Gynecomastia Surgery

Answer: Seroma After Gynecomastia Surgery

Answer: Placement of seromacath

Answer: Placement of seromacath

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Everything you need to know about Gynecomastia Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.