Is it possible for a Pseudo-bursa to heal on its own? (photo)

Question

I had a full tummy tuck on 8/1/14 and developed a seroma on my right side. I had been getting aspirated but two weeks ago my PS said there was no more fluid. I still have a hard lump and my PS said it was scar tissue. He said to give it time and it would disappear on its own. I was content to hear this until I read on this site that scar tissue has to be removed. I am now worried. Can you please give me some insight on what to do?

Daniel Barrett, MD · Answer

Sam_03,Its hard to say without examining you and knowing more about the surgery and postoperative course but yes, some scar tissue gets better on its own. Alternatively, I've simply excised scar tissue with quicker results.Depends on your situation.I hope this was helpful,Dr. Daniel BarrettPlastic and Reconstructive SurgeryBeverly Hills, CA

Jed H. Horowitz, MD, FACS · Answer

Pseudobursae after tummy tuckmost of the time, the tissue will heal and flatten after seroma removal.i would wait 9-12 months to see the improvement before considering surgery

Tom J. Pousti, MD · Answer

I think that your question demonstrates how online information can be a source of confusion/additional stress for some patients. What you have read is that if a seroma  is persistent, then the surrounding scar tissue (bursa)  may have to be removed surgically, in order to eliminate the seroma. In your case, if the seroma has resolved with repeated aspirations (which they most often do), then additional treatment/surgery is not indicated. Again, assuming there is no fluid accumulation, I would agree with your plastic surgeon's recommendations;  give yourself time and allow for resolution of inflammation/swelling and maturation of scarring.   This process may take up to a year, or longer, to occur. Best wishes.

Frederic H. Corbin, MD (license restricted) · Answer

Based on your description without an examination I would recommend listening to the advice of your surgeon.  There is a difference between a pseudo bursa and scar and if you are not collecting fluid any more it is not a pseudo bursa Dr Corbin

Is it possible for a Pseudo-bursa to heal on its own? (photo)

Answers (4)

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