What options do I have to treat a recurring seroma after excision surgery? 2 years post abdominoplasty. (photo)

Question

I had a full abdominoplasty 2 years ago and developed a seroma below my belly button. After having my drain for 3 weeks, it had to removed as it was falling out. I had the area aspirated about 5 times total with a steroid injected into the cavity twice. The area went flat for about 4 mths until it came back. Now about 2wks ago, went and got the capsule excised with a drain. Fluid was very low after 2wks so drain came out. Now bulge is back. Doing massage and compression. Help?!

Ronald J. Edelson, MD · Answer

I’ve answered this question so many times I’m surprised other plastic surgeons didn’t pick up on it. You need a certain type of drain called a penrose drain. It needs to be placed in the space through about a half inch incision in the old scar. It then needs to drain to the outside for one week. Yes it’s a little messy for a few days but works like a charm every time

Camille Cash, MD · Answer

I'm sorry that you've had so many issues with the seroma.  Having the capsule removed along with drain placement should have fixed the issue.  At this point I encourage you to continue to closely follow your surgeon's instructions.  It seems she/he is working with you to resolve the seroma once and for all.

Daniel Barrett, MD · Answer

Dear Theresapaul,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Heather Vande Ven, DO · Answer

Some general information on dealing with a recurring seroma after abdominoplasty. Some options might include: 
1. Aspiration: A surgeon can use a needle to drain the seroma fluid. This may need to be repeated periodically if the seroma occurs.2. Compression: Wearing compression garments may help reduce the accumulation of fluid and promote healing. 3. Steroid injections: In some cases, corticosteroid injections can help reduce inflammation and prevent seroma recurrence.4. Surgical Revision: In severe or persistent cases, your surgeon may recommend a revision surgery to remove the seroma sac or repair any underlying issues.5. Supportive Care: Following your surgeon’s post-operative care instructions, including avoiding strenuous activities, can help minimize the risk of seroma formation.
Always consult with your surgeon or a medical professional for a proper evaluation and guidance on the best treatment approach for your specific situation.

Connie Hiers, MD, FACS · Answer

At this far out in time, the cavity of the seroma needs to be removed because it is now well formed. Otherwise, you will keep making fluid.

What options do I have to treat a recurring seroma after excision surgery? 2 years post abdominoplasty. (photo)

Answers (7)

Answer: What options do I have to treat a recurring seroma after excision surgery? 2 years post abdominoplasty

Answer: What options do I have to treat a recurring seroma after excision surgery? 2 years post abdominoplasty

Answer: Seroma

Answer: Seroma

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What options do I have to treat a recurring seroma after excision surgery? 2 years post abdominoplasty. (photo)

Answers (7)

Answer: What options do I have to treat a recurring seroma after excision surgery? 2 years post abdominoplasty

Answer: What options do I have to treat a recurring seroma after excision surgery? 2 years post abdominoplasty

Answer: Seroma

Answer: Seroma

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Everything you need to know about Tummy Tuck

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