Vaser lipo. Excess fluid 300 cc. Normal swelling or seroma?

Your  massage therapist has no business telling you what to do in regards to post surgical management. 
 What planet are they from? 
 Your PA is doing everything correctly. The treatment for a seroma is to have it drained just like you did as often as possible until you can't get more fluid out.  Every four days seems like a reasonable schedule. More frequently is even better.
 If this is not done you stand a chance of forming a chronic seroma.  If this seroma becomes chronic  it develops a capsule and is no longer amenable to being treated by simple aspiration.  If the capsule forms then some patients end up needing open surgery which often leaves a sizable scar. 
 Failure to treat a seroma aggressively and frequently early after the procedure is a poor medical decision. 
 Your therapist is simply 100% wrong and is leading you down a path that could lead to bad outcomes. 
 I would say get a new massage therapist and stay with your provider and you can tell your therapist I said so.
 VAS ER is a nice instrument but this technique does have increased rate in formations of seromas.


Best, 
Mats Hagstrom MD 

Hi and welcome to our forum!
I'm sorry to hear of your
difficulties following your vaser liposuction. A seroma is a collection of tissue
fluid accumulating at the operative site. It is caused by injury to the soft
tissues. When blood vessels and lymphatics get damaged through the normal course
of the operative procedure, the body mounts an inflammatory response, resulting
in the production of clear fluid. Normally, the body absorbs this fluid, but,
if excessive, it will accumulate and create a seroma.
Small seromas will naturally
resorb, but larger seromas require drainage. Serial needle aspirations may be
required. If repeated aspirations fail to control the seroma, a drain is placed
and is usually left in place until the drainage subsides. If the seroma
persists for more than several months, sclerosing solutions (we employ
doxycycline) can be introduced through the drain to create scar which will
retard fluid accumulation. In unusual instances, surgical excision of the
tissue making up the walls of the seroma is required. Closing the resulting
defect with a quilt like technique appears to be of benefit.
Continue followup with your
plastic surgeon.
Best
wishes...