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Seroma fluid keeps coming back. How can I stop it? (Photo)

  • Grim
  • Harlingen, TX
  • 3 years ago
I had a mini tt march 10th, 13 days post i had to get a drain put in, i had it for 2 weeks and just got it removed 2 days ago. I just started to develop more fluid, I am wearing 3 compression binders 24/7 and eating tons of protein. Any advice on how to keep the fluid from building up?

Doctor Answers 4

Seroma fluid keeps coming back. How can I stop it?

May 17th, 2014
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It may require several aspirations to get the seroma to resolve. if the seroma continues to recur after 3 to 6 aspirations, your surgeon may consider placing a closed suction drain.  You can also help by minimizing your fluid and salt intake.  If you have a problem with edema ( swelling of the feet or ankles) you may want to ask your medical doctor if a diuretic medicine (water pill) might be of help.

Web reference: http://www.vincentleporemd.com

Vincent D. Lepore, MD
May 17th, 2014

Seroma fluid keeps coming back. How can I stop it?

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
It may require several aspirations to get the seroma to resolve. if the seroma continues to recur after 3 to 6 aspirations, your surgeon may consider placing a closed suction drain.  You can also help by minimizing your fluid and salt intake.  If you have a problem with edema ( swelling of the feet or ankles) you may want to ask your medical doctor if a diuretic medicine (water pill) might be of help.

Learn more: http://www.vincentleporemd.com

Vincent D. Lepore, MD

Persistent seroma following a tummy tuck

May 15th, 2014
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  • Seromas after tummy tucks are not unusual. There are two options available in my practice. One is to do serial aspiration of the hematoma through the numb area between your bellybutton and pubic hairline. This can be done twice weekly with continued compression of your abdomen. The other option is replacement of the drain. I would discuss these options with your plastic surgeon and see what he recommends. Best wishes!
William G. Hart Jr., MD

William G. Hart Jr., MD
Saint Louis Plastic Surgeon
4.0 out of 5 stars 5 reviews

May 15th, 2014

Persistent seroma following a tummy tuck

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
  • Seromas after tummy tucks are not unusual. There are two options available in my practice. One is to do serial aspiration of the hematoma through the numb area between your bellybutton and pubic hairline. This can be done twice weekly with continued compression of your abdomen. The other option is replacement of the drain. I would discuss these options with your plastic surgeon and see what he recommends. Best wishes!

William G. Hart Jr., MD
Saint Louis Plastic Surgeon

Seroma fluid keeps coming back. How can I stop it?

May 2nd, 2014
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I would probably reinsert a drain - and most likely a passive one, such as a Penrose drain.  I would then recommend that you leave it in place until the drainage has stopped, however long that is.  You may want to have an x-ray taken beforehand, just to make sure that there's not something visible that could be causing this.  Most likely not, and prolonged drainage - I'd leave it in for a few days after the drainage appears to have stopped just to be sure - will most likely be successful.

You should, of course, remain in contact with, and work with, your plastic surgeon throughout this process.

I hope that this helps and good luck,

Dr. E
Member of RealSelf 100

Web reference: http://www.bodysculpture.com

Alan M. Engler, MD, FACS
May 2nd, 2014

Seroma fluid keeps coming back. How can I stop it?

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
I would probably reinsert a drain - and most likely a passive one, such as a Penrose drain.  I would then recommend that you leave it in place until the drainage has stopped, however long that is.  You may want to have an x-ray taken beforehand, just to make sure that there's not something visible that could be causing this.  Most likely not, and prolonged drainage - I'd leave it in for a few days after the drainage appears to have stopped just to be sure - will most likely be successful.

You should, of course, remain in contact with, and work with, your plastic surgeon throughout this process.

I hope that this helps and good luck,

Dr. E
Member of RealSelf 100

Learn more: http://www.bodysculpture.com

Alan M. Engler, MD, FACS

Seroma fluid keeps coming back. How can I stop it?

April 21st, 2014
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The thought of re insertion of a drainage system comes to my mind. Ask your surgeon about this thought ..// 
Darryl J. Blinski, MD
April 21st, 2014

Seroma fluid keeps coming back. How can I stop it?

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
The thought of re insertion of a drainage system comes to my mind. Ask your surgeon about this thought ..// 
Darryl J. Blinski, MD

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.