I had tummy tuck surgery combined with liposuction 40 days ago, and although I am pleased with how I look as I have got my body back to what it used to be, I have also developed a seroma. One week after surgery my doctor determined I had a seroma and for the two weeks following he has been taking this fluid away by syringe every day. It has now been three weeks since he took the last syringe of fluid and my doctor has now advised me that my body will remove the small amount of remaining fluid itself. It's now been six weeks since my surgery and although I feel well I am still worried that there may be some remaining fluid, which could be harmful to me. Can anyone tell me how long a seroma should last and how I should examine myself to ensure there is no remaining fluid?
Answer: Seroma after a tummy tuck. #tummy tuck# seroma
Patients undergoing a tummy tuck procedure are often some of the happiest people I see in my clinic in Foster City, California. There are some risks and potential complications with tummy tucks though and seromas are probably the most common complication. In fact, I don't even consider a seroma a complication, they are more of a nuisance. A seroma is a fluid collection that occurs typically once the surgical drains are removed. Now that the body doesn't have the drains to rely on to rid of the post operative surgical fluid, in about 15% of the cases, fluid can build under the tummy tuck flap. There are different ways to handle the fluid. Most commonly, I will have my patients come back to the office about every three days to assess for seromas. If I do encounter a collection, I will drain it with a syringe as your surgeon is doing with you. If I have a patient who lives further away from the office, I may change to a different type of drain that requires placement into the fluid collection via a small incision within the tummy tuck scar. This drain will then allow all fluid to leak out onto some gauze that can be changed as needed, its called a Penrose drain. With this technique, I have cured everyone who has a longer standing fluid collection. Typically, a detectable fluid collection will eventually resolve within 3-6 weeks provided the surgeon is aware of the situation and is providing the necessary treatment. Hope this helps!!
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Answer: Seroma after a tummy tuck. #tummy tuck# seroma
Patients undergoing a tummy tuck procedure are often some of the happiest people I see in my clinic in Foster City, California. There are some risks and potential complications with tummy tucks though and seromas are probably the most common complication. In fact, I don't even consider a seroma a complication, they are more of a nuisance. A seroma is a fluid collection that occurs typically once the surgical drains are removed. Now that the body doesn't have the drains to rely on to rid of the post operative surgical fluid, in about 15% of the cases, fluid can build under the tummy tuck flap. There are different ways to handle the fluid. Most commonly, I will have my patients come back to the office about every three days to assess for seromas. If I do encounter a collection, I will drain it with a syringe as your surgeon is doing with you. If I have a patient who lives further away from the office, I may change to a different type of drain that requires placement into the fluid collection via a small incision within the tummy tuck scar. This drain will then allow all fluid to leak out onto some gauze that can be changed as needed, its called a Penrose drain. With this technique, I have cured everyone who has a longer standing fluid collection. Typically, a detectable fluid collection will eventually resolve within 3-6 weeks provided the surgeon is aware of the situation and is providing the necessary treatment. Hope this helps!!
Helpful 19 people found this helpful
Answer: Seroma after tummy tuck Seroma after tummy tuck is not unusual but many surgeons make the solution too complicated. I have read Dr. Beck’s answer below and he is exactly right, but it remains to me a mystery as to why most surgeons haven’t used a similar approach. If a seroma is large and persistent after a few needle aspirations here’s what I do. I place a penrose drain through the scar in the midline and into the seroma cavity. The drain spills to gauze on the outside and after a week the penrose drain is removed. I am sure I have done this 20 Times and it always works. No fooling around with weeks of needle aspiration. Simple, easy, practically painless, and it will work!
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Answer: Seroma after tummy tuck Seroma after tummy tuck is not unusual but many surgeons make the solution too complicated. I have read Dr. Beck’s answer below and he is exactly right, but it remains to me a mystery as to why most surgeons haven’t used a similar approach. If a seroma is large and persistent after a few needle aspirations here’s what I do. I place a penrose drain through the scar in the midline and into the seroma cavity. The drain spills to gauze on the outside and after a week the penrose drain is removed. I am sure I have done this 20 Times and it always works. No fooling around with weeks of needle aspiration. Simple, easy, practically painless, and it will work!
Helpful 2 people found this helpful
December 6, 2017
Answer: Tummy tuck abdominoplasty excess abdominal skin lipo post-operative tummy tuck seroma healing rate LA tummy expert specialist Dzień dobry Ludmila, Thank you for your questions about a seroma after a tummy tuck with liposuction. It sounds like your seroma was treated appropriately. Some seromas require several aspirations to completely resolve. Some seromas require surgical excision. Since you are now six weeks after your tummy tuck and liposuction surgery, it is highly doubtful that you will develop or have a seroma. The best thing to diagnose a seroma is to have an ultrasound. If you have no signs or symptoms of a seroma, I would leave it alone. If you are very concerned about developing a seroma, I would suggest an abdominal ultrasound. Ultrasounds of the abdomen can easily be done at the radiology department. I hope that I have answered your questions regarding a seroma after your tummy tuck and liposuction procedures. If you have any more questions regarding a seroma, tummy tuck, abdominoplasty, or liposuction, please contact my office. Sincerely, Dr. Katzen.
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December 6, 2017
Answer: Tummy tuck abdominoplasty excess abdominal skin lipo post-operative tummy tuck seroma healing rate LA tummy expert specialist Dzień dobry Ludmila, Thank you for your questions about a seroma after a tummy tuck with liposuction. It sounds like your seroma was treated appropriately. Some seromas require several aspirations to completely resolve. Some seromas require surgical excision. Since you are now six weeks after your tummy tuck and liposuction surgery, it is highly doubtful that you will develop or have a seroma. The best thing to diagnose a seroma is to have an ultrasound. If you have no signs or symptoms of a seroma, I would leave it alone. If you are very concerned about developing a seroma, I would suggest an abdominal ultrasound. Ultrasounds of the abdomen can easily be done at the radiology department. I hope that I have answered your questions regarding a seroma after your tummy tuck and liposuction procedures. If you have any more questions regarding a seroma, tummy tuck, abdominoplasty, or liposuction, please contact my office. Sincerely, Dr. Katzen.
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October 31, 2017
Answer: Seroma after tummy tuck Thank you for your question. A seroma can happen after a tummy tuck and can often be avoided with a placement of a drain during the time of surgery. Daily drainage until the size becomes small enough for the body to continue absorbing the seroma fluid is a very common way to address this. Sometimes, we add tissue irritants such as antibiotics or alcohol to encourage the tissues that have separated to stick together.I would continue to follow-up with your surgeon who can assess you and determine whether there is any remaining fluid that needs to be drained.
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October 31, 2017
Answer: Seroma after tummy tuck Thank you for your question. A seroma can happen after a tummy tuck and can often be avoided with a placement of a drain during the time of surgery. Daily drainage until the size becomes small enough for the body to continue absorbing the seroma fluid is a very common way to address this. Sometimes, we add tissue irritants such as antibiotics or alcohol to encourage the tissues that have separated to stick together.I would continue to follow-up with your surgeon who can assess you and determine whether there is any remaining fluid that needs to be drained.
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October 11, 2017
Answer: Seroma after tummy tuck with liposuction Thank you for your question. Don't worry, your end result will not be compromised. Usually a seroma is treated with 2-3 aspirations with a syringe. If this fails, infusion with a medicine like doxycycline can cause the seroma cavity to seal closed on the inside. If this fails, a drain can be place by a radiologist, but often the seroma cavity needs to be surgically excise to treat this effectively. This can be done through your tummy tuck incision. Be sure to see a board-certified plastic surgeon and best of luck.
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October 11, 2017
Answer: Seroma after tummy tuck with liposuction Thank you for your question. Don't worry, your end result will not be compromised. Usually a seroma is treated with 2-3 aspirations with a syringe. If this fails, infusion with a medicine like doxycycline can cause the seroma cavity to seal closed on the inside. If this fails, a drain can be place by a radiologist, but often the seroma cavity needs to be surgically excise to treat this effectively. This can be done through your tummy tuck incision. Be sure to see a board-certified plastic surgeon and best of luck.
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September 19, 2017
Answer: How long do seromas last? Usually seromas are benign starting, and don't cause a problem, but ignoring it can lead to scarring or infection, so if you have a large one l would have it drained again. Usually by 3 weeks its time to try another procedure whether its drain insertion to remove the excess fluid or one of the other ways to remove seromas like sclerosis or excision ( I would try sclerosis first its less invasive). Most of the time by 4 to 5 weeks it will resolve itself, but only if you do not have active fluid begin produced.. In massive weight loss patients I have seen them come back as late as 3 months, but this is really rare. Good luck!
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September 19, 2017
Answer: How long do seromas last? Usually seromas are benign starting, and don't cause a problem, but ignoring it can lead to scarring or infection, so if you have a large one l would have it drained again. Usually by 3 weeks its time to try another procedure whether its drain insertion to remove the excess fluid or one of the other ways to remove seromas like sclerosis or excision ( I would try sclerosis first its less invasive). Most of the time by 4 to 5 weeks it will resolve itself, but only if you do not have active fluid begin produced.. In massive weight loss patients I have seen them come back as late as 3 months, but this is really rare. Good luck!
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