40 days post op, How Long Will a Seroma Last After Tummy Tuck and Liposuction?

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!!

The seroma should resolve although it make take months before all of the fluid is gone.  If there is a seroma after abdominoplasty, it often requires 3 to 6 in-office drainages, and compression for 2 months after the last drainage before resolution.  The addiction of liposuction to the tummy tuck does increase the risk of seroma formation.

Thank you for the question. It is imperative
that you see your physician immediately if you currently have a seroma. It is
absolutely abnormal to have a seroma after surgery. The accumulation of the
fluid will prevent the muscles and skin to heal properly, thereby compromising
your results substantially. The seroma does not resolve on its own, therefore
your surgeon must drain the seroma. If a seroma lasts a long time it will form
a capsule or shell around it and sometimes requires surgical correction.
I hope this has helped.

thank you for your question. 
The normal procedure to treat the seroma is precisely what your surgeon has done. do not worry, the body reabsorbs all the fluid that has been left. However you can go again to visit your doctor for a new control.
good luck.

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!

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. 

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.

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.

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!

A seroma will occur in up to 50% of patients after a tummy tuck so you have a lot of company. Sometimes in cases where repeat aspiration isn't effective, a new drain might be needed - though this is fairly uncommon. Be sure you are wearing your compressive garment and that you aren't straining your abdomen with a lot of bending or twisting. Good luck

Hello!Seroma may occur after tummy tuck, particularly if liposuction is performed in conjunction with it. A seroma is body fluid that builds up in the space between the abdominal skin and abdominal muscles, an area which may be drained with drains acutely. Small amounts of fluid are not worth removing, but larger amounts may cause fullness and a visible "swishing" under the skin. These fluids may be removed through a small needle, and sometimes a drain is replaced. Most of the time, this fluid is not going to cause you harm; however, if there is tenderness, redness, pain or fever, there may be an infection in the fluid and then it is urgent that the fluid be removed (and be cultured).