I went through gynaco surgey about 3 weeks ago and i started collecting water on right side beneath nipple area.. My doctr has done aspiration 2-3 times still i keep on collecting water but in less amount than before now.. I would like to ask if this is normal and is their any problem associated to this.. The place where the water is getting collected is a bit shallow due to the breast tissue removal .. I heard my doctr speaking to his junior as SEROMA which i really dont know about
June 26, 2014
Answer: Seroma/ fluid after gynaecomastia surgery Hi, thanks for your question. Approximately 10-15% of men develop seroma formation after gynaecomastia surgery, however, probably only 5% require intervention (syringe aspiration etc) and very few ever require repeat surgery. As such, I wouldn't be concerned at the moment as I'm sure there's nothing to worry about. A seroma is a collection of straw coloured, thin fluid produced by traumatised tissue as a component of the inflammatory response. Damage to the body's lymphatics can also add to this fluid accumulation. Typically, following repeat aspirations this should settle of its own accord, particularly with the use of a compression garment for a number of weeks. Seromas are more common in people carrying excessive body weight. Unless you show signs of infection (redness, tenderness, increased swelling, fever, chills or a possible wound discharge in the early post op period ) I would just be patient and let things settle. Your specialist Plastic Surgeon would have seen this many times and will be more than capable of managing it. You're in good hands.
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June 26, 2014
Answer: Seroma/ fluid after gynaecomastia surgery Hi, thanks for your question. Approximately 10-15% of men develop seroma formation after gynaecomastia surgery, however, probably only 5% require intervention (syringe aspiration etc) and very few ever require repeat surgery. As such, I wouldn't be concerned at the moment as I'm sure there's nothing to worry about. A seroma is a collection of straw coloured, thin fluid produced by traumatised tissue as a component of the inflammatory response. Damage to the body's lymphatics can also add to this fluid accumulation. Typically, following repeat aspirations this should settle of its own accord, particularly with the use of a compression garment for a number of weeks. Seromas are more common in people carrying excessive body weight. Unless you show signs of infection (redness, tenderness, increased swelling, fever, chills or a possible wound discharge in the early post op period ) I would just be patient and let things settle. Your specialist Plastic Surgeon would have seen this many times and will be more than capable of managing it. You're in good hands.
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June 27, 2014
Answer: This sounds very similar to another question I answered for another patient - here is my response. Hello Sam1991It does sound as if you have a seroma or fluid collection. Most Plastic Surgeons do not leave a drain after gynecomastia surgery (unless it was a very large case). Even without drains fluid collections are uncommon after this operation, however they can occur. The way I try to prevent them is by using Topi-foam or Reston-foam along with a compression garment immediately and for the first few weeks after surgery. Limiting your upper body activity will also help prevent the re-accumulation of fluid. Draining the seroma by removing the fluid with a needle or catheter is the proper way to treat this problem and may require several aspirations before the fluid no longer re-accumulates (the space collapses and heals eliminating the pocket). If you are not using some type of compression garment I would add that to your recovery regimen along with limiting any upper body exercise. The swelling from gynecomastia is typically resolved by approximately 3 months a seroma should hopefully stop accumulating (depending on how large and how much fluid is accumulating) within a few weeks 2-4 typically.
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June 27, 2014
Answer: This sounds very similar to another question I answered for another patient - here is my response. Hello Sam1991It does sound as if you have a seroma or fluid collection. Most Plastic Surgeons do not leave a drain after gynecomastia surgery (unless it was a very large case). Even without drains fluid collections are uncommon after this operation, however they can occur. The way I try to prevent them is by using Topi-foam or Reston-foam along with a compression garment immediately and for the first few weeks after surgery. Limiting your upper body activity will also help prevent the re-accumulation of fluid. Draining the seroma by removing the fluid with a needle or catheter is the proper way to treat this problem and may require several aspirations before the fluid no longer re-accumulates (the space collapses and heals eliminating the pocket). If you are not using some type of compression garment I would add that to your recovery regimen along with limiting any upper body exercise. The swelling from gynecomastia is typically resolved by approximately 3 months a seroma should hopefully stop accumulating (depending on how large and how much fluid is accumulating) within a few weeks 2-4 typically.
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