I Had a Mastectomy Recently with Drain Tubes That Were Removed After Several Weeks. I Still Have Fluid Retention?

Question

My question is - would normal light exercise help my body absorb this excess fluid or should I avoid any form of exercise while my body is still healing?

Kenneth Hughes, MD · Answer

Fluid collection after mastectomy should be drained and followed closely to ensure that no infection develops. Sometimes, these can be frustrating problems that may take weeks and weeks to resolve. There are other things that can be done so talk to your surgeon. In general, exercise only serves to increase fluid extravasation.

Asif Pirani, MD, FRCS(C) · Answer

You should see your surgeon as soon as possible to rule out any collections such as a seroma.  If you have a seroma, it will need to be aspirated before it becomes a chronic issue.  If that happens, you may need another surgical procedure.  That's why you should see your surgeon ASAP!

	 

	If it's just edema, then it will take time to improve.  Your surgeon is the best person to decide whether you just have edema or a seroma.

	 

	Best,

	Asif Pirani, MD, FRCS(C)

Steven Wallach, MD · Answer

I think the best thing for you to do is discuss this with your surgeon because each surgeon may have a different post-op care plan.  Swelling will increase with exercise in general.

Tom J. Pousti, MD · Answer

Unfortunately, exercise will not help decrease “excess fluid”. I would suggest close follow-up with your plastic surgeon who is in the best position to evaluate the location of the fluid, and whether further drainage procedures are necessary.

	 Best wishes.

Asaad H. Samra, MD, FACS · Answer

When fluid build-up may occur after surgery, plastic surgeons will often use drains. Fluid may still develop after the drain removal, but hopefully it will be absorbed by one's body. If the collection is more than the body can absorb a seroma may form and will require drainage. As always consult with your surgeon to be sure.

Jourdan Gottlieb, MD · Answer

If you have collections of fluid at the sites of mastectomy, they should be aspirated or have drains placed. Exercise will not help absorb the serum that is collecting. Discuss with your surgeon. Best wishes.

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