Tiny hole from seroma, second time. What could keep causing it? (photo)

Question

First surgery June 22, developed a seroma leaked through incision did two culture no infection went to infectious diseases doctor to make sure I didn't have an infection. Wasn't healing then went back into surgery August 12th, and 4 weeks later developed another seroma and leaked again through incision, I get my results from two cultures Monday and did blood work and I don't have elevated white blood cells, what could keep causing my incision to not heal?

Nathan Eberle, MD, DDS, FACS · Answer

Most likely thing going is on their is a foreign body(suture/something) that is under the skin in that area and the skin does not want to heal over the area bc it is collecting fluid. Discuss with your surgeon.

John Michael Thomassen, MD · Answer

Causes of recurrent nonhealing wounds can include retained foreign bodies.  Sutures are a common cause of this in abdominoplasty surgery.  Check with your surgeon to see if there may possibly be a suture or other foreign body that may be causing this.  Best wishes, Dr. T.

Connie Hiers, MD, FACS · Answer

You might still have a low grade infection that has shown itself only by a reocurring seroma. You probably need to go back to the OR, have the pocket irrigated well, and exchange your implant for a new implant.

Steven Wallach, MD · Answer

It is unclear from your description why you are having persistent drainage. Check cx's for fungus as well. You might have to remove the implants and allow things to settle down for a while.

Darryl J. Blinski, MD · Answer

The obvious question was the second exploration operation drained with a drainage system for 10 days? If not you might consider placing a drain for a few weeks external to the incision, re suture the incision. The other school of thought is removal of the implant completely,. Wait for 3 to 6 months than insert a new implant again. Only in person examination allows that decision with you.

Tiny hole from seroma, second time. What could keep causing it? (photo)

Answers (5)

Answer: Fluid drainage

Answer: Fluid drainage

Answer: Tiny hole from seroma, second time. What could keep causing it?

Answer: Tiny hole from seroma, second time. What could keep causing it?

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Tiny hole from seroma, second time. What could keep causing it? (photo)

Answers (5)

Answer: Fluid drainage

Answer: Fluid drainage

Answer: Tiny hole from seroma, second time. What could keep causing it?

Answer: Tiny hole from seroma, second time. What could keep causing it?

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Recommended reading

Everything you need to know about Breast Implant Revision

Our mission is to create a world where every investment in modern beauty is Worth It.