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

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?

Doctor Answers 5


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.

San Antonio Plastic Surgeon
4.6 out of 5 stars 13 reviews

Fluid drainage

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.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 24 reviews


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. 


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. 

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

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.

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