I Can Hear a Swish Sound when I Move my Abdomen or Readjust my Cg, is This Normal? Should I Be Contacting a Doctor?

Question

Abdomen is swollen as expected, but I can actually hear a liquid sound when I readjust my cg. My PS doesn't use drains, so I do t have drains. Also, my vaginal lips had swollen so tight that it actually broke open a little and has been draining fluid.

Larry S. Nichter, MD, MS, FACS · Answer

It is always wise to see your plastic surgeon if there is something that concerns you. Sloshing sounds most likely a seroma. In the interim a compression garment if instructed to be used by your surgeon should be continured.

Thomas Fiala, MD, FACS, FRCSC · Answer

Yes - your suspicions are correct, this needs medical attention. The most likely issue is that of a seroma - where you have a "puddle" of blister fluid under the skin. This can be easily treated in the office. Call your surgeon today.

Kenneth Hughes, MD · Answer

If there is suspicion of fluid collection, you should see your plastic surgeon to have the area drained. The presence of a large or prolonged fluid collection can dramatically alter contours after liposuction and make your results less than optimal. Continue compression garment afterwards and closely follow with your plastic surgeon. Kenneth Hughes, MD Los Angeles, CA

Gregory A. Buford, MD, FACS · Answer

From the description of a swishing sound and a release of fluid, I would say that there is a very good chance that you have a seroma (or fluid build up) at the surgical site.  

	 

	With any body contouring procedure, there is always the chance of developing a seroma and treatment is usually very straightforward if the seroma is diagnosed and treated early.  Your surgeon will most likely drain this fluid collection in the office and then have you come back in a few times after that to make sure that the fluid has not re-accumulated.  Again, if this is treated early there should be very few long-term issues.  

	 

	I hope that helps!

Gregory Sexton, MD · Answer

If you hear sloshing, or feel a fluid shift, then you need to call your surgeon now. This may be a seroma, and if so , needs to be drained for normal healing to occur.

Adam David Lowenstein, MD, FACS · Answer

From the sounds of things, you may have a fluid collection or seroma, and your surgeon will certainly want to see and evaluate you. It's not anything to panic about and can likely be easily treated, but you should certainly give your surgeon a call and make a followup appointment.

Gary R. Culbertson, MD · Answer

Certainly sounds like a seroma. Please get back to your surgeon expeditiously for diagnosis and treatment. The longer these things are present the harder the are ti get ride of in the future. Best,

	 

	Gary R Culbertson, MD, FACS

Scott E. Kasden, MD, FACS · Answer

YES!!!!

	 

	You by definition have a seroma unless otherwise proven.  You hear swishing because there is fluid.  That explains why you are swollen.  Ask your ps if he believes in drains now (oops, snarky comment, sorry).  Hopefully, this can be treated by needle aspiration.

	sek

Lisa Lynn Sowder, MD (retired) - Account Suspended · Answer

This sounds exactly like a seroma which is a collection of fluid under the skin.  Small seromas usually resolve on their own but this sounds substantial and you should see your surgeon ASAP for evaluation and likely drainage.

	As for your labia - och!  You should consider buying a donut cushion to sit on.  It will help the labial swelling and discomfort.  I have all my labiaplasty patients use one for a few weeks post op. 

	Good luck!

I Can Hear a Swish Sound when I Move my Abdomen or Readjust my Cg, is This Normal? Should I Be Contacting a Doctor?

Answers (9)

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