When all of us are saying the same thing you probably should believe it. Seromas need to be aspirated several times. If you surgeon removed 300cc the first time I guarantee that the next time he'll need to remove at least 250cc. After that it will go down but will need to be aspirated multiple times. I stop when I only get out <30-40cc.
I don't think your surgeon found the pocket and you need to go back. The longer the seroma remains the more of a capsule will be created. If it gets too bad surgery will need to be performed to remove the capsule. Good luck.
You likely have the unusual complication of a seroma which needs to be drained. Your surgeon may need to not only drain out the fluid but leave in a tube to continually drain out the fluid. Good luck.
Probably a recurrent seroma
I am sure you will have additional follow up visits with your plastic surgeon at which point he/she can perform additional aspirations.
Soimetimes an aspiration may not yield any fluid on one date and will produce more on the second attempt.
If you do not have a visit scheduled in the next week, I would contact the office to notify them of your symptoms. Review these with the assistant if he/she is not available.
Your symptoms sound very suspicious for a recurrent seroma and my guess is that the next aspiration will yield a larger amount of fluid.
May require another attempt
It sounds like you have a reaccumulation of your seroma. Sometimes the seroma can be missed with a single needle insertion site. Your surgeon may want to take another "stab" at it from a different location. If unsuccessful again he/she may suggest a sonogram. Good luck!
Based on your very good description, you do have a seroma, and my guess is that he didn't hit the right spot with the needle. If you don't put the needle where the fluid is, you will get a dry tap. Have himn try again, based on physical exam.
You need a sonogram right away.
Hi. You most likely have a large seroma. After 4 weeks, aspirating it with a needle is not enough. And it is easy to miss a seroma with a blind attempt at needle aspiration.
We would get a sonogram right away, and then we would have an interventional radiologist insert a drain into your seroma under ultrasound monitoring. Then the drain should stay in place for a week.
If a seroma becomes chronic, you may require surgery. So it is important to deal with this promptly.
Still sounds like a seroma
Your verbal description is classic for a seroma. It is possible that your surgeon missed the fluid pocket and that you still have a lake of fluid needing drainage. An ultrasound will confirm if this is the case. Discuss this with your doctor.
I'd bet you still have a seroma
Some times there are septations in a seroma that make them harder to access. It may take several different puncture sites, or as mentioned, an ultrasound to access the seroma.
I would return to your surgeon and tell him or her your concerns and I'll bet it can be taken care of.
It certainly sounds as if you have a seroma. It is hard to imagine that a single aspiration of 300 ccs. would be enough to permanently cure an existing seroma. Of course, it also be difficult to get a needle in just the right space to find a shrinking seroma especially if there is fear of causing damage or injury. An ultrasound would be indicated if a seroma is suspected but not easily located by a blind needle.
Post Op Bloating with Liposuction
Dear Anewme, what type of liposuction did you have?
it sounds like there is still some fluid remaining- difficult to tell without an exam of your tummy. You may have an ultrasound done to confirm this and the radiologist can put in a needle to drain the fluid.
It is necessary sometimes to insert a drain for a period of a few days to weeks to stop the collection of fluid.
With Warm Regards,
Trevor M Born MD