I had a tummy tuck and the drains were removed after just a few days. I spent the next 2 1/2 months visiting the doctor twice or three times a week to have my stomach drained due to a hematoma/seroma. I was accumulating between 90-250ccs every 3-5 days. I now have scar tissue creating a shelf just above my scar. My doctor recommended liposuction to give me a flat profile. What is your take on it? Will this give me lasting results or do I need a different procedure?
March 11, 2010
Answer: Tummy Tuck Seroma Scar Removing drains too soon, having a radiated area, patient noncompliance and other factors contribute to re-accumulation of fluid and seroma formation. When the fluid is not rapidly absorbed and outlasts the healing process, because the tummy skin/fat cannot re-adhere to the underlying muscle, it literally walls off the fluid collection (seroma) with a scar creating a CHRONIC seroma / Bursa - a smooth scar lined pocket under the tummy tuck flap. The scarring can gnarl and deform the overlying skin producing the appearance you described. The accepted solution is going back in and surgically removing the scar tissue converting the chronic smooth lined cavity to a raw wound which heals uneventfully in most cases. Your surgeon may be trying to obtain the same effect with liposuction. I am not sure that this will be as successful as grabbing the bull by the horns and doing the accepted procedure. I would be curious how my colleagues feel in this regard.
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March 11, 2010
Answer: Tummy Tuck Seroma Scar Removing drains too soon, having a radiated area, patient noncompliance and other factors contribute to re-accumulation of fluid and seroma formation. When the fluid is not rapidly absorbed and outlasts the healing process, because the tummy skin/fat cannot re-adhere to the underlying muscle, it literally walls off the fluid collection (seroma) with a scar creating a CHRONIC seroma / Bursa - a smooth scar lined pocket under the tummy tuck flap. The scarring can gnarl and deform the overlying skin producing the appearance you described. The accepted solution is going back in and surgically removing the scar tissue converting the chronic smooth lined cavity to a raw wound which heals uneventfully in most cases. Your surgeon may be trying to obtain the same effect with liposuction. I am not sure that this will be as successful as grabbing the bull by the horns and doing the accepted procedure. I would be curious how my colleagues feel in this regard.
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February 22, 2021
Answer: Liposuction for seroma scar site This is a difficult problem, and whether or not liposuction will help depends upon how much scar tissue you have. Liposuction does sometimes work with limited amounts of tissue, but keep in mind that you will be a bit swollen from the suction initially, so it may be 6 weeks or more before you can assess the results. In some cases we open up the incision and advance the skin a little further if possible, but whether or not you would need this would have to be determined by your surgeon. Good luck, /nsn.
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February 22, 2021
Answer: Liposuction for seroma scar site This is a difficult problem, and whether or not liposuction will help depends upon how much scar tissue you have. Liposuction does sometimes work with limited amounts of tissue, but keep in mind that you will be a bit swollen from the suction initially, so it may be 6 weeks or more before you can assess the results. In some cases we open up the incision and advance the skin a little further if possible, but whether or not you would need this would have to be determined by your surgeon. Good luck, /nsn.
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