2.5 weeks post arm lift I have noticed a lump under my incision line? (Photo)

Question

So I'm 2 and half weeks post op (arm lift) I have noticed a hard lump under the incision ... good old Google says it could be a seroma. My question is will it go on its own or would I need to see my surgeon. Also is it actually a seroma? I'm not due to see her until late 3 months but I am seeing the nurse tomorrow for a wound check.

J. Timothy Katzen, MD, FACS · Answer

Hello,
Thank you for reaching out with your concern about a hard lump that has developed 2 1/2 weeks after your arm lift (brachioplasty). It's crucial to address any post-surgical changes promptly, and I'm here to provide some guidance based on your description.
Possible Seroma or Hematoma: The lump you're describing could potentially be a seroma, which is a collection of serous fluid, or a hematoma, which is a collection of blood. Both are relatively common occurrences after surgical procedures like an arm lift.
Seroma: Your body produces serous fluid to aid in healing post-surgery. Sometimes, an excessive accumulation of this fluid can occur, leading to a seroma. Seromas often feel like fluid-filled lumps and can vary in size.
Hematoma: A hematoma is a result of bleeding that has clotted in the tissue. It typically feels firm and may change color over time as the blood clot begins to break down and get reabsorbed by your body.
Importance of Seeing Your Surgeon: It's essential that you visit your plastic surgeon as soon as possible. They can examine the lump and determine whether it is a seroma, a hematoma, or something else. Your surgeon will provide the most appropriate treatment based on their assessment.
Treatment Options:
Needle Aspiration: This is a common method for draining excess fluid from a seroma or hematoma. The procedure may need to be repeated every couple of days until the fluid accumulation resolves.
Drain Insertion: If serial aspirations are ineffective, your surgeon might decide to insert a drain to manage the fluid collection continuously.
Medication Injection: Sometimes, a medicine is injected into the area to help with the absorption of the fluid.
Surgical Intervention: In rare cases where other methods are unsuccessful, surgical removal of the seroma or hematoma may be necessary.
Avoid Self-Treatment: It’s important not to attempt to treat or drain the lump on your own, as this could lead to infection or other complications.
Follow-up Care: Monitor the lump closely and report any changes to your surgeon. Follow all post-surgical care instructions provided by your healthcare team.
I hope this information helps you understand the possible nature of the lump and the importance of seeking medical attention. Wishing you a smooth and quick resolution to this issue.
Sincerely,
Dr. Katzen

Aldo Guerra, MD · Answer

Thanks for your question. Unfortunately, based on your description this could be a suture granuloma, seroma and/or inflammation. You should request to see the physician for an examination of the area and a diagnosis. Best wishes always, Dr. ALDO

Timothy A. Janiga, MD, FACS · Answer

It is difficult to tell from the photo.  It could be a suture a deep suture that is coming to the surface or it may be a seroma.  Either of these are fairly common after an arm lift.  Make another appointment with your plastic surgeon and they can evaluate the area.  If it is a suture this can be easily removed in the office.  If it is a seroma you can aspirate the area with a small needle.  Occasionally you have to open the area and allow it to heal in secondarily.  Good Luck!Timothy A. Janiga MD, FACS

2.5 weeks post arm lift I have noticed a lump under my incision line? (Photo)

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2.5 weeks post arm lift I have noticed a lump under my incision line? (Photo)

Answers (3)

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