It’s almost a year post surgery. Does encapsulated seroma need to be surgically removed? Or can they go away on their own? Doctor who performed tummy tuck/lipo said it takes 2 years to go away. He said if he surgically removed it, it will come back. He said it’s better to wait. Is that true?
Answer: Seroma capsule Great question! Unfortunately, once a capsule is formed around the seroma, it needs to be removed, it will not go away on its own after 1 year. You can keep having it drained, but the shell needs to be removed otherwise it will keep collecting. Once the capsule is removed, you will still require a drain as yes a seroma can still happen again, but this time the drain may need to be in place longer to ensure that there is only minimal amount of fluid buildup. Best of luck and hope this information helps!- Dr. Roger Tsai @DrRogerTsaiBoard Certified Plastic Surgeon
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Answer: Seroma capsule Great question! Unfortunately, once a capsule is formed around the seroma, it needs to be removed, it will not go away on its own after 1 year. You can keep having it drained, but the shell needs to be removed otherwise it will keep collecting. Once the capsule is removed, you will still require a drain as yes a seroma can still happen again, but this time the drain may need to be in place longer to ensure that there is only minimal amount of fluid buildup. Best of luck and hope this information helps!- Dr. Roger Tsai @DrRogerTsaiBoard Certified Plastic Surgeon
Helpful 2 people found this helpful
August 19, 2019
Answer: Incorrect Information Hello,
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August 19, 2019
Answer: Incorrect Information Hello,
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August 19, 2019
Answer: Tummy tuck seroma A seroma after a tummy tuck is a situation plastic surgeons commonly see but they don’t all treat them the same. I start by needle aspiration every four or five days. If it persists after that I put a special type of drain called a pentose into the seroma through the abdominal scar and let it drain to the outside on gauze. I remove the penrose in a week. By that time the seroma will have closed down around the drain. It always works, it’s somple and can be done doctors office while awake. It’s amazing how many plastic surgeons dont use this technique.
Helpful 1 person found this helpful
August 19, 2019
Answer: Tummy tuck seroma A seroma after a tummy tuck is a situation plastic surgeons commonly see but they don’t all treat them the same. I start by needle aspiration every four or five days. If it persists after that I put a special type of drain called a pentose into the seroma through the abdominal scar and let it drain to the outside on gauze. I remove the penrose in a week. By that time the seroma will have closed down around the drain. It always works, it’s somple and can be done doctors office while awake. It’s amazing how many plastic surgeons dont use this technique.
Helpful 1 person found this helpful
August 19, 2019
Answer: Encapsulated seroma Early seromas can be drained post operatively by aspiration or re-insertion of a drain. A longstanding or chronic seroma will likely have organized and developed a capsule. Aspiration is usually ineffective in these cases as the dead space persists and usually re-accumulates fluid. In these cases, an open excision of the seroma capsule and placement of a drain is necessary.With regards to your specific question, a seroma which has persisted for nearly a year (in my experience) will need to be drained. I will typically attempt serial aspiration followed by drain replacement. If unsuccessful, seroma capsule excision is indicated. While it is true, the seroma can recur post excision, in the setting of an organized capsule it often represents the best chance for resolution.
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August 19, 2019
Answer: Encapsulated seroma Early seromas can be drained post operatively by aspiration or re-insertion of a drain. A longstanding or chronic seroma will likely have organized and developed a capsule. Aspiration is usually ineffective in these cases as the dead space persists and usually re-accumulates fluid. In these cases, an open excision of the seroma capsule and placement of a drain is necessary.With regards to your specific question, a seroma which has persisted for nearly a year (in my experience) will need to be drained. I will typically attempt serial aspiration followed by drain replacement. If unsuccessful, seroma capsule excision is indicated. While it is true, the seroma can recur post excision, in the setting of an organized capsule it often represents the best chance for resolution.
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August 19, 2019
Answer: Seroma Dear Ruby1959,
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August 19, 2019
Answer: Seroma Dear Ruby1959,
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