Fluid accumulation years after laser lipo? (Photo)

Thank you for sharing your concern about fluid accumulation after your 2020 laser liposuction. Based on your ultrasound results, it seems you might have developed a seroma or a hematoma.
Understanding Seroma and Hematoma:
Seroma: This is an accumulation of serous fluid, produced by your body as part of the healing process. Sometimes, post-liposuction, the body creates an excess of this fluid, leading to a seroma.
Hematoma: This involves a collection of blood that initially remains liquid, then solidifies, and eventually liquefies, forming a pocket surrounded by scar tissue.
Treatment Options:
Needle Aspiration: A minimally invasive option is to use ultrasound or CT guidance to insert a needle into the area and aspirate the fluid. This method is effective if the fluid is in a state that allows for needle extraction.
Drain Placement: If needle aspiration is ineffective due to the fluid's consistency or location, the placement of a drain under guidance might be an alternative.
Surgical Intervention: In cases where the fluid is too thick or if other methods fail, surgical removal might be necessary.
Next Steps: It's crucial to consult with your surgeon or a specialist in this field to determine the most appropriate course of action based on the specific characteristics of your case.
Please remember, each case is unique, and a tailored approach is always best. I'm here to assist with any further questions or concerns you might have.
Wishing you a swift resolution to this issue.
Sincerely,
Dr. Katzen

Fluid collections after surgery are usually referred to as seromas (a collection of serum)
Post operative seromas should be treated by draining them on a regular basis. If this is not done, the fluid collection can become encapsulated, sometimes called a chronic seroma. Once encapsulated, the fluid collection can no longer be treated by simply draining it.
Once a capsule has formed open surgical excision of the capsule with placement of a drain is usually needed.
A chronic seroma typically does not cause significant pain. Severe pain, especially if it’s rapid in onset could represent something serious that may need early intervention.
Best,
Mats Hagstrom, MD