2 years after mini tummy tuck, fluid is still present. Should I be concerned and is this common?

The presence of fluid, also known as seroma, after a tummy tuck (abdominoplasty) is a known complication that can occur in some cases. However, the persistence of fluid two years after the surgery is less common and may warrant attention. Here are some considerations:

Consult Your Surgeon: If you are experiencing persistent fluid accumulation two years after a mini tummy tuck, it is advisable to consult with your plastic surgeon. They can assess your specific situation, conduct a physical examination, and may recommend imaging studies such as ultrasound to evaluate the extent of the issue.

Possible Causes:

Seroma: Seromas are collections of clear fluid that can accumulate after surgery. They are more common in the early postoperative period but can persist.
Hematoma: Collections of blood (hematoma) can also occur after surgery and may mimic the appearance of seromas.
Incomplete Closure: In some cases, the issue may be related to incomplete closure of the surgical site or other issues with the surgical technique.

Treatment Options:

Drainage: Depending on the extent of the fluid collection, drainage may be recommended to remove the accumulated fluid. This can be done through aspiration or placing a drain.
Revision Surgery: In some cases, especially if there are issues with the initial surgery, revision surgery may be considered to address any underlying problems and improve the outcome.
Risk Factors: Certain factors, such as the extent of the initial procedure, the presence of underlying medical conditions, and the individual's healing response, can influence the risk of complications like persistent fluid accumulation.

It's important not to ignore persistent issues, as they may indicate an underlying problem that needs attention. Only a qualified plastic surgeon, who can assess your specific case, can provide appropriate recommendations and determine the best course of action to address the ongoing fluid accumulation. If you are experiencing any discomfort, changes in appearance, or other concerns, seeking a consultation with your surgeon is advisable.

In very few patients, fluid (seroma) may come back months after surgery and stay there for a long time, even if removed, like in your case. Removal under US guidance needs to be repeated as long as needed; in some case remedies like abtibiotic, corticosteroid, may be injected into the cavity to help cavity closure. Surgical treatment by means of drain placement or revision of seroma cavity may be also considered. You have to be in a constant contact with your surgeon until this condition is not treated. Good luck.

Seroma formation is not common two years after surgery. If it does occur it may take several aspiration treatments for the fluid accumulation to resolve. If it still doesn't your surgeon may elect to place a drain until it resolves. I encourage you to discuss concerns and questions with your surgeon.