Seroma or swelling that worsens as the day progresses?

Question

I developed seroma post TT. I was being drained every other day for 2.5 weeks. The last time i barely got any fluid aspirated so my PS said i was all good. A week later i started to notice my stomach was bigger (at night). I could feel a little bit of fluid but nothing compared to when i had seroma. I'm now 7 weeks post op and at night i still have a way BIGGER stomach than in the morning (which is usually flat). I can't really show this to my PS because of his office hours.But is this normal?

Sheila S. Nazarian, MD · Answer

It's not that unusual for swelling to be worse at night as it can be a reaction to your activity during the day. Having said that, given your history, I don't think it would be bad for you to be re-assessed in person by your surgeon. Always best to err on the side of caution. My best,
Dr. Sheila Nazarian
@drsheilanazarian on Instagram

Robert Drielsma, MBBS, BSc, FRACS · Answer

Swelling after tummy tuck surgery is common and it can last many months.  Typically swelling fluctuates and is more prominent towards the end of the day after you have been active.  It is important to see your PS again to make sure you have not developed further seroma fluid collection.

Tom J. Pousti, MD · Answer

Yes, longer-term swelling after tummy tuck surgery is not uncommon;  swelling may persist for many months and even up to one year after the procedure is performed. Often, patients will report that the swelling increases as their activity level increases and gets worse later on in the day. Sometimes, the use of compressive garments may be helpful to control the edema.

I would suggest that you continue to follow up with your plastic surgeon, who will be in the best position to assess your situation and provide you with specific recommendations. Best wishes for an outcome that you will be pleased with long-term care.

Robert L. Kraft, MD, FACS · Answer

It is normal for the abdomen to grow larger during the day as you eat and drink. However, given the history of seroma, a return of fluid should be ruled out. You should contact your plastic surgeon and try to schedule a mutually convenient appointment for a followup visit.

John M. Trupiano, MD, FACS · Answer

I'm glad to hear your surgeon took good care of your seroma. It sounds like you have normal post-operative swelling. As your activity level increases you will notice your abdomen swell during the day while you are more active and resolve during the night while you sleep. You can expect this cycle to gradually resolve over weeks to months. I encourage you to make a follow up appointment with your Board Certified Plastic Surgeon to discuss your concerns. At that visit your surgeon can determine if you have a recurrent seroma. If you have no seroma your surgeon will reassure you that what you are experiencing is a normal part of the healing process.I hope this helps and best of luck.

Seroma or swelling that worsens as the day progresses?

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