10 weeks PO. What is the cause of my entire breast cavity filling with fluid after implant removal? How can I prevent it again?

Thank you for sharing your excellent question. There are some minimally invasive options that can be pursued to help prevent recurrence - compression garment therapy, serial aspirations in your surgeon's office, minimizing sheer stress, and possible drain placement.  If these were to fail, it is possible that a more complete capsule removal and measures to close the pocket surgically would be required.  Hope this helps.

Surgical drainage, compression garments, or aspirations may be used to treat the seroma.  Continue to follow up with your PS as seromas are rarely serious and should eventually heal.Kenneth Hughes, MD, ABPS Board Certified Plastic Surgeon
Los Angeles, CA 

The body's response to an empty space is to fill it with fluid. That being said, many will leave drains behind post explant to mitigate this risk. Compression can also be helpful as well. Ultimately, neither of these is a guarantee. Aspiration is not uncommon even in instances where a drain has been left behind. And even these aspirations, may need repeat.As always, discuss your concerns with a board certified plastic surgeon (ABPS).Donovan Rosas MD
Board Certified by the American Board of Plastic Surgery
Member: American Society for Aesthetic Plastic
Surgery, American Society of Plastic Surgeons
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Dear Beck46,
seroma after implants removal is a common complications and that is the reason why some plastic surgeons place drains. Once seroma is formed, it can resolve after a series of aspirations. It is best that you visit your plastic surgeon for further assessment. Only after thorough examination you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Thank you for your question. I would consider this a normal process as the body's response to an open cavity is to fill it with fluid. This is why, when removing and not replacing implants, I routinely place a drain. Aspiration can help but may need to be repeated several times. You might want to consider having a drain placed. I would discuss with your surgeon.Best of luck!Dallas R. Buchanan, MD, FACSOwner & Board-Certified Plastic SurgeonVIVIFY plastic surgery

Hello! Thank you for your question. I'm sorry to hear that you're going through. Fluid accumulation is an unfortunate but not unexpected complication after surgery. The treatment is surgical drainage or repeated aspirations and the use of compression dressings. Your plastic surgeon will be able to tell you the most appropriate treatment. Best of luck!
Matthew A. DelMauro, M.D.

During recovery fluid build up can occur in the space previously occupied by the implants.  When this occurs your surgeon may remove the fluid via aspiration in the office.  In certain cases a drain will be placed.  Compression is beneficial, but does not guarantee that a seroma will not occur.  Continue to follow the advice of your plastic surgeon and keep all follow up appointments.