I had a tummy tuck with muscle repair in November 2021. I developed a seroma shortly after surgery above my belly button & could never get in down or drained consistently. Confirmed by CT recently at almost 8 months post op I now have scar tissue. This bulge above my belly button never goes away despite still wear compression garments daily. It’s a very tight feeling and I’m literally stretching out. My scar has stretched tremendously. Can lipo fix this or do I need another tummy tuck?
August 11, 2022
Answer: Encapsulated Seroma turned to Scar Tissue in Abdomen - Can Liposuction fix this or do I need a Tummy Tuck revision? Thanks fir side viewed only posted photos, where are front views? It seems only re operation of the TT scar revision and dissection of the capsuled seroma are the recommended options. Expect fees from $8,000+++Best to virtual consult with... Many questions- Was muscle plication done? Did it fail?Was attempts to needle aspirate the seroma attempted? Where was the TT surgery & by whom?
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August 11, 2022
Answer: Encapsulated Seroma turned to Scar Tissue in Abdomen - Can Liposuction fix this or do I need a Tummy Tuck revision? Thanks fir side viewed only posted photos, where are front views? It seems only re operation of the TT scar revision and dissection of the capsuled seroma are the recommended options. Expect fees from $8,000+++Best to virtual consult with... Many questions- Was muscle plication done? Did it fail?Was attempts to needle aspirate the seroma attempted? Where was the TT surgery & by whom?
Helpful 2 people found this helpful
Answer: Seroma formation after tummy tuck Seroma formation is the most common complication after a full tummy tuck. it’s typically related to having the drains removed prematurely but can happen despite leaving drains in for a sufficient amount of time. The best treatment is a Daly aspirations until it’s no longer recur. Any significant amount of time with a seroma left undrained worse since the situation since with fluid inside the tissue surfaces are not in contact. If not treated aggressively by continuous draining with daily visits or the placement of a drain the fluid buildup will develop a scar tissue lining called a capsule. Once encapsulated the seroma can no longer be treated by aspirations and will recur despite how frequently aspirations are done. The treatment for a chronic or encapsulated seroma is direct surgical excision. this is gonna be done either by going through your old tummy tuck incision or making a new incision directly over the seroma. After excision of the capsule and drain needs to be placed to reduce the chance of the fluid collection returning Your pictures show your abdominal wall bulging a significantly. It looks to be more than what a typical seroma would cause. You may have excess visceral or intra-abdominal fat that’s pushing against the muscle wall. All plastic surgeons should be able to manage a arooma competently. Follow up with your provider. If that is not sufficient then consider getting an in person second opinion consultation. The treatment of a seroma is a medical condition and surgery for this can be billed to medical insurance as a medically appropriate procedure. Best, Mats Hagstrom MD
Helpful
Answer: Seroma formation after tummy tuck Seroma formation is the most common complication after a full tummy tuck. it’s typically related to having the drains removed prematurely but can happen despite leaving drains in for a sufficient amount of time. The best treatment is a Daly aspirations until it’s no longer recur. Any significant amount of time with a seroma left undrained worse since the situation since with fluid inside the tissue surfaces are not in contact. If not treated aggressively by continuous draining with daily visits or the placement of a drain the fluid buildup will develop a scar tissue lining called a capsule. Once encapsulated the seroma can no longer be treated by aspirations and will recur despite how frequently aspirations are done. The treatment for a chronic or encapsulated seroma is direct surgical excision. this is gonna be done either by going through your old tummy tuck incision or making a new incision directly over the seroma. After excision of the capsule and drain needs to be placed to reduce the chance of the fluid collection returning Your pictures show your abdominal wall bulging a significantly. It looks to be more than what a typical seroma would cause. You may have excess visceral or intra-abdominal fat that’s pushing against the muscle wall. All plastic surgeons should be able to manage a arooma competently. Follow up with your provider. If that is not sufficient then consider getting an in person second opinion consultation. The treatment of a seroma is a medical condition and surgery for this can be billed to medical insurance as a medically appropriate procedure. Best, Mats Hagstrom MD
Helpful