Will aspiration and drains help to treat bilateral seromas? (Photo)

Question

Back in November of last year, I had my subpectoral silicone implants removed under local anesthesia and the implants came out intact. I developed bilateral seromas and about 3 months later, I had the seromas drained only for them to return (even larger than before!!) The interventional radiologist suggested that a second aspiration be completed, but this time drains to be placed for a peiod of two months. Is this likely to worki?? If not, please give me cost estimates for capsulectomy.

Camille Cash, MD · Answer

I'm sorry to hear of the issues you've had since your implants were removed.  If aspirations are not successful, drains are sometimes placed until the seroma can resolve.  I recommend visiting with a board certified plastic surgeon near you for a consultation and to follow your treatment progress.

Eric Wright, MD · Answer

Sorry to hear of your ongoing issues. It is unlikely that continued aspiration will work since the fluid will likely collect again within the scar capsules that formed around your implants. The pectoralis muscle continues to move which contributes to the seroma. You are correct that a capsulectomy would be the definitive treatment. I would discuss your options with a board certified plastic surgeon who specializes in breast surgery. Other information that would be helpful include the type of implants you had (textured vs smooth). Good luck with your recovery.

Dr. Eric J. Wright

Dr. Eric J. Wright

Daniel Barrett, MD · Answer

Dear HikerTriker,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a 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

Alan Gonzalez, MD, FACS · Answer

Hello @HikerTriker, thank you for your question. A personalized consultation is needed to make an adequate surgical that will prevent you from having to deal with the negative effects of bad practice later on. It is necessary to remove the capsule completely, as well as to reconstruct the breast tissue in order to improve its shape. For more information and recommendations, it is best to consult with one or several board certified plastic surgeons. Best wishes! Alan Gonzalez MD, FACS.

Connie Hiers, MD, FACS · Answer

By now, you have formed a capsule of scar tissue around your seromas, and this will need to be removed along with the fluid and drains left in place. Just trying to drain the space now will not prevent the seromas from returning.

Will aspiration and drains help to treat bilateral seromas? (Photo)

Answers (5)