If Argon skater drains don't work for recurrent seroma should I have a total capsulectomy? (Photo)

Hello @HikerTriker, thank you for your question. For starters, it is the ideal approach to remove the capsules during the explantation procedure since it is not known what can be found in the tissue. Therefore, it would be necessary to carry out a preventive biopsy on each capsule. I link a video about a capsular contraction that will shed some more light. The most appropriate course of action is to consult one or several board certified plastic surgeons. This will allow you to get more information and options tailored specifically to your needs. Best wishes! Alan Gonzalez, MD FACS.

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

If the drains do not work or become infected, the capsules, at least the anterior and side portions, will need to be removed and more drains used. The longer the seroma stays, the higher risk of a thick capsule forming around the fluid which will need to be removed surgically.

If the drains are not successful in resolving your seroma you should discuss pros and cons of other options with your surgeon. It is not uncommon for multiple aspirations to be necessary to resolve a seroma. If aspirations in the office are not successful, drains typically work well to correct the issue.