I had Vaser lipo 7 months ago. All went well, however, one small incision kind of healed but didn't close. I have a small hole which if any pressure is placed, clear liquid comes out. I've had a culture, which was negative. I've taken Antibiotics, and it remains the same. It is not red, I have no fever, and it is not swollen. My PS says it's healing on its own and to not touch it. 7 months is way too long. What can I do?
August 4, 2021
Answer: Chronic draining fluid VASER liposuction has a higher seroma formation than regular liposuction.When a seroma forms and is not drained properly, a capsule develops, making it sometimes permanent.You may have developed a similar membrane or capsule around one of the spaces created from the liposuction.In your case, it has the ability to drain and, as such, will not close up or finally heal.If the opening has been present for seven months, then it is most likely contaminated with some bacteria. When tissues have the ability to drain, clinical infections typically are not seen even if bacteria is present.Cultures can often be either falsely negative or falsely positive.Sometimes what you are describing is referred to as a sinus tract.There are a few ways of treating these surgically.One is to inject dye into the opening and make an incision after this and excise all tissues that are stained from the dye.Another option may be the placement of a temporary surgical drain.If something has not healed for seven months, then there is a high likelihood it will not heal unless something is done differently.If your plastic surgeon is not able to give some form of alternative treatment, then you may need to seek a second opinion.I hope my explanation was not seen as too much medical jargon or mumbo-jumbo.Best of luck,Mats Hagstrom, M.D.
Helpful 1 person found this helpful
August 4, 2021
Answer: Chronic draining fluid VASER liposuction has a higher seroma formation than regular liposuction.When a seroma forms and is not drained properly, a capsule develops, making it sometimes permanent.You may have developed a similar membrane or capsule around one of the spaces created from the liposuction.In your case, it has the ability to drain and, as such, will not close up or finally heal.If the opening has been present for seven months, then it is most likely contaminated with some bacteria. When tissues have the ability to drain, clinical infections typically are not seen even if bacteria is present.Cultures can often be either falsely negative or falsely positive.Sometimes what you are describing is referred to as a sinus tract.There are a few ways of treating these surgically.One is to inject dye into the opening and make an incision after this and excise all tissues that are stained from the dye.Another option may be the placement of a temporary surgical drain.If something has not healed for seven months, then there is a high likelihood it will not heal unless something is done differently.If your plastic surgeon is not able to give some form of alternative treatment, then you may need to seek a second opinion.I hope my explanation was not seen as too much medical jargon or mumbo-jumbo.Best of luck,Mats Hagstrom, M.D.
Helpful 1 person found this helpful
