Are there any serious risks to a recurring seroma? (Photo)

Reoccurring seroma on lower back, has been drained twice and I am only 2 weeks post op, is back and bigger than two times before. How common is this and what might need to be done if it reoccurs again? What does seroma removal surgery entail? Also, does amount of exercise and movement keep the body from absorbing the fluid? Or is there anything I can do to prevent the reoccurrance?

Doctor Answers 3

Are there any serious risks to a recurring seroma?

Hello dear, thanks for your question and provided information as well.. This is the surgical procedure that revolutionized cosmetic surgery becoming one of the most performed cosmetic procedures. Subcutaneous tissue or fat is removed in order to contour the body in a way that is harmonious and pleasing to the senses. It can be performed in almost all regions of the body such as the neck, chin, abdomen, back, buttocks, thighs, arms and ankles. Usually done through a small incision in the skin through which a cannula connected to a vacuum is applied, it can be performed alone or in combination with other procedures. After liposuction your body is going to be really swollen for at least 2 to 4 months after your surgery. It is important for you to wear your compression garment for at least 6 months, the first 3 months 24/7 and then the last 3 months at least 12 hours per day for your body get use to not having the faja for so many time. When you remove it, your body can get swollen and also you can have pain. Remember to also compress your body to prevent a seroma which is an accumulation of liquid that has to be drained, it is hard to touch and also really painful. Bruises are completely normal for almost 3 months from surgery, that’s why is better for you to use a bruising cream and apply it all over your body 3 times a day. To prevent bad circulation and swollen legs, use compression socks. Brazilian butt lift can be performed with the same procedure and for a month it will be swollen and it will drop a little bit without losing it’s shape if you use your garment.. If you’re going to perform liposuction on your inner, outer, anterior, lateral, postetior thighs, be careful and consult with your surgeon what’s best for you, sometimes we have more extra skin than fat, that can cause severe sagginess on our legs, which can be only be reversed performing a thigh lift….

Dominican Republic Plastic Surgeon
4.6 out of 5 stars 328 reviews

Liposuction and seroma

Seromas are not common with liposuction, but can occur, more often with heating type devices like Vaser and laser lipolysis.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 24 reviews

Lipposuction - now have seroma

Thank you for asking about your seroma.
  • A seroma must be drained, at least 1 x a week, often 2 - 3 x a week if it is large - 
  • Until the drainage stops.
  • Otherwise, the fluid will not absorb and a permanent fluid collection forms.
  • This is not dangerous to your health but it will require surgery to remove. 
  • As long as you have the seroma, it is wise to avoid aerobic and impact exercise -
  • But above all, be guided by your own surgeon.
Always see a Board Certified Plastic Surgeon. Best wishes  - Elizabeth Morgan MD PHD FACS

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.