Could a small seroma turn into a pseudo bursa at 6 months post-op? (Photos)

Question

I am 6 months post op tummy tuck. Left side is bigger than the right. I am meeting with my PS in 2 weeks to discuss options. My PS diagnosed it as a small seroma a few months ago, however did not recommend aspirating the area because it was so small. The recommended approach has been massaging the area and 24/7 compression garment. I have followed PS directions, however I have not seen an improvement. I am concerned that the seroma is now a pseudo bursa. I have an ultrasound scheduled.

Gerald Minniti, MD, FACS · Answer

Hello,Although possible, it is unlikely a chronic seroma encased in a pseudo bursa. Most small seromas do resolve on their own (I stop trying to aspirate them once they are less than 2 to 3 cc), but like large seromas tend to cause persistent long term swelling (due to inflammation) that can cause permanent thickening of tissues. If there is no fluid collection, you may need liposuction to re-contour that area. Best of luck!

Nelson Castillo, MD · Answer

Thank you for sharing your question and photographs and I see your areas of concern.  I would recommend first obtaining the US to diagnose the seroma before considering a pseudobursa.  Though possible to form at 6 months there may be more common reasons for current asymmetry including tissue swelling, muscle/adipose differences, etc.  Once an appropriate diagnosis can be made then the best treatment option can be rendered.  Hope this helps.

Could a small seroma turn into a pseudo bursa at 6 months post-op? (Photos)

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Could a small seroma turn into a pseudo bursa at 6 months post-op? (Photos)

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Everything you need to know about Tummy Tuck

Our mission is to create a world where every investment in modern beauty is Worth It.