My seroma keeps returning how often should this be drained? Had TT and circumferential lipo on July 7. (photo)

Question

More aggressive measures? My PS is draining it once a week, every Wednesday. It seems to be either the same or a little less each time. How often should it be drained in a week? I've read some PS like to do it 2-3 times a wk. is my PS not being aggressive enough? I've been drained 5 times now. Once was twice in one week only because I called because I was uncomfortable. PS drained the seroma on my back ystrdy but it looks like it's coming back still some fluid on front

William Andrade, MD · Answer

Hello, there is no standard treatment protocol for seromas; they are treated on a case-by-case basis.  Occasionally I will drain larger or recurrent seromas more than once a week, but others I will drain less frequently.  If you don't feel you are making progress you could discuss this with your surgeon.

Mariam Awada, MD, FACS · Answer

It sounds like you are having the right treatment. Seromas are difficult to deal with and depending on the quantity drained if it is very high then a drain placement may be indicated but that is not without risk and does not guarantee resolution.  There are also sclerosing methods that also have pros and cons.  Discus these with your PS.  Sometimes your weekly visit will be the best and you just stop draining it and it may resorb or turn into scar tissue.  If very obvious having surgery to excise it is also an option.  There is no emergency so take your time and discuss with your PS.

Sheila S. Nazarian, MD · Answer

There are options like leaving in a new drain so that you make less frequent trips.  You can also speak to your surgeon about sclerosing methods to close down the seroma cavity.

Pedro M. Soler, Jr., MD · Answer

Thank you for your question. I am sorry to hear that you are experiencing post operative difficulties. This may continue to be treated with percutaneous drainage with needle and syringe. Having said that you may, at some point, require surgical drainage and placement of a drain tube. If left untreated the fluid cavity may become a lined pocket, infected, or both. I recommend continued close follow up with your plastic surgeon and an honest discussion about your concerns. I hope this helps. Good luck.

My seroma keeps returning how often should this be drained? Had TT and circumferential lipo on July 7. (photo)

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