Should my seroma be removed surgically? (photos)

Hello,This is a problem. I would attempt at least two weeks of aspirations, possible every 48 hours. If the seroma doesn't shrink and subside, You may need a surgery to remove the capsule that may have formed. If you did decide to have surgery, I would make sure that the surgeon doesn't use a drain again, but instead plicating sutures to obliterate the cavity. Best of luck!

A seroma is the most common complication after a tummy tuck procedure.  Usually serial aspirations (drainage) will resolve the problem.At this point if you were my patient I would continue with the drainage in the office to help this resolve.  Compression in that area after the drainage is very important, as is restricting your activity between the office visits and drainage.In very rare circumstances, the drainage will not resolve the issue and it may require a trip to the operating room to removed/excise the seroma cavity.Hope that helps.  I would suggest you continue on and follow your surgeons guidance.

For seromas that do not improve with serial drainage, excision of the seroma cavity is indicated.  It is a trip to the OR so you may want to try serial drainage a bit more before doing the procedure.  Best wishes, Dr. T. 

it is important to completely drain the seroma. Aspiration is a very logical technique but at this point it needs aggresive almost daily aspirations along with compressive dressings. However, if the seroma persists, usually surgery is required to remove the capsule or scar tissue surrounding the seroma and another drain is placed. 

can be challenging.  But when this long out from your procedure, most surgeons would attempt sclerosing the cavity that is now well established and if this failed, then you are looking at returning to the OR for a formal repair that would involved removing as much of the cavity wall and anchoring sutures.  Best of luck...