Seroma or Tissue? (photo)

I am 9 days PO and it feels like I have a seroma under my chin. It feels like fluid not tissue. my doctor said it was not but didn't even feel it.. what should I do? If feels like it is getting tighter daily.

Doctor Answers 5

Seroma or hematoma after necklift

None of us cannot tell exactly what it is from a picture. We need to touch it to knwo if it is fluid or blood. Your surgeon should examine you thoroughly, which includes touching your neck. Failing to do so is improper and negligent. A hematoma can be serious and needs to be drained so that the overlying skin of your neck heals without complications.

New York Plastic Surgeon
4.9 out of 5 stars 326 reviews

Seroma at 9 Days after Necklift

   Seroma would be the most likely diagnosis at this early time following necklift.   I must admit that I would feel the area to determine if this was fluid or indurated tissue.

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 496 reviews

Exam Needed to distinguish Seroma, Hematoma and localized Edema

I cannot tell by a photo if it is edema, seroma or hematoma. However, your surgeon can quickly tell by examination. 

Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 157 reviews

Seroma after neck procedure

Not sure if you had liposuction or surgical neck lift? It does appear that you have an accumulation of fluid under the skin. It could be hematoma or seroma. Usually, a clinical exam is suffice to tell if there is fluid build up. If it's unclear, ultrasound will clarify the diagnosis. Another way is to just aspirated with a needle and see what comes out. This should be addressed by your surgeon. If you still can get your surgeon to treat it then it's time for second opinion.

Best Wishes,

Stewart Wang, MD, FACS
Los Angeles Plastic Surgeon
4.6 out of 5 stars 28 reviews

Seroma after neck lift should be aspirated right away.


You are right. It does look like fluid.  A sonogram can tell for sure.  But if you ignore it, it becomes permanent internal scar tissue.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon
4.8 out of 5 stars 9 reviews

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.