I have developed a seroma in my upper abdomen (12 wks PO) and am looking at options for treatment. My doctor is very far but has advised me of some options. Tight compression, aspiration and surgical removal. It is fairly new and soft so I am attempting compression first, of course. Is it likely it may reabsorb using this method or should I just seek help somewhere with aspiration?
Answer: Seroma Dear grivera0086, I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice. Daniel Barrett, MD Certified, American Board of Plastic Surgery Member, American Society of Plastic Surgery Member, American Society of Aesthetic Plastic Surgery
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Answer: Seroma Dear grivera0086, I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice. Daniel Barrett, MD Certified, American Board of Plastic Surgery Member, American Society of Plastic Surgery Member, American Society of Aesthetic Plastic Surgery
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Answer: Seroma Aspiration with compression is the best to do now. Just compression does not prevent more fluid collecting nor remove this fluid. It is best to drain the area so that thick scar walls do not form and make a more permanent seroma pocket. If you cannot find a plastic surgeon to take over your care and do this for you, you can have a radiologist drain this area.
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Answer: Seroma Aspiration with compression is the best to do now. Just compression does not prevent more fluid collecting nor remove this fluid. It is best to drain the area so that thick scar walls do not form and make a more permanent seroma pocket. If you cannot find a plastic surgeon to take over your care and do this for you, you can have a radiologist drain this area.
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June 2, 2022
Answer: Meeting with a surgeon would be preferred Hi grivera0086, My initial thought would be for you to see your surgeon for an aspiration, which is the preferred way to address an accessible seroma. But re-reading your post, it sounds like you are physically distant from your surgeon. If its a few hours drive, its probably worth returning to see him/her in clinic. If a flight (eg medical tourism), then perhaps not. If you can't access your surgeon, I would suggest trying to see another plastic surgeon closer to you. While no surgeon is thrilled to manage another surgeon's complications, and while you should expect to pay for that surgeon's time/experience/input, I think that watchful waiting with compression at 12 weeks is unlikely to definitively manage the problem. Hope this helps. Best,Christopher Pannucci MDBoard Certified Plastic SurgeonPlastic Surgery NorthwestSpokane, Washington
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June 2, 2022
Answer: Meeting with a surgeon would be preferred Hi grivera0086, My initial thought would be for you to see your surgeon for an aspiration, which is the preferred way to address an accessible seroma. But re-reading your post, it sounds like you are physically distant from your surgeon. If its a few hours drive, its probably worth returning to see him/her in clinic. If a flight (eg medical tourism), then perhaps not. If you can't access your surgeon, I would suggest trying to see another plastic surgeon closer to you. While no surgeon is thrilled to manage another surgeon's complications, and while you should expect to pay for that surgeon's time/experience/input, I think that watchful waiting with compression at 12 weeks is unlikely to definitively manage the problem. Hope this helps. Best,Christopher Pannucci MDBoard Certified Plastic SurgeonPlastic Surgery NorthwestSpokane, Washington
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May 31, 2022
Answer: Seromas Larger seromas are typically treated with aspiration and compression. It is not uncommon that several aspiration treatments are necessary before the seroma fully resolves. See a board certified plastic surgeon near you for treatment.
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May 31, 2022
Answer: Seromas Larger seromas are typically treated with aspiration and compression. It is not uncommon that several aspiration treatments are necessary before the seroma fully resolves. See a board certified plastic surgeon near you for treatment.
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June 1, 2022
Answer: Seroma treatment Seroma development after tummy tuck is very common. I agree with your doctor that compression, aspiration, and surgical removal are good options. In my experience, compression alone generally is not enough to resolve the seroma unless the body also absorbs it itself. My recommendation is to try to find someone who would be willing to aspirate this for you to remove it. It may take several times but that may avoid additional surgery
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June 1, 2022
Answer: Seroma treatment Seroma development after tummy tuck is very common. I agree with your doctor that compression, aspiration, and surgical removal are good options. In my experience, compression alone generally is not enough to resolve the seroma unless the body also absorbs it itself. My recommendation is to try to find someone who would be willing to aspirate this for you to remove it. It may take several times but that may avoid additional surgery
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