Two months ago I noticed that I had fluid above my tummy tuck incision line. I have had 4 aspirations and it feels like my tummy where the seroma is located is getting more firm and the area is tight. I have no pain. The next procedure is putting a medication inside the area where the seroma is and a drain tube. Is it recommended that I have surgery either way? And with the surgery need to be completed by a regular surgeon or a plastic surgeon? I cannot return to my plastic surgeon. Too far
Answer: Tummy tuck thigh lift mastopexy arm lift buttock augmentation buttock lift bodylift expert brachioplasty mastopexy LBL FDL Thank you for your question regarding what to do with a calcified seroma and whether it’s advisable to leave a seroma capsule alone. If your calcified seroma capsule is not causing you problems like pain, discomfort, visual deformity, or fluid accumulation, I will leave it alone. However, if the calcified seroma starts to act up in any way, you may require further workup to include an MRI, serial aspirations, and potential surgical removal. However, at this point, I would not suggest removing the asymptomatic, calcified seroma capsule after a tummy tuck (abdominoplasty).
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Answer: Tummy tuck thigh lift mastopexy arm lift buttock augmentation buttock lift bodylift expert brachioplasty mastopexy LBL FDL Thank you for your question regarding what to do with a calcified seroma and whether it’s advisable to leave a seroma capsule alone. If your calcified seroma capsule is not causing you problems like pain, discomfort, visual deformity, or fluid accumulation, I will leave it alone. However, if the calcified seroma starts to act up in any way, you may require further workup to include an MRI, serial aspirations, and potential surgical removal. However, at this point, I would not suggest removing the asymptomatic, calcified seroma capsule after a tummy tuck (abdominoplasty).
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September 15, 2022
Answer: Calcified seroma 9 months post op? Area is getting more firm and tight. Recommended that I have surgery either way? Hello @Lily2013, thank you for your question. Any kind of abnormality about the process must be analyzed, because there is no way to have a treatment if you are not clear about what is going on. The first step may be to do an ultrasound of the area. The best course of action is to consult one or several board certified plastic surgeon for more information and options tailored specifically to your needs. Best wishes! Alan Gonzalez MD FACS
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September 15, 2022
Answer: Calcified seroma 9 months post op? Area is getting more firm and tight. Recommended that I have surgery either way? Hello @Lily2013, thank you for your question. Any kind of abnormality about the process must be analyzed, because there is no way to have a treatment if you are not clear about what is going on. The first step may be to do an ultrasound of the area. The best course of action is to consult one or several board certified plastic surgeon for more information and options tailored specifically to your needs. Best wishes! Alan Gonzalez MD FACS
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September 6, 2022
Answer: Seroma It is not unusual for a seroma to be drained multiple times before resolution. If it persists your surgeon may place a drain to help the area heal. As a last effort your surgeon may surgically address the area. I encourage you to work with your surgeon to find the appropriate solution for you. If you do not want to travel to your surgeon you will need to find another in your area to assist.
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September 6, 2022
Answer: Seroma It is not unusual for a seroma to be drained multiple times before resolution. If it persists your surgeon may place a drain to help the area heal. As a last effort your surgeon may surgically address the area. I encourage you to work with your surgeon to find the appropriate solution for you. If you do not want to travel to your surgeon you will need to find another in your area to assist.
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September 3, 2022
Answer: Persistent seroma I’ve seen this occur several times and there’s a simple way to deal with it. Not all surgeons do this even though it’s been around for only a few hundred years. Your incision needs to be opened about a half inch in the midline. Then a penrose drain needs to be slid into the cavity to provide external drainage. It will drain to the outside and be a little messy. Leave it in for a week. I’ve done this many times and it never fails. It’s based on an old principle called dependent drainage. Dependent drainage is a very old basic surgical principle. Google the term. Remember PENROSE drain, not any other kind will work.
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September 3, 2022
Answer: Persistent seroma I’ve seen this occur several times and there’s a simple way to deal with it. Not all surgeons do this even though it’s been around for only a few hundred years. Your incision needs to be opened about a half inch in the midline. Then a penrose drain needs to be slid into the cavity to provide external drainage. It will drain to the outside and be a little messy. Leave it in for a week. I’ve done this many times and it never fails. It’s based on an old principle called dependent drainage. Dependent drainage is a very old basic surgical principle. Google the term. Remember PENROSE drain, not any other kind will work.
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September 4, 2022
Answer: Seroma Dear Lily2013,
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September 4, 2022
Answer: Seroma Dear Lily2013,
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