Can the Aspiration of Seroma Done by a General Doctor?

Your post is emblematic of the problems and issues which can arise when you have surgery abroad. You may well have a seroma but should be examined in person by a board certified plastic surgeon, not a GP. I do not recommend leaving the seroma alone based on an email with your overseas doctor. Frequently serial drainage is required and the fluid expressed should be cultured to rule out infection. Removing drains prematurely because the patient is flying home is another issue here.

A seroma needs to be aspirated otherwise it will create cavity that will persists and fill with the seroma.  It would be appropriate for a PS to aspirate the seroma.  If you find a GP that is comfortable managing this then that would be reasonable also. Travel outside the U.S. for surgery and then subsequent development of complications may make your treatment of such complications tricky.

Dr. ES

Seromas can be managed in a number of ways. Small seromas that you can't see or feel can probably be left alone. Seromas that you can see should probably be treated until they are completely resolved. If serial aspirations aren't working than a drain could be placed, either under local in the office, or from an interventional radiology service. If your general doctor is comfortable with it - fine. But I doubt he/she will want to.