What Are the Signs of a Seroma? (photo)

From the photo, I would be suspicious that there is a seroma. FIndings are an area of swelling, often with a fluid wave. That is if you touch is, a wave is visible over the area, much like the sensation of pressing on a water bed. If you were my patient who sent me this photo, I would want to see you to deal with this.

Thanks, best wishes.

Your swelling will progressively improve over time. Initially your body will respond to surgery with swelling as it begins to heal. As your bodies healing process advances the swelling in the operative site decreases. What you may notice is that the swelling will vary according to the level of activity of the patient. Throughout your recovery your surgeon will most likely ask that you wear a compression garment which will help in minimizing the swelling and help you during the healing process.

If a seroma is present this can be discerned by a finding known as a fluid wave under the skin in the area of concern. Once the diagnosis of seroma is confirmed, it should be drained. This is typically done in the office by inserting a needle or catheter to drain the fluid and then reapplying the compression garment. The patient should then be reassessed to insure that  the fluid has not re-accumulated.

Your first step should be to return to your plastic surgeon to discuss your concerns and have an in-person evaluation so as to determine the best course of action. Thank you for the question and picture.

Good luck.