I had a large lipoma removed, the incisions is about 8-10" long. What should I be watching for? (Photo)

Question

My surgery was on Thurs. August 10, and I am having a very, very small amount of drainage. I still have swelling and I am still sore is this normal? Do I need to worry about the fluid inside?

Raffy Karamanoukian, MD, FACS · Answer

Seroma formation can occur after surgical lipoma removal. I tend to use small scars and see patients within a few days of the procedure. Best, Dr. Karamanoukian#Realself100 Surgeon

Nelson Castillo, MD · Answer

Thank you for your question and series of photographs. It is difficult without an in-person examination to determine what may be taking place.  Most commonly this is residual swelling from surgery which will spontaneously resolve but it would be important to voice your concerns to your surgeon to ensure that other issues are not taking place, such as a discrete fluid collection.

Anthony J. Taglienti, MD · Answer

Thank you for your question. While it is normal to be somewhat swollen after surgery, you may also have some fluid collecting within the wound bed - especially if the lipoma was quite large. Most of the time when something large is removed the surgeon may place some sort of drain to help the fluid leave the space, and then the body can heal quicker. I would suggest following up with your surgeon to have him evaluate if you have any additional fluid in the wound bed - most of the time this can be aspirated, or removed, with a needle. Sometimes a drain needs to be placed. If you start to have more pain, redness at the incision site, or fever, these are reasons to be concerned. Best of luck!

Alan M. Engler, MD, FACS (retired) · Answer

Based on your descriptions, you should contact your own PS and arrange to be seen in person.  It's hard to tell from the photos but if you hear fluid sloshing about then a collection of fluid (fluid that accumulates within the space where the lipoma was) has at least to be considered.  Drains are often used to help prevent such a buildup, although even that doesn't guarantee it won't happen.  Touch base with your PS and then you'll have a better idea of what, if anything, needs to be done at this time.  I hope that this helps and good luck, Dr. E

I had a large lipoma removed, the incisions is about 8-10" long. What should I be watching for? (Photo)

Answers (4)

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