I'm still producing about 75cc's a day. Doc says fluid will eventually "dry up". Drain is to be taken out this Sat. to give body rest from it & see what happens. I'm very concerned that there is something going on that needs to be addressed. I am also concerned this could be a serious situation with my lymphatic system. Are there some people that are just prone to this kind of slow healing and issues? It was an extensive tummy tuck. I'm worried this will never end & there is perm. damage.
Answer: Excess draining after tummy tuck Dear babybing67, Thank you for your clinical post and sorry to hear about your post tummy tuck delayed healing complication. A chronic and persistent seroma is rare but certainly no uncomplication of tummy tuck surgery. Generally, closed drainage allows the lymphatic system to gradually take over following the abdominoplasty surgery. However, insert circumstances persistent fluid will continue to drain and at 4 months you’re at risk of forming a lining around the cavities being drained and this is called a bursa or capsule. A seromatous capsule is generally harder to completely eliminate as the smooth lining prevents the edges from uniting together. Removing the drain is a reasonable option to see if the body’s lymphatic system will take over, however, if recurrent seromas occur you may need intermittent percutaneous aspiration that is draining the seroma through the skin with a needle or seroma catheter insertion with or without a sclerosing agent often Tetracyclines to try and stimulate inflammation and close the bursa of the seroma capsule which you can view as a dilated balloon within the skin. Ultimately, if the seroma and the seroma capsule persist an operation through the same incision excising the seroma capsule and allowing primary healing to occur again is sometimes the only option. At this time it is very important to maintain a good relationship with your operative plastic surgeon to ensure that adequate resolution and an excellent aesthetic result is achieved. I hope this information is of some assistance and best of luck. To find out more, please visit the link below. R. Stephen Mulholland, M.D. Certified Plastic Surgeon Yorkville, Toronto
Helpful
Answer: Excess draining after tummy tuck Dear babybing67, Thank you for your clinical post and sorry to hear about your post tummy tuck delayed healing complication. A chronic and persistent seroma is rare but certainly no uncomplication of tummy tuck surgery. Generally, closed drainage allows the lymphatic system to gradually take over following the abdominoplasty surgery. However, insert circumstances persistent fluid will continue to drain and at 4 months you’re at risk of forming a lining around the cavities being drained and this is called a bursa or capsule. A seromatous capsule is generally harder to completely eliminate as the smooth lining prevents the edges from uniting together. Removing the drain is a reasonable option to see if the body’s lymphatic system will take over, however, if recurrent seromas occur you may need intermittent percutaneous aspiration that is draining the seroma through the skin with a needle or seroma catheter insertion with or without a sclerosing agent often Tetracyclines to try and stimulate inflammation and close the bursa of the seroma capsule which you can view as a dilated balloon within the skin. Ultimately, if the seroma and the seroma capsule persist an operation through the same incision excising the seroma capsule and allowing primary healing to occur again is sometimes the only option. At this time it is very important to maintain a good relationship with your operative plastic surgeon to ensure that adequate resolution and an excellent aesthetic result is achieved. I hope this information is of some assistance and best of luck. To find out more, please visit the link below. R. Stephen Mulholland, M.D. Certified Plastic Surgeon Yorkville, Toronto
Helpful