Seroma - how to avoid build up?

Question

Thank you for the answers so far on the build up of Seroma. One answer said watch fluid and salt intake. Should I drink less fluid or more to flush this out of my system. Should I massage the area? Thank you

Vincent N. Zubowicz, MD · Answer

Seromas are almost never seen with conventional negative pressure liposuction. There much more common one assisted by a laser or ultrasound. The thermal damage created by these modalities makes management of seromas problematic. Periodic aspiration in the surgeon's office is the main stay.

Derby Sang Caputo, MD · Answer

Hello. Seromas treatments are well established in different guideslines management in patients undergoing plastic surgery . The aspiration has for long been the cornerstone therapy  in combination  with a good compression of the operated area . Salt intake is known that makes you keep more water in the body , but the liquid will not necessarily become seroma . I hope this small usual drawback is resolved.

Joseph Franklin, MD · Answer

Fluid collections after surgical procedures are frequently managed by compression garments and possibly inserting a drainage tube.  They can also be treated by needle aspiration in the office.While there is no specific data on salt avoidance, there is some anecdotal reports that minimizing sodium intake may help with seroma management.Best of luck with your continued recovery.

Sheldon Lincenberg, MD · Answer

Your fluid intake will not affect seroma development or disappearance. I have had many years of success in preventing seroma by using compression garments for my patients. Gentle frequent massage is also good for prevention and treatment.if you do develop a seroma, it may be treated by inserting a needle and pulling out the seroma fluid.

Mats Hagstrom, MD (license on probation) · Answer

The treatment of a seroma is to have the needle aspiration drained on a frequent basis until it resolves. There is a timeframe where this treatment is successful and definitive. If the treatment is done too late or not frequently enough, a chronic seroma may persist. A chronic seroma becomes encapsulated, requiring surgical excision if present for a long time. This is a mechanical problem and requires a mechanical solution. There are no medications or behavioral changes that will have any significance on a seroma. Best of luck,Mats Hagstrom, M.D.

Seroma - how to avoid build up?

Answers (5)

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