I am 7 wks post-op from a mommy makeover. I have a seroma below my TT scar that my surgeon & his nurse have tried to aspirate on 5 occasions over the last 4 wks. They are unable to get anything out. They seem baffled by it, but keep reassuring me that my body will take care of it on its own. I don’t feel comfortable continuing to wait for this to be resolved. I’ve read this can cause issues if untreated. Also, it is creating new stretch marks, which ticks me off. Should I be worried?
Answer: It may not be a seroma Good eveningSometimes after an abdominoplasty you can have postoperative collections of fluid or blood. Fluid should aspirate pretty easily- blood can be difficult to aspirate early in the postoperative period because it will clot. after 10 days or so it will reliquify making it easier to aspirate.While still possible that you have blood or fluid there, there could be some retained fat causing you deformity. It could also be loose corset sutures that have allowed the lower part of your abdomen to protrude giving a contour deformity. If it continues to persist a CT scan would help, or surgical exploration of the area in question could be both diagnostic and therapeutic.I hope this helps
Helpful 2 people found this helpful
Answer: It may not be a seroma Good eveningSometimes after an abdominoplasty you can have postoperative collections of fluid or blood. Fluid should aspirate pretty easily- blood can be difficult to aspirate early in the postoperative period because it will clot. after 10 days or so it will reliquify making it easier to aspirate.While still possible that you have blood or fluid there, there could be some retained fat causing you deformity. It could also be loose corset sutures that have allowed the lower part of your abdomen to protrude giving a contour deformity. If it continues to persist a CT scan would help, or surgical exploration of the area in question could be both diagnostic and therapeutic.I hope this helps
Helpful 2 people found this helpful
Answer: Seroma It may be that an ultrasound is needed to determine if the area in question is perhaps not a seroma. It could be swelling, which would explain the inability to aspirate it. It could potentially be a hematoma as well. An ultrasound should reveal more information.
Helpful
Answer: Seroma It may be that an ultrasound is needed to determine if the area in question is perhaps not a seroma. It could be swelling, which would explain the inability to aspirate it. It could potentially be a hematoma as well. An ultrasound should reveal more information.
Helpful
February 5, 2019
Answer: Seroma after tummy tuck Seromas are one of the most common complications associated with abdominoplasty(tummy tuck). Most readily resolve with repeated aspirations, and rarely is revisional surgery required or the outcome adversely affected. If repeated aspirations have been unsucessful, it must be considered that the problem may not be a seroma. If a hematoma, or bloodclot formed after surgery, it may be too solid to aspirate. Occasionally , a bloodclot or seroma can form under the covering of the muscle(rectus sheath) and is not removed with normal aspiration. Fat necrosis can occur , forming a swollen firm area . A simple test called an ultrasound of the abdominal wall can be done to readily identify if the area in question is solid or fluid. Ask,your surgeon if this would be of benefit in your case.
Helpful 1 person found this helpful
February 5, 2019
Answer: Seroma after tummy tuck Seromas are one of the most common complications associated with abdominoplasty(tummy tuck). Most readily resolve with repeated aspirations, and rarely is revisional surgery required or the outcome adversely affected. If repeated aspirations have been unsucessful, it must be considered that the problem may not be a seroma. If a hematoma, or bloodclot formed after surgery, it may be too solid to aspirate. Occasionally , a bloodclot or seroma can form under the covering of the muscle(rectus sheath) and is not removed with normal aspiration. Fat necrosis can occur , forming a swollen firm area . A simple test called an ultrasound of the abdominal wall can be done to readily identify if the area in question is solid or fluid. Ask,your surgeon if this would be of benefit in your case.
Helpful 1 person found this helpful
February 5, 2019
Answer: Do you have a seroma or swelling? A seroma is a collection of fluid that can be aspirated or drained. Swelling is fluid in the tissues that can't be drained. It is difficult to tell by your story which of these you have. The one definitive way to find out is to get an Ultrasound. Check in with your doctor or see a second opinion if you are still concerned.
Helpful 1 person found this helpful
February 5, 2019
Answer: Do you have a seroma or swelling? A seroma is a collection of fluid that can be aspirated or drained. Swelling is fluid in the tissues that can't be drained. It is difficult to tell by your story which of these you have. The one definitive way to find out is to get an Ultrasound. Check in with your doctor or see a second opinion if you are still concerned.
Helpful 1 person found this helpful
February 5, 2019
Answer: Seroma After Abdominoplasty Hi, I am curious as to how the diagnosis of a seroma came about. It would be unusual to have a large and visibly palpable seroma that could not be aspirated. Sometimes, patients can have a significant degree of swelling that could be misconstrued as a fluid collection but is actually just edema within the layer of tissue itself. If your surgeon has attempted aspiration many times but gets nothing, perhaps she/he thinks it's just swelling and not a seroma. Tiny seromas would likely resorb, but if you still have one at 7 weeks, that is more of a subacute seroma. Chronic seromas are less likely to resolve on their own and often need procedural intervention. Wear a snug compression garment; if you can easily pull the garment up off of your abdomen, it is probably too big/loose.
Helpful 1 person found this helpful
February 5, 2019
Answer: Seroma After Abdominoplasty Hi, I am curious as to how the diagnosis of a seroma came about. It would be unusual to have a large and visibly palpable seroma that could not be aspirated. Sometimes, patients can have a significant degree of swelling that could be misconstrued as a fluid collection but is actually just edema within the layer of tissue itself. If your surgeon has attempted aspiration many times but gets nothing, perhaps she/he thinks it's just swelling and not a seroma. Tiny seromas would likely resorb, but if you still have one at 7 weeks, that is more of a subacute seroma. Chronic seromas are less likely to resolve on their own and often need procedural intervention. Wear a snug compression garment; if you can easily pull the garment up off of your abdomen, it is probably too big/loose.
Helpful 1 person found this helpful
