I had Vaser, breast implants and mini tummy tuck done March 28th and every week since then i have had to have fluid drained from my low back i also still have numbness, tingling, and swelling every where. My doctor says this is all normal and will dissipate eventually but I’m starting to get worried.
June 19, 2019
Answer: Draining fluid for three months The use of VASER has a known increased risk for the development of fluid buildup so called seromas. The best way to treat these are frequent aspirations. The more frequent the better. Ideally on a daily or every other day basis. If you let a fluid pocket build up in the surfaces are not touching each other in the pocket will not close. The key is to love the surfaces to have contact with each other like a deflated bag. If the pocket stays open for a long period of time a membrane will form called a capsule. Once this happens the surface is no longer stick together even if in direct contact. At three months there's a good chance your fluid collection has encapsulated. The treatment for that is usually surgical excision of the capsule with the placement of a drain. One treatment option is to place a drain now and see if the surfaces will stick together enough that the fluid output stops. Placing a drain can be difficult unless someone is doing open surgery. Interventional radiologist are really good at doing this from the skin surface. You may want to ask your plastic surgeon if he or she can refer you to an interventional radiology just to have a drain placed. Changes in skin sensation are common and usually take a few months to go away. This should improve with more time. Best, Mats Hagstrom MD
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June 19, 2019
Answer: Draining fluid for three months The use of VASER has a known increased risk for the development of fluid buildup so called seromas. The best way to treat these are frequent aspirations. The more frequent the better. Ideally on a daily or every other day basis. If you let a fluid pocket build up in the surfaces are not touching each other in the pocket will not close. The key is to love the surfaces to have contact with each other like a deflated bag. If the pocket stays open for a long period of time a membrane will form called a capsule. Once this happens the surface is no longer stick together even if in direct contact. At three months there's a good chance your fluid collection has encapsulated. The treatment for that is usually surgical excision of the capsule with the placement of a drain. One treatment option is to place a drain now and see if the surfaces will stick together enough that the fluid output stops. Placing a drain can be difficult unless someone is doing open surgery. Interventional radiologist are really good at doing this from the skin surface. You may want to ask your plastic surgeon if he or she can refer you to an interventional radiology just to have a drain placed. Changes in skin sensation are common and usually take a few months to go away. This should improve with more time. Best, Mats Hagstrom MD
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September 6, 2019
Answer: Treatment of seroma Hi and welcome to our forum! I'm sorry to hear of your difficulties following your Vaser liposuction. A seroma is a collection of tissue fluid accumulating at the operative site. It is caused by injury to the soft tissues. When blood vessels and lymphatics get damaged through the normal course of the operative procedure, the body mounts an inflammatory response, resulting in the production of clear fluid. Normally, the body absorbs this fluid, but, if excessive, it will accumulate and create a seroma. Small seromas will naturally resorb, but larger seromas require drainage. Serial needle aspirations may be required. Over time the amount of drainage should decrease with each aspiration. If repeated aspirations fail to control the seroma, a drain is placed and is usually left in place until the drainage subsides. If the seroma persists for more than several months, sclerosing solutions (we employ doxycycline) can be introduced through the drain to create scar which will retard fluid accumulation. In unusual instances, surgical excision of the tissue making up the walls of the seroma is required. Closing the resulting defect with a quilt like technique appears to be of benefit. Continue close followup with your plastic surgeon. Best wishes...
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September 6, 2019
Answer: Treatment of seroma Hi and welcome to our forum! I'm sorry to hear of your difficulties following your Vaser liposuction. A seroma is a collection of tissue fluid accumulating at the operative site. It is caused by injury to the soft tissues. When blood vessels and lymphatics get damaged through the normal course of the operative procedure, the body mounts an inflammatory response, resulting in the production of clear fluid. Normally, the body absorbs this fluid, but, if excessive, it will accumulate and create a seroma. Small seromas will naturally resorb, but larger seromas require drainage. Serial needle aspirations may be required. Over time the amount of drainage should decrease with each aspiration. If repeated aspirations fail to control the seroma, a drain is placed and is usually left in place until the drainage subsides. If the seroma persists for more than several months, sclerosing solutions (we employ doxycycline) can be introduced through the drain to create scar which will retard fluid accumulation. In unusual instances, surgical excision of the tissue making up the walls of the seroma is required. Closing the resulting defect with a quilt like technique appears to be of benefit. Continue close followup with your plastic surgeon. Best wishes...
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