I'm 3 wks post-op Medial & lateral thigh lift. Is there anything I can do to prevent the fluids collecting in my left thigh?
Doctor Answers 6
The Management of Seromas Following Thigh Lift Surgery
It's not unusual for patients to develop seromas following thigh lift surgery. The problem may occur for a variety of reasons in the post-operative period. In some cases, the drains may have been removed prematurely, while in other cases patient activity levels are just too high. Regardless of the cause, this problem needs to be treated as soon as possible to avoid additional complications. Failure to address this problem can result in the formation of chronic seromas, infection, drainage, wound breakdown and a less than optimal result.
When this situation arises, treatment usually consists of serial sequential aspirations and the use of compression garments. At this point, the thigh is still numb and can be easily aspirated. This usually addresses the problem, but occasionally more aggressive treatment is necessary.
In some cases, replacement of the drain utilizing ultrasonic guidance may become necessary. In other cases, injecting a sclerosing agent such as Tetracycline may be necessary to obliterate the seroma cavity. Rarely, even re-operative surgery may be necessary.
It's safe to say that the vast majority of seromas are successfully treated with conservative treatment. For this reason, it's important that you continue to see your plastic surgeon on a frequent basis.
Seromas can typically be managed with needle aspiration. Recurrence after needle aspiration is common. Typically, several treatments may need to be done. Initially, these may be twice per week and then once per week until the seroma has completely resolved. Each time, the amount of fluid should be decreasing. A compression garment may also help.
You should continue to follow-up with your plastic surgeon until the seroma is resolved. If left untreated, the seroma capsule can become well formed and could require surgery to resolve it.
Fluid collecting in thigh after thigh lift
You have what is called a 'seroma' - a non-infected fluid collection.
Your surgeon is treating it correctly - the fluid has to be removed as often as it collects, until it stops collecting.
Yes, exercise is likely to make it worse -
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.