How Long Do I Have to Worry About Possible Seroma After Explant of Breast Implants?

Question

I am having my saline breast implants removed without replacement. This will be a simple removal, no lift or capsulectomy/capsulotomy. I inquired about having a capsulectomy, but my extremely qualified surgeon believes in my case it would do more harm than good, as I have very little breast tissue and none of the common reasons for capsulectomy (silicone implants or calcification of the capsule). How long will I have to be on the lookout for seroma? If it did, what time frame will it develop?

Richard J. Bruneteau, MD · Answer

Although swelling following
breast implant removal is common, the development of seromas is rare.Seromas are even less likely when implants
are removed and capsules are left in place.The vast majority of seromas form in the first four to
six weeks following surgery.For this
reason, we have patients wear compression garments for at least six weeks
following surgery.If you have questions regarding postoperative seroma
formation, it’s important that you discuss this issue with your plastic
surgeon.Your surgeon should be able to
answer all your questions.

Donovan Rosas, MD · Answer

Without capsulectomy, the pocket will persist to a certain extent allowing for collection of fluid. This does not occur in all cases. In my experience it is more rare. Most surgeons will close down the capsule to a certain extent (partial capsulectomy and quilting sutures) and encourage compression in the early phases of healing.With regards to timing, late seromas are even more rare and most will occur over the first 4-6 weeks during which primary healing is occurring.As always, discuss your concerns with a board certified plastic surgeon (ABPS).

Kenneth Hughes, MD · Answer

Your surgeon is absolutely correct in leaving the capsules due to all of the reasons you mentioned.  The anterior and posterior capsule walls can be sutured together to prevent seroma formation as well.  After 4 to 6 weeks, the risk for seroma is much less.  Kenneth Hughes, MD Los Angeles, CA

Michelle Spring, MD, FACS · Answer

A seroma can potentially occur with any surgery, but it is not a common problem after removing implants.  I would agree with your surgeon's recommendation to leave the capsule in place.   Limiting postoperative activity and wearing compression over the area may help reduce the fluid that can accumulate in this area.   Typically, seromas will occur within the first month or so after surgery, and very rarely much later.

Tom J. Pousti, MD · Answer

Thank you for the question.

	Although rarely,  seromas  may present in a “delayed” fashion, I think that the majority of seromas  will be clinically evident within 2 weeks after removal of breast implants.

	 Your plastic surgeon will likely have advice regarding limitation of activity with your upper extremities during this timeframe.

	 Best wishes; hopefully you will be very pleased with the outcome of the planned procedure.

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How Long Do I Have to Worry About Possible Seroma After Explant of Breast Implants?

Answers (10)

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Answer: Seroma after breast implant removal?

Answer: Removal of Breast Implants and Seroma?

Answer: Removal of Breast Implants and Seroma?

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