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

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.

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).

    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