Seroma/hematoma after fall resistant to surgery - solutions? BBL? Another surgery? (Photo)

Question

I fell backwards onto my right buttcheek onto the ski on a hard hill. For weeks I couldn't lay down or sit. After about a month and 1/2 a hard bump formed on the top of my buttcheek with a dent below in the shape of a ski. I had the bump drained twice and it came back. I was told it calcified. I found a surgeon who cut it out on July 14. About 10 days after surgery, the seroma began to fill up again. Surgeon drained 2x. It is back but not as big. Should I get it cut out again or get BBL?

Ryan A. Stanton, MD · Answer

First, you must get the seroma resolved. Secondly depending on what type of defect/concavity you are left with, you can explore reconstructive surgical options. Because this area will likely be heavily scarred, fat transfer is unlikely to succeed. In which case, your most reliable, predictable, relatively safe and permanent option would be to consider buttock implants. Do not let someone tried to sell you on fillers such a Sculptra, this will be the biggest waste of money you’ve ever spent.  Please note that an extremely few number of board-certified plastic surgeons specialize in buttock implants so you may have to travel far away from home to seek consultation with this particular type of surgeon. Glad to be of help.

Daniel Barrett, MD · Answer

Dear volinna,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Mats Hagstrom, MD (license on probation) · Answer

Seromas can often be successfully treated by draining them if done early. for the procedure to be successful it needs to be repeated on an almost daily basis. in order for the tissue surfaces to remain in contact that cannot be any fluid buildup. draining its aroma on a daily basis it’s exhausting and a tedious process that both surgeons and patients are sometimes reluctant or not capable of doing.
The alternative is to have a drain placed.
Interventional radiologists are particularly good at percutaneously placing drains.
Once a seroma has become encapsulated which typically begins to happen within a few weeks the chance of success with draining goes down.
After a few months the seroma will inevitably return after being drained.
At that point the only realistic option is excision of the seroma capsule with the placement of a drain to collapse the space continuously until the surfaces have healed together.
Most plastic surgeons would not exercise as aroma without placing a drain but it’s also incorrect for me to judge other doctors out of context.
I think your situation could’ve been handled better but what you described is also not all that unusual.
If it bothers you enough to have a second operation then consider having it re-excised with the placement of a drain.
The success rate will be substantially better if all of this seroma capsule is removed.
Best,
Mats Hagstrom MD

Seroma/hematoma after fall resistant to surgery - solutions? BBL? Another surgery? (Photo)

Answers (3)

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