When will this seroma go away? (Photo)

This is a tricky problem. After needle aspiration and drain alone fails, replacing a drain and infusing medications to close down the seroma is necessary - solutions like doxycycline or bleomycin. Many times plastic surgery offices do not carry these and some send their patients to interventional radiologists to take over. Best of luck!

unfortunately, some seromas persist despite replacing a drain. The solution in those circumstances is to remove any scar tissue around the seroma cavity and then suture the skin down to the underlying muscle using slowly dissolving sutures. This has worked well for me in the past. Doxycycline injections have  decreased the amount of fluid produced, but has never resolved it completely. 

Thank you for sharing your question.  If you have another confirmed seroma it is difficult to know when your body will fully heal from the procedure. It looks to be fairly large and would need either repeated aspirations or another drain placement.  Sometimes scar tissue can form around the seroma which may necessitate a revision procedure to try and correct.  Unfortunately without more information it is difficult to offer definite advice and I would speak with your surgeon as they should be able to give you better advice and reassurance. 

Sometimes after a few months the seroma will form its own sack around the outside & no amount of drainage will stop it.  In this case a further operation may be required to remove the "sack" and freshen up the inside, so it will stick back down.  I would say that at 3 months, this may be what is required for you.  Discuss your options with your surgeon.  A seroma of this size is fairly unlikely to resolve on it's own.

You have posed a difficult question to answer.  No two seromas act alike.  Many times, serial drainage (daily) for 1 - 2 weeks is necessary.  Rarely, another drain placement.  In prolonged seromas, it is prudent to do a culture to make sure there are no bacteria causing the seroma.  I have found that if there is a positive culture, the seroma disappears after starting appropriate oral antibiotics.If the culture is negative, certain medications (sclerosing agents) may be used.  If there is a capsule or scar tissue formation around the seroma, it can only  be treated with re-operation and seroma removal.Best of luck.Dr T