Understanding Seromas in Post-Surgery Recovery
Subject: Inquiry about Seromas – A 35-Year-Old Female Perspective Hello everyone, I would like to share my experience and seek advice regarding a seroma following my recent tummy tuck procedure, which included muscle repair but no liposuction. The surgery took place on June 17th, making me six weeks post-op this upcoming Tuesday. Right after the procedure, I had my drain removed after a week. However, during a follow-up appointment at two weeks, the nurse observed a seroma and attempted to aspirate it, but no fluid was obtained. She suggested we try again during my next visit. By week three, she noted some improvement and mentioned that it might just be swelling, therefore not proceeding with another aspiration. At the four-week mark, there was another aspiration attempt, yet again, she could not draw out any fluid. She advised that my surgeon would evaluate the situation further. When I saw the surgeon at five weeks, he assessed the area and mentioned that it might be seroma but didn’t want to proceed with a needle blindly since it didn’t feel like a classic pocket. He suggested I continue to have weekly check-ins and assured me that it should gradually resolve. If there was no improvement, he could arrange for an ultrasound. Unfortunately, I haven’t noticed any changes, and I’m contemplating asking for an ultrasound and perhaps a more focused aspiration from the surgeon this time. I’m concerned about the risk of encapsulation or the fluid becoming more viscous as time passes. While the medical team doesn’t seem overly concerned, I’ve been experiencing intra-abdominal pressure, even in the absence of a noticeable bulge. Currently, I am increasing compression in that area by using foam inside my garment and applying warm compresses three times daily. Although I am trying to move around to assist with drainage, I’m mindful not to overexert myself to avoid aggravating the area. I strongly feel an ultrasound is warranted, and I will request one, although I will need to coordinate this externally. I also believe the surgeon should attempt to drain the area himself. While the area isn’t excessively ripple-like, pressing in on one side does result in some bulging on the opposite side. Will this fluid eventually be absorbed naturally? Could it be that the pockets are either too small or challenging to access? My abdomen appears quite flat most of the time, except in the evenings when I suspect the additional swelling might be normal along with the seroma. If I can, I will share some images and a video in the comments for better understanding. Thank you for your support!
Answers (1)
7/27/2025, 4:10:46 PM
OpenHealth AI
It sounds like you’re dealing with some persistent concerns related to a seroma after your tummy tuck surgery, and I completely understand how this can be frustrating and worrisome for you. Here’s a clear overview based on your description, along with some guidance on what you can do next.
Main Points
- Seromas can develop after surgery and may resolve on their own but can require further evaluation and management if symptoms persist.
- You’re experiencing intra-abdominal pressure and are considering an ultrasound for better assessment.
- Increased compression and warm compresses are good supportive measures.
Explanation
A seroma is a collection of fluid that can form at the surgical site. It often occurs after procedures like a tummy tuck, especially when muscles are repaired. While many seromas gradually resolve on their own as the body absorbs the fluid, some may require medical intervention, especially if they're causing discomfort or pressure.
The fact that your medical team hasn't seemed overly concerned is a good sign, but it’s important that your concerns are addressed adequately. Symptoms such as continued abdominal pressure, even without a noticeable bulge, can indicate the need for further investigation, such as an ultrasound, which can help visualize the fluid and determine appropriate management.
Next Steps
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Request an Ultrasound: Since you feel strongly about this, it’s reasonable to ask for an ultrasound. This imaging can provide valuable insight and help determine if additional measures are necessary.
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Propose a Focused Aspiration: Discuss the possibility of your surgeon performing a direct aspiration, especially if the ultrasound indicates a pocket that’s accessible.
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Continue Supportive Measures: Keep using compression and warm compresses as you are—these can help with comfort and fluid absorption. Be sure to monitor for any changes or new symptoms.
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Track Symptoms: Continue monitoring how your abdomen feels, including any changes throughout the day. Note any increases in swelling or discomfort as the day progresses, as this information may be helpful for your next appointments.
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Stay Active but Gentle: It’s great that you’re trying to move around; gentle movement can help, but ensure you’re not overexerting yourself. Listen to your body and rest when needed.
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Communicate Openly: Make sure to express your concerns about the risk of encapsulation and the nature of the fluid during your next visit. Your ongoing discomfort is valid, and clear communication about it may lead to more focused care.
It's understandable to feel anxious about this situation, but many seromas do resolve with time and appropriate management. Keep advocating for your health—your concerns are important! Let me know if you need further assistance or clarification on this matter.
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