A seroma keeps developing after I had a tummy tuck two months ago. What can I do? 

The doctor has already drained it but the incision is still ugly and I still have a pocket of fluid now. Where do I go from here? Do I need another surgery or is there something I need to wear? Are there certain exercises that I could do to lessen the fluid?

Weiss

F, 55, Illinois

Tags:2 months post-op

Seromas after a tummy tuck are very frustrating. You may need the fluid collection drained again.  You may also need a new drain placed in the pocket to prevent re-accumulation.  In some cases, a sclerosing agent is injected to help the pocket scar down.  And if these options fail, you may need a revision procedure where the seroma cavity is excised and closed again over a drain.  For now, you should wear a snug garment or an ace over the area to help your body absorb the fluid.  I would follow up with your surgeon to discuss the best options for you.

Dr. Gary Breslow has 16 Tummytuck before & afters:

Tummytuck before image performed by Dr. Gary D. BreslowTummytuck after image performed by Dr. Gary D. BreslowTummytuck before image performed by Dr. Gary D. BreslowTummytuck after image performed by Dr. Gary D. BreslowTummytuck before image performed by Dr. Gary D. BreslowTummytuck after image performed by Dr. Gary D. BreslowTummytuck before image performed by Dr. Gary D. BreslowTummytuck after image performed by Dr. Gary D. Breslow

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After 2 months, the space where the seroma is accumulating has a mature lining.  You can try to have the space drained with a needle a few times making sure to keep the area compressed after it is drained.  You could get lucky and have it resolve that way.  But if not, then you would need a small surgery to remove the lining of the seroma space.  Sorry.  Talk to your PS about the options.  Best of luck!

Dr. Jonathan Heistein has 11 Tummy Tuck before & afters:

Tummy Tuck before image performed by Dr. Jonathan HeisteinTummy Tuck after image performed by Dr. Jonathan HeisteinTummy Tuck before image performed by Dr. Jonathan HeisteinTummy Tuck after image performed by Dr. Jonathan HeisteinTummy Tuck before image performed by Dr. Jonathan HeisteinTummy Tuck after image performed by Dr. Jonathan HeisteinTummy Tuck before image performed by Dr. Jonathan HeisteinTummy Tuck after image performed by Dr. Jonathan Heistein

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