Seroma is one of the most common problems which may occur after abdominoplasty. In my practice, approximately 10% of patients develop seroma.
Seroma is a collection of fluid under the skin. It can develop early (while the drains are in) or late (after the drains have been removed). If the seroma is small (one ounce or less), it usually absorbs with time. If the seroma is large, however, it must be removed. This is done by aspirating the seroma through the abdominal skin with a syringe and needle. Multiple aspirations, once a week, may be required for several weeks. In majority of patients, this treatment will alleviate the problem. Rarely, other steps (even surgery) may be required to treat the seroma.
The main reason seromas occur is due to the abdominal skin rubbing against the underlying surface. It is this rubbing motion which promotes seroma formation. It is for this reason I emphasize to my patients to avoid excessive movement of the abdominal area while the drains are in and for one week after the drains have been removed. In my experience, majority of patients who develop seroma started their activities too fast and did too much.
Michael A. Jazayeri, M.D. is a board certified plastic surgeon with over 10 years of experience. His office is located in central Orange County. If you like to schedule a complimentary consultation, please call 714-834-0101.