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Hematoma / Seromas

Dr. Hochstein answers your questions on breast augmentation, and all other breast surgeries including breast lifts, and breast reduction. Dr. Hochstein also specializes in tummy tucks.

Hematoma / Seromas

Postby raising3monkeys » Mon Apr 06, 2009 8:17 am

Hi Doc,

Thanks for answering questions so well and with such eloquence.

I have a few questions:

1. How long does it typically take for lipo'd areas to stop being sore? I had lipo done to my hips / thighs a month ago. The surface is no longer bruised, but any time I'm bumped (I have three little kids), it sends shock waves through me!

2. Do you recommend compression bras to deal with seromas in the breast? I had a breast reduction from a G/H to a DD (short-scar). I've had seromas in each them drained several times and now my doctor is leaving them for my body to absorb. Doctor never instructed me to wear anything different than the sports bras they originally recommended. Is it your opinion that a compression bra will make this process happen more quickly?

3. I also have a huge hematoma in my belly from a fully tummy tuck. It's draining into a seroma that is producing approx. 300 cc's of fluid every 2-3 days. Doesn't seem to be slowing down a bit. I know it will, and I'm fine with that. What's the typical time like for a large hematoma / seroma draining? I was assuming a few weeks, but could it be as long as months? I'm trying to manage my expectations.

4. One more question: I have one nipple that has full sensation and the other has no sensation. I am one month post-op. What's the liklihood that the one without sensation will come back "on-line"? How many months would you think would have to pass before you thought that the patient should just resign themself to the fact that they're not going to get sensation back?

Thanks again for all your help!
Kel

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Postby Dr.Hochstein » Mon Apr 06, 2009 9:21 am

Pain after any surgery varies from person to person but liposuction pain tends to be very short lived. Seromas should be treated aggressively until they dry up so I do not favor them to be absorbed spontaneously. This will happen but may leave an assymetry which would potentially require surgery to repair. So unless a secondary surgery has already been decided on I would continue to aspirate. Seromas can take a long time to resolve and it sounds like you are definitely a former. The longest one I had in an abdomen took 2.5 months to resolve but if you are really generating that much fluid I would place another drain otherwise you are looking for a very long haul. Sensation in nipples can take years to return but occassionally will not.
Regards,

Dr. Hochstein
http://www.lhochsteinmd.com
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Postby raising3monkeys » Mon Apr 06, 2009 10:15 am

Thanks very much for your prompt and concise answers, Doctor.
Kel

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