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8 weeks of a seroma - when is it a psuedo bursa?

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.

8 weeks of a seroma - when is it a psuedo bursa?

Postby raising3monkeys » Mon Apr 27, 2009 7:19 am

Hi Doctor,

I has been just shy of 8 weeks for my full tummy tuck with muscle repair. I've been dealing with an ongoing seroma in the lower belly. My plastic surgeon drains it every 4-6 days, with a good 120 - 180 cc's being collected each time. It's more of an inconvenience than anything else, with missing work to keep this issue under control. I've asked about having a drain re-inserted (not that this excites me, mind you!), but the doctor says that the seroma is slowly but surely slowing down. The fluid has changed from wine-colored to that of iced tea, and now to a lighter pinkish.

When do I begin to worry about this becoming a psuedo bursa? What are the qualifications for that, and how is the decision made to go back in and deal with the problem?

I know that at this point in the game, abdominal swelling is typical. I seem to have more of it than my counterparts who had the surgery done at the same time, though. Is this typical with a seroma, or are the two unrelated? Maybe I'm just a fluid machine?

Thanks in advance for your answers.


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Postby Dr.Hochstein » Tue Apr 28, 2009 8:31 pm

A drain may have been a good idea early on but at this point I would prefer continuing the aspirations. This can prolong the swelling but should mean little in the long run.

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