%20jpg_edited.jpg)
Undergoing surgery can be a life-changing event, whether for medical necessity or cosmetic
purposes. While most patients focus on recovery and healing, it’s equally crucial to be aware
of potential post-surgery complications, one of the most common being seromas. A seroma
is a collection of fluid, primarily made up of lymphatic fluid and plasma, that builds up under
the skin near the surgical site, typically forming after tissue removal procedures such as
mastectomies, liposuction or tummy tucks.
Though seromas are usually harmless, they can cause discomfort, prolong recovery, and in
some cases, lead to more serious issues if not properly managed. Being informed about
seromas - what they are, why they occur, and how they can be treated, empowers patients
to recognise early warning signs, seek medical advice and attention, and improve their
overall recovery outcomes. In this blog, we’ll explore everything you need to know about
seromas and how to navigate this common post-surgical challenge.
What Are Seromas and How Do They Form?
Seromas develop when lymphatic vessels are damaged during surgery or after significant
tissue trauma. The lymphatic system, responsible for draining fluid from tissues, can be
damaged when large areas of tissue are manipulated or removed. As a result, serous fluid
leaks from the surrounding capillaries into the space left behind. The body typically
reabsorbs this fluid over time, but in some cases, the accumulation may persist, forming a
seroma.
Factors that increase the likelihood of seroma formation include:
● Large surgical areas
● Excessive tissue disruption or removal
● Poor wound closure techniques
● Excessive postoperative movement
● Incorrect or no compression garments
A 2018 study published in Plastic and Reconstructive Surgery found that seromas occurred
in approximately 10-15% of patients undergoing major cosmetic procedures. Additionally,
larger body areas and procedures involving liposuction had higher incidences of seromas.
Common Cosmetic Surgeries Linked to Seroma Formation
Seromas are a known complication of various surgeries, especially those involving large
areas of tissue disruption. They are most commonly associated with the following cosmetic
procedures:
1. Abdominoplasty (Tummy Tuck) – Seroma rates can be as high as 20-30%
following this procedure due to the extensive separation of skin and fat from the
underlying muscle, seromas frequently form in the abdominal region after this
procedure.
2. Liposuction – Particularly when large volumes of fat are removed, the disruption to
lymphatic channels can result in fluid buildup. With an incidence rate ranging from
15-30%, liposuction is one of the most common surgeries linked to seromas.
3. Breast Surgery – Procedures such as breast augmentation, breast reduction, and
mastectomy can lead to seroma formation in the chest area.
4. Facelifts – while less common, small seromas can still occur following these
surgeries due to significant tissue manipulation, especially within the neck.
How Are Seromas Treated?
Seromas development is higher within 7 to 10 days post-surgery but can occur within the
first few days to weeks following surgery. Small seromas often resolve on their own as the
body gradually reabsorbs the fluid. However, larger seromas may require intervention to
prevent complications such as infection or delayed healing.
1. Lymphatic Drainage Massage
Lymphatic massage plays a crucial role in the treatment of seromas by promoting the body's
natural lymphatic drainage system. Lymphatic massage helps stimulate the movement of
lymph fluid, encouraging its absorption and preventing further fluid buildup. By applying
gentle, targeted pressure, the massage improves circulation and reduces swelling, aiding in
the reabsorption of excess fluid into the bloodstream. This technique is particularly beneficial in the post-surgical period, helping to prevent the recurrence of seromas, reduce discomfort, and support the body’s overall healing process.
2. Compression Garments
Compression after surgery plays a crucial role in the recovery process, particularly in
reducing the risk of seromas. Wearing compression garments helps to manage this by
applying controlled pressure to the specific area, which promotes better fluid drainage and
circulation and minimises the chances of fluid accumulating in pockets. We highly
recommend all our patients to Amy over at TheFitting Service (Maidstone based - please
find her website link at the bottom of this blog).
3. Aspiration
In cases where the seroma is large or causes significant discomfort, a healthcare provider
within a medical setting may perform aspiration. This procedure involves using a needle and
syringe to withdraw the fluid. Depending on the size of the seroma, multiple aspirations may
be necessary.
4. Surgical Drains
Some surgeons may place temporary drains during the initial procedure to prevent fluid
buildup in high-risk surgeries. These are usually removed after a few days post surgery
when fluid output decreases.
Natural Resolution of Seromas
When no medical intervention is needed, small seromas can resorb over weeks, months or
sometimes up to a year. The body’s immune system gradually breaks down the fluid, and the
lymphatic system clears it. This process can be aided by rest, hydration, and wearing
supportive garments and manual lymphatic drainage massages as recommended by your
healthcare provider.
When to Seek Medical Advice
It is crucial to monitor a seroma for signs of complications. Seek medical attention if:
● The seroma becomes painful, red, or warm to the touch (these may be signs of
infection).
● You experience fever or nausea or generally feel unwell in yourself
● The fluid buildup increases significantly or causes excessive pressure or discomfort.
● The seroma persists beyond several weeks without improvement.
While seromas are a common issue post-surgery, most cases resolve with proper care and
attention. It’s important for patients to be aware of the signs and communicate with their
healthcare provider if they suspect a seroma. By understanding the causes, risks, and
treatment options, individuals can better navigate the recovery process and minimise any
potential complications. Always consult your surgeon if you have concerns about fluid
buildup after surgery, as early intervention can prevent more serious issues from arising.
At our clinic, we prioritise your comfort and peace of mind, offering a safe, non-judgmental
environment where you can feel truly supported every step of the way during your
post-surgery recovery. Our compassionate team wholeheartedly understands the challenges
that come with healing, and we’re here to provide expert care and guidance tailored to your
needs. Whether you're recovering from cosmetic surgery or managing complications, you
can trust us for ongoing support, personalised treatment, and a listening ear. Your recovery
journey matters, and we’re committed to ensuring you feel confident, cared for, and never
alone.
The Fitting Service
Comments