How can I distinguish between a seroma and normal swelling? I underwent a tummy tuck 17 days ago, and I have significant puffiness under my incision.
I recommend visiting your doctor to determine if you have a seroma. You can perform a simple test by tapping on one side and observing if there are fluid waves, similar to waves in the ocean. If you see a wave when tapping the right side, it may indicate a seroma. However, small seromas are often insignificant and difficult to detect, so it may not matter. Wearing a tummy binder on the lower abdomen can help correct either problem. Seromas typically resolve on their own in 99.9% of cases. In some instances, draining a seroma can speed up the resolution. Rest assured, you will be fine. Best regards.
A thorough physical examination is the most efficient way to differentiate between edema (swelling) and a seroma (fluid collection). Checking in with your surgeon will allow them to make a determination fairly quickly. Swelling is normal and expected 17 days after a tummy tuck, and it will gradually improve with time, although it may take several more weeks. Often, small to medium-sized seromas can resolve on their own with time and the use of compression garments. In some cases, draining a seroma may be beneficial, but this decision should be made in consultation with your surgeon.
Seromas are less common with the use of no-drain suturing techniques in tummy tucks. If you suspect a seroma, it is best to consult with your doctor for an evaluation.
An ultrasound examination can be helpful to determine if drainage of fluid is necessary in certain cases.
As you are still in the early stages of recovery, experiencing some swelling is normal. If the area moves in waves rather than being stationary, it may indicate a seroma. To ensure your safety, it is best to contact your plastic surgeon and discuss the possibility of a seroma. If confirmed, a simple office procedure can typically resolve it. Best of luck with your recovery.
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