Article

Seroma

A seroma is a collection of clear, serous fluid that can accumulate under the skin after surgical procedures such as gluteoplasty, lipectomy, or liposuction. Seromas are common post-operative complications and may present as swelling, tenderness, or a fluid-filled lump at the surgical site.

Causes

Disruption of lymphatic vessels or blood vessels during surgery
Incomplete closure of tissue planes
Excessive movement or trauma to the surgical area during recovery

Symptoms

Swelling or bulge at the surgical site
Fluctuant, soft mass under the skin
Discomfort or tenderness
Occasionally, redness or warmth if infection develops

Management

Small seromas may resolve spontaneously as the body reabsorbs the fluid
Larger or persistent seromas may require aspiration (drainage with a needle) or placement of a surgical drain
Compression garments can help reduce the risk of seroma formation
In rare cases, surgical intervention may be needed to remove the seroma capsule

Risks

Infection (if bacteria enter the seroma)
Delayed wound healing
Discomfort or pain
Rarely, chronic seroma formation requiring repeated intervention

Prevention

Careful surgical technique to minimize tissue trauma
Use of drains when appropriate
Patient adherence to post-operative instructions, including limited movement and use of compression garments

Writing Tips

Describe the emotional impact of unexpected swelling or the anxiety of post-surgical complications
Use sensory detail: "She pressed her hand to the swollen curve, feeling the soft give of fluid beneath her skin."
Show the process of recovery, including medical interventions and the relief or frustration that follows