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Dr. Linder's Blog

Traumatic Seroma

Posted On: April 03, 2012 Author: Dr. Stuart Linder Posted In: Breast Revision, Home

STATUS POST AUGMENTATION MAMMOPLASTY

The patient presents with a massive seroma, right breast, and painful Baker IV capsular contracture associated with increasing pain over the last two weeks.  The right breast shows massive scar tissue with fluid collection and superior retroposition of the implant.  The patient has pain in the right breast and notes that she had trauma to her breast approximately two weeks ago.

The patient was brought to the operating room, placed in the supine position.  She was prepped out with Betadine solution, given a gram of Ancef intravenously.  Notice the before picture, the right breast is enormous, showing superior swelling and lateral fluid collection.  The postoperative photo shows the implant removed and an open capsulectomy with 600 cc seroma evacuated.  Scar tissue is also released and she now has complete decompression.  Notice the canister showing the 600 cc of clear straw-colored fluid which is serous fluid, usually associated with a tear in the capsule with no evidence of infection.