SEROMA months after Mastectomy & Reconstruction

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Hi,

I'm hoping someone else may have experienced the same as me and may be able to advise!

I had a mastectomy and immediate reconstruction with a silicone breast implant last September. On my right breast. Recovery was not too bad but there was a huge build up of fluid /a seroma in the weeks following treatment. My Consultant drained the fluid in November - almost half a litre! He advised me that fluid build up is very common with the procedure I had and that I would probably need to have this done again. Before the end of 2023 I had more fluid drained (not quite as much) and was advised that this could last for up to a year. I am an active person and probably didn't give myself much time to recover immediately after surgery but I'm quite frustrated at the discomfort this bulging boob is causing. I need to go back to see the Consultant as the exercises I've been doing have not helped and the seroma is back. Has anyone experienced this? How long did your seroma last? Is there anything you did or would advise to do that could help? 

Thanks :-)

  • Hi! I noticed your post hasn’t had any replies yet, so my answer will bump it back to the top of the pages and hopefully someone with the right experience will be along soon.   I also wonder if the experts here at Macmillan might be able to give you some advice on your question. You can call them on 0800 808 0000. Best wishes 

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  • Hi…. I’ve just found your post as similar has happened to me (it’s a few weeks passed my surgery same as yours & I’ve had swelling)… however surgeon wants to monitor for another week due to not wanting to cause damage to implant with needle..he’s hoping it may

    sorry I’m not much use answering your question as I’m much earlier in the process but I was wondering whether you had a silicon implant & how it was drained? How are you doing now?

    thanks & apologies I was no help to you!!

    x

  • I had a stubborn seroma and I went weekly to get it drained but it lasted quite a few weeks. Maybe get it drained more often will help it go. Good luck. 

  • Hi

    I'm just wondering how you got on with the seroma problem, did it resolve itself or did you need a further surgery? I've the same issue now with my surgeon giving me the only option to remove my implant and to go flat which I find that thought absolutely devastating 

  • Hi. My saroma dried up in the end. Took a few weeks. However I had a mastectomy and not an implant. Give it chance to go it’s just your body creating fluid after the surgery. 
    best of look

  • Thank you. I had a masectomy with direct implant reconstruction. My seroma keeps bursting then leaking through a hole in surgical incision. My surgeon told me my only option is to remove the implant and to go flat that oncd flat there wont be any more seroma problems, which reading on here isnt the case at all. There's not much info on here regarding options ie washout, inserting drain near surgical site. I feel surgeon and nurses are as fed up as me now having to deal with me as they've new cancer patients to see. I'm glad you're sorted and it's all resolved 

  • I’m flat. I didn’t have reconstruction as it would mean waiting and a separate op. I’ve got use to it now. Feel normal with prothesis in. However I have an appointment for reconstruction in April. I’m not sure I will have it done although the tummy tuck sounds great Blush

    my friend had issues with an implant and my sister too. I think that’s what put me off at the time. I’m sure your seroma will dry up. Your body is reacting to a foreign object. Don’t think it’s getting on their nerves treating you they want the best for you so don’t feel guilty. 

  • A seroma can happen even if you go flat without direct to implant reconstruction. I have since found out that if a surgeon does not deal with the issue of the seroma no amount of surgeries will prevent delayed wound healing. In view of the fact the surgeon hasn't even discussed seroma management I'm going to request a second opinion. If I'd have been diagnosed with cancer I wouldn't care they could chop my head, arms and legs off for me to survive, but I haven't had breast cancer