Our Summary

Abdominoplasty, commonly known as a “tummy tuck,” often results in a complication called seroma, where fluid accumulates under the skin. Many strategies have been suggested to reduce the occurrence of this issue, but their efficacy has been uncertain. This research paper is a systematic review and meta-analysis, which means it combines the results of several studies on the topic in order to get a more comprehensive understanding.

The researchers searched through multiple databases for studies that were specifically designed to look at ways to prevent seroma, and that reported on the rate at which seroma occurred. They found nine studies that fit their criteria, involving a total of 664 patients who had undergone abdominoplasty.

The results showed that the rate of seroma was significantly lower (7.5% vs. 19.5%) in patients who received preventative measures compared to those who did not (the control group). The likelihood of seroma occurring was 74% lower in the prevention group. Other benefits for the prevention group included a lower infection rate, quicker removal of surgical drains, and shorter hospital stays.

The researchers found that preserving a layer of tissue called Scarpa’s fascia, using tissue adhesives, and potentially using a technique called progressive tension sutures, all independently reduced the formation of seroma.

In simple terms, this comprehensive review of several studies strongly suggests that certain preventative steps can reduce the chance of fluid buildup (seroma) after a tummy tuck surgery.

FAQs

  1. What is a common complication after an abdominoplasty procedure?
  2. What preventative measures can reduce the risk of seroma after a tummy tuck surgery?
  3. What were the additional benefits, apart from lower seroma occurrence, observed in the prevention group in the research studies?

Doctor’s Tip

Therefore, it is important for patients considering abdominoplasty to discuss these preventative measures with their surgeon to potentially reduce the risk of complications and improve their overall surgical outcome.

Suitable For

Typically, patients who are recommended for abdominoplasty are those who have excess skin and fat in the abdominal area that cannot be improved through diet and exercise alone. These patients may have experienced significant weight loss, pregnancy, or aging, which has resulted in loose, sagging skin and weakened abdominal muscles. Abdominoplasty is often recommended for patients who are in good overall health and have realistic expectations for the outcomes of the surgery.

Timeline

Before abdominoplasty, a patient typically undergoes a consultation with a plastic surgeon to discuss their goals and expectations. They may also need to undergo pre-operative tests, such as blood work and a physical examination. On the day of the surgery, the patient will be put under anesthesia, and the surgeon will remove excess fat and skin from the abdominal area, and tighten the underlying muscles if needed.

After the surgery, the patient will likely experience some pain, swelling, and bruising, which can be managed with pain medication prescribed by the surgeon. The patient will need to wear a compression garment to support the healing tissues and reduce swelling. They will also need to follow post-operative care instructions, such as avoiding strenuous activities and keeping the incision site clean and dry.

In the weeks and months following the surgery, the patient will have follow-up appointments with the surgeon to monitor their healing progress. It may take several months for the swelling to fully subside and for the final results of the surgery to be visible. Overall, abdominoplasty can provide a flatter, more toned abdomen, and improve the patient’s confidence and self-esteem.

What to Ask Your Doctor

Some questions a patient should ask their doctor about abdominoplasty and preventing seroma include:

  1. What specific preventative measures will be taken during my abdominoplasty surgery to reduce the risk of seroma formation?
  2. How often do seromas occur in your patients, and what is your personal experience with preventing and managing them?
  3. Are there any additional steps or techniques that can be used during the surgery to further decrease the likelihood of seroma formation?
  4. What is your protocol for monitoring and managing seromas post-operatively, if they do occur?
  5. Can you provide information on the potential risks and complications associated with seroma formation after abdominoplasty?
  6. Are there any lifestyle changes or post-operative care instructions that can help reduce the risk of seroma formation during the recovery process?
  7. Have you had any patients who developed seromas after surgery, and how were they successfully treated?
  8. What is the typical timeline for seroma development and resolution after abdominoplasty, and when should I contact you if I suspect I may have one?
  9. Are there any specific signs or symptoms I should watch for that may indicate the presence of a seroma, such as increased swelling or fluid drainage?
  10. Can you provide me with any additional resources or information about seroma prevention and management that I can reference before and after my surgery?

Reference

Authors: Seretis K, Goulis D, Demiri EC, Lykoudis EG. Journal: Aesthet Surg J. 2017 Mar 1;37(3):316-323. doi: 10.1093/asj/sjw192. PMID: 28158391