Seroma, A Possible Breast Augmentation Complication

There's a lot of information to absorb when you're in the research stage of your breast augmentation journey! Like, what is a seroma?

Seroma, A Possible Breast Augmentation Complication

Seroma, A Possible Breast Augmentation Complication

Swelling is a normal part of healing after any surgery. When fluid collects around your breasts (to help heal the area) it will cause your breasts to be swollen and sore.

Sometimes, if there's too much fluid, it can cause a problem called a seroma.

What is a Seroma?

A seroma is a collection of excess fluid at a surgical site.

Try not to be too concerned as swelling after a breast augmentation is completely normal. Some of us even experience what we’d call ‘spongy sternum’, when the area between your breasts is so puffed up you can kinda squish it.

Signs of a Seroma after a Breast Augmentation

Because it's hard to say what's a normal amount of swelling after surgery (every surgery, and every individual, is different) it can be useful to know what to look out for.

A seroma after breast augmentation will present as a bulging area of skin (a bit like a squashed water balloon).

Signs of a Seroma after a Breast Augmentation

What causes a Seroma after a Breast Augmentation?

The more involved your breast augmentation is (e.g. a breast lift as well as implants) the higher the chances of a seroma.

A seroma can develop shortly after surgery and if it occurs any later than this it's often caused by some other trauma, like doing too much too soon!

The advice you’re given after surgery not to go full on in to daily activities and exercise isn’t just because you’ll be feeling drained. Exercise increases your heart rate and blood pressure, which lead to increased swelling.

Exercise also causes movement in your tissues, which also leads to more fluid production. So, go easy!

Signs of a Seroma after a Breast Augmentation

Following post-op advice is the best thing you can do to help prevent a seroma.

Treating a Seroma after a Breast Augmentation

Prevention is always better than cure, so your plastic surgeon will minimize the chances of excess fluid following your breast augmentation by being as precise as possible, and by possibly using compression bandages/garments and/or drains.

A small seroma will will usually be naturally reabsorbed back in to your body. Your surgeon may ask you to attend further follow-up appointments to monitor it.

A larger seroma may require intervention by your plastic surgeon. The fluid is drained (called aspiration) using a needle. A needle so close to your breast implant can be quite a worrying thing so an ultrasound is usually used to help your surgeon guide the needle.

It's an easy procedure though and your plastic surgeon should be able to do it in their office.

Fixing a Seroma after a Breast Augmentation

If you have any concerns about swelling or even suspect seroma don't second guess it! Always consult with your surgeon.

The reason a seroma can be a problem (other than pain/discomfort) is that fluid hanging around in the surgical area is a breeding ground for bacteria. And you definitely don’t want an infection.

An untreated seroma after a breast augmentation can lead to capsular contracture (another possible breast implants complication). So, don’t be surprised if you have a seroma if you’re prescribed a further course of antibiotics.

By following your post-op instructions you can minimize your chances of surgical complications... and a trouble-free recovery is your first step to a long and happy relationship with your new breasts.

Thoughts from Dr. Michelle Roughton

Seromas are very uncommon after a breast augmentation. If they do occur, it's typically after a more involved breast surgery such as a breast reduction, or with surgery on other areas of your body. Even then, it's a simple thing to take care assuming that it doesn't get absorbed by your body on its own.