Normal fluid build up or seroma?

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1

Hi,

I had a mastectomy (RHS) and therapeutic mammoplasty (LHS) on Weds. There is a bit of a fluid build up on both, and the RHS does slosh a little. However, it doesn’t feel uncomfortable or heated and is probably at the moment raised about an inch RHS. I’ve got on the compression bra and softie to keep pressure. My surgeon didn’t use drains which I am grateful for as I’ve been able to get out for a couple of walks easily and potter around the house.

The exercise sheet says stop if you have a seroma but I don’t really know at what point you’d consider a bit of fluid build up has become this? At the moment I’m not even needing paracetamol and exercises feel absolutely fine so I think it’s okay but I would like to check really.

2

I don’t know what it is but the fact it doesn’t hurt or feel swollen would make me think you are ok. When I had a seroma I had an infection and it throbbed and hurt a lot. I had to go back into hospital over Christmas in 2003 (I think it was)

I think it’s normal fluid build up - just rest and let someone else feed you over Christmas!

Seagulls

3

Hi jumpymum,

Thank you for posting.

As @Seagulls says after breast cancer surgery some fluid build-up soon after the operation is common and will usually settle over time. It’s a normal part of the healing process and should lessen 6 to 8 weeks after your surgery. It’s good to hear you are wearing a compression bra and a softie and have been able to go for a couple of walks.

Seroma formation is common after surgery and is usually absorbed by the body over time, part of our body’s natural healing process. If you can feel (and hear) any fluid moving, you may find it helpful to speak to your breast care nurses for advice about whether to continue your arm exercises at present. If the swelling increases you may also want to contact your breast care nurse for advice.

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Best wishes,

Grete

Breast Care Nurse

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