Abstract

Abdominoplasty is a well-known procedure for body contouring in aesthetic plastic surgery. The riseof bariatric surgeries as well as the increase in awareness of cosmetic procedures and availability ofresources have all led to a significant increase in the rate of abdominoplasties performed. Seromaformation is the most common complication occurring in these types of procedures. It accounts for atleast 5% of the early complications. Seromas usually resolve spontaneously, with repeated aspirations,or by ultrasound-guided drain insertion or aspiration. In a few cases, however, they can becomechronic, with the formation of a pseudocapsule. In our case, a 52-year-old patient, who underwentabdominoplasty and remained asymptomatic for over two years, presented with abdominal swellingand fullness. In-spite of the repeated non-surgical management, in the form of multiple bedside needleaspirations and ultrasound-guided drain insertions, the seroma did not resolve. Surgical intervention forthis patient became mandatory, and the decision to excise the pseudocapsule was done to prevent anyrecurrence.

Keywords: Abdominoplasty, Bariatric, Complications, Patient, Plastic, Pseudocapsule, Seroma