Post-Surgery Care for Axillary Accessory Breast Removal - Surgery

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Post-axillary accessory breast tissue excision?


Hello, I had surgery to remove axillary accessory breast tissue on Friday the 18th, and only cosmetic tape was applied.
During my follow-up today, there was some swelling, but the doctor said it was seroma and should be fine.
I need to return for a follow-up on January 6th.
I would like to know if the seroma will resolve on its own? Will the seroma increase in volume? Does elevating my arm help reduce the seroma?

Xiao Lai, 20~29 year old female. Ask Date: 2020/12/24

Dr. Li Zhonghuai reply Surgery


Hello! It is common to accumulate some tissue fluid after surgery.
You can return for an early follow-up visit to have it drained with a fine needle, and then apply compression with a bandage.
Wishing you a smooth recovery! Changhua Hospital cares about you!

Reply Date: 2020/12/24

More Info


Post-surgery care for axillary accessory breast removal is crucial for ensuring a smooth recovery and minimizing complications. It’s common to experience some swelling or fluid accumulation, often referred to as seroma, in the days following surgery. Here’s a comprehensive overview of what to expect and how to manage your recovery effectively.


Understanding Fluid Accumulation
After surgery, it is normal for the body to produce fluid as part of the healing process. This fluid can accumulate in the surgical area, leading to swelling. The term "blood water" you mentioned likely refers to seroma or hematoma. A seroma is a collection of clear fluid that can develop in the space left by the surgery, while a hematoma is a collection of blood. Both conditions can occur post-operatively, and while they can be concerning, they often resolve on their own.


Will the Fluid Resolve?
In most cases, seromas will gradually decrease in size and resolve over time as the body reabsorbs the fluid. However, the timeline can vary depending on several factors, including the extent of the surgery, your body’s healing response, and how well you follow post-operative care instructions. It’s essential to monitor the swelling and report any significant changes to your healthcare provider.


Does Fluid Accumulation Increase?
Fluid accumulation can sometimes increase if there is ongoing bleeding or if the surgical site is not healing properly. However, if your doctor has assessed the swelling and indicated that it is normal, it is likely that the fluid will stabilize and begin to decrease. Keeping an eye on the swelling and any associated symptoms, such as increased pain, redness, or warmth, is important. If you notice these signs, contact your healthcare provider.


Elevation and Activity
Elevating the affected area can help reduce swelling. Keeping your arm elevated above the level of your heart can promote drainage and minimize fluid accumulation. You can use pillows to support your arm while resting or sleeping. Additionally, gentle movement and exercises, as advised by your healthcare provider, can help improve circulation and reduce stiffness without putting too much strain on the surgical site.


Post-operative Care Tips
1. Follow-Up Appointments: Attend all scheduled follow-up appointments with your surgeon. They will monitor your healing and address any concerns regarding fluid accumulation.

2. Wound Care: Keep the surgical site clean and dry. Follow your surgeon’s instructions regarding dressing changes and bathing.

3. Pain Management: Use prescribed pain medications as directed. Managing pain effectively can help you engage in light activities that promote healing.

4. Diet and Hydration: Maintain a balanced diet rich in protein, vitamins, and minerals to support healing. Staying hydrated is also crucial.

5. Avoid Strenuous Activities: Refrain from heavy lifting or strenuous exercise until your doctor gives you the green light. This will help prevent complications and allow your body to heal properly.

6. Monitor Symptoms: Keep an eye on the surgical site for any signs of infection, such as increased redness, warmth, or discharge. If you experience fever or worsening pain, contact your healthcare provider immediately.


Conclusion
In summary, while fluid accumulation after axillary accessory breast removal is common, it typically resolves with time and proper care. Elevating the arm can aid in reducing swelling, and it’s essential to follow your healthcare provider’s instructions closely. If you have any concerns about the amount of fluid or your recovery process, do not hesitate to reach out to your medical team for guidance. Your health and comfort are the top priorities during this recovery phase.

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