Aesthetic Plastic Surgery

, Volume 43, Issue 4, pp 1118–1119 | Cite as

“No Drain, No Gain”: Simultaneous Seroma Drainage and Tissue Expansion in Pre-pectoral Tissue Expander-Based Breast Reconstruction

  • Marco MarcascianoEmail author
  • Juste Kaciulyte
  • Fabio Marcasciano
  • Federico Lo Torto
  • Diego Ribuffo
  • Donato Casella
Letter to the Editor


Seromas represent the most frequent complication following immediate breast reconstruction surgery, in particular when acellular dermal matrix or synthetic meshes are used to add coverage to implants. Little information regarding breast seroma management is available in the literature. When seroma becomes clinically significant, current methods for its management consist of repeated needle aspiration. We report a fast, efficient, easy and riskless technique to perform serum aspiration in patients who underwent breast reconstruction with a tissue expander that allows simultaneous drainage and expansion of the implant at once. This procedure is safe, painless, does not need special supplies or additional costs and can be easily performed in ambulatory setting to manage breast seromas.

Level of Evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these evidence-based medicine ratings, please refer to the Table of Contents or the online Instructions to Authors


Seroma Pre-pectoral breast reconstruction Immediate breast reconstruction Temporary expander Hypodermic syringe needle aspiration 


Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.

Supplementary material

Supplementary material 1 (MP4 111990 kb)


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery 2018

Authors and Affiliations

  • Marco Marcasciano
    • 1
    • 2
    Email author
  • Juste Kaciulyte
    • 2
  • Fabio Marcasciano
    • 3
  • Federico Lo Torto
    • 1
    • 2
  • Diego Ribuffo
    • 2
  • Donato Casella
    • 1
    • 2
  1. 1.Unità di Oncologia Chirurgica Ricostruttiva della Mammella, “Spedali Riuniti” di LivornoBreast Unit Integrata di Livorno Cecina, Piombino Elba, Azienda USL Toscana Nord OvestLeghornItaly
  2. 2.Policlinico Umberto I, Department of Surgery “P. Valdoni”, Unit of Plastic and Reconstructive SurgerySapienza University of RomeRomeItaly
  3. 3.Plastic and Reconstructive Surgery UnitSan Camillo HospitalRomeItaly

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