Again, thanks for your question. I am sorry that you've had so much trouble from this implant. As you most probably know, the buttock area, because of sitting and laying, has frequent pressure which causes irritation especially from scarring from the surgeries and the implant. This causes slow healing and periodic fluid collections. The silicone implants were foreign to your body and because of this and frequent pressures, the healing process will take quite a while and with any other implant, the result could be problematic again after awhile. The new plastic surgeon could place a drain under your skin in the area of drainage that will keep fluid from accumulating but he or she probably feels that the area will stop draining soon and the extraction of the fluid and the pressure will work with your case. He or she is in a better position to make such a judgment. Make sure that your plastic surgeon is board certified and experienced in procedures to reconstruct or enhance the buttock. Only after complete healing should you attempt another surgery to enhance or enlarge the buttocks. An implant again may be risky for you, and injections of a "filler" may be very expensive. This is an area where plastic surgery hasn't yet perfected enlargement, so be sure you are aware of the possibilities and the risks.

The problem that you have with continued fluid formation is not unusual. If he had left the drain in longer, you still would be producing fluid. You may produce fluid for 1-2 more months before it subsides. Unfortunately that is the body's response to having an implant removed after it has been in place for 10-11 years. Putting pressure on it or not will usually not alter the fluid production. The implant causes a scar reaction around it when it is in the body. When the implant is removed, the scar area will form fluid in response to the removal. Usually this slows with time and just takes time for it to stop. No plastic surgeon can tell you how long that process can take. And, it is wise to have that fluid aspirated periodically because the fluid can become infected if left in place for long periods of time. I know this is bothersome to you, but this is what happens when an implant is removed in the buttocks area. And, no further surgery until there has been no fluid formation for 4-6 months.

Ten cc'sof fluid being aspirated is not very much. It sounds like you ARE healing this area. You should do your normal daily routine but refrain from heavy exercise or running because that may increase your fluid production again. Pressure on it or not does not seem to be making a difference. Just be careful not to overdo any activity and you should heal.

My opinion is that you and your Dr. are doing everything necessary and no further treatments need be done now. The small amount of drainage unless it increases is not too significant and should slow down . If it is not drained, this small amount may be reabsorbed by your body. Repeated needle drainage probably won't be necessary now unless your Dr. believes that too much fluid is accumulating. You should avoid any injurious activity such as running, but otherwise, normal activities won't increase the fluid. I believe patience from you and your physician will result eventually in a well healed area.

In re-reading your initial question, you made mention that the surgeon told you there was necrosis present. This alone would explain the fluid production because your body produces fluid in response to this, in addition to the fluid produced by implant removal. Do not become discouraged at the time since implant removal. This is NOT abnormal considering what was present.

You are definitely not eating or drinking enough to heal. Eating and drinking enough is essential to your healing. You should consult with the doctor that performed your gastric surgery.