Stanford Doctors

Why Are Drains Used in Breast Augmentation?

Hi, I would like to know why some surgeons use drains in breast augmentation while others don´t. Can they cause an infection? Is it better to use them or not? Thank you

For augmentation using smooth implants most surgeons do not use drains. However for augmentations where a textured surface implant will be used a drain will limit fluid around the implant and promote the ingrowth of the capsule into the textured surface of the implant. If there is fluid around the capsule the incorporation of the implant into the surrounding capsule will likely not occur and the implant will behave similar to a smooth walled implant. In this case, one would not gain the benefits of the textured surface which include decreasing the capsular contracture rate and preventing rotation of the implant (important if a shaped implant is used).

David M. Kahn, MD

Palo Alto Plastic Surgeon