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After a Tummy Tuck, I Have a Drain in and Output is 50cc After 20 Days, What Can I Do?

I had a full tummy tuck with a little lipo 20 days ago. I had two drain tubes, after 8 days, one tube was down to 15 a day and that tube was removed. However, I still have the one tube remaining and for the last two weeks every day it is right at 50 cc a day. I am getting concerned about the drain tube being in so long. Is there anything I can do to help fluid decrease?

Doctor Answers (9)

High drain output after tummy tuck

+2

Although most drains come out after 1-2 weeks, it is not unusual to have the drain for 3 weeks.  If your drain output is not decreasing, you want to make sure that 1) you are not too active and 2) wear compression garment.  If the trend of drain output does not decrease (with decreased activity and wearing compression garment), your plastic surgeon may inject sclerosing agent through the drains to speed up the process.


Houston Plastic Surgeon
4.5 out of 5 stars 39 reviews

Long draining after a tummy tuck

+2

Some patients drain longer than others, especially those with massive weight loss.  Until the drain decreases, the skin and fat have not re-adhered to the muscle and you will get a seroma if you take the drain out too early.  Avoid excessive shearing activity as this increases drainage and stick close with your doctor on this and follow their advice.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
5.0 out of 5 stars 49 reviews

Drains and Tummy Tucks

+1
Thank you for your post. Whenever there is a potential space in your body, your body tends to fill that space with serous fluid (the yellow type of fluid that also comes out of a 'weeping wound'. This is similar to when you get a blister: the layers of skin separate and fluid is deposited in to the space. In a tummy tuck, the space is in between the skin/fat layer and the muscle layer. Most surgeons will place a drain to remove this fluid while your body is secreting it until the fat layer grows back together with the muscle layer. At that point, no more fluid is secreted into the area, because there is no more space for fluid. The length of time that this takes varies from patient to patient. Some patients heal much faster, thus the layers seal together much faster. Also, the more twisting motion you have in your belly area, the slower the two layers grow back together because they are moving in relation to each other. The fluid coming through the drain can be initially dark red, and eventually clears to pink then yellow. This is because it takes just a little bit of blood to make the fluid dark red. Also, initially, there can be a large amount of fluid (few hundred cc's in the first day is not out of the range of normal) and this should slow down substantially over next few days. Once the fluid slows down to the amount that your surgeon is comfortable with (usually 25-50 cc in 24 hours) then they will be pulled. There is minimal discomfort in pulling the drain in most patients.
More recently, 'drain free' surgery has become more popular. Fat layer is sutured down to the muscle layer starting at the ribs and progressively down to the lower incision. This makes the space for the fluid to collect much smaller, and in many patients can have surgery without drains. However, I have seen multiple patients come from other surgeons because they developed a seroma despite the suturing of the tissue. This is not the surgeon's fault, but some patients just do not heal fast enough or put out too much fluid for the body to absorb.
Best wishes,
Pablo Prichard, MD

Pablo Prichard, MD
Phoenix Plastic Surgeon
5.0 out of 5 stars 28 reviews

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Persistent JP Drainage

+1
Occasionally, one finds that there is persistent drainage from the Jackson-Pratt which may need to stay in as long as a month. I have found that placing a patient at bedrest combined with wearing the binder tightly maybe all that is necessary to allow the abdominal wall to adhere to the underlying fashion. You may ask your physician to place a low dose steroid such as Kenalog diluted in 20 mL of saline through the tube and allow this to stay in place for a few hours before you place the drain once again on suction. I have on several occasions found that this diminishes or stops the drainage altogether within 48 hours.  

Paul Rosenberg, MD
Fort Lee Plastic Surgeon
3.5 out of 5 stars 3 reviews

Drains after Tummy Tuck

+1

In the majority of cases in my practice, I would never leave a drain in a Tummy Tuck for more than a few days.  I have never left a drain in for 20 days.  Hopefully, you are keeping your post op appointments.  Every patient heals different, but this is unusual.  Be sure you are wearing your compression garment day and night.

Robert E. Zaworski, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 25 reviews

Continued drain output after Tummy Tuck.

+1

Every Patient is different in how long they may expect to have drain output after their Tummy Tuck, it just depends on how quickly your body heals.  The surgical drains may be removed in as little as 3-5 days for the first drain and as long as 15 days or more for the second drain.  You should limit any excessive activities, because over doing it will lead to increased drain output.  Wear your binder as much as possible to help reduce fluid and swelling.  If the drain is taken out to soon you might have fluid accumulate (seroma) and have to have fluid aspirated from the abdomen.  As long as there are no signs of infection you should not be concerned about having the drain tube in too long.  Your surgeon will remove the drain when your drain output diminishes, be sure to follow up with your surgeon.

 

 

 

Heather Rocheford, MD
Minneapolis Plastic Surgeon
5.0 out of 5 stars 12 reviews

Drain output

+1

SOmetiems drainage form the tube can last a few weeks especially after a tummy tuck and liposuction.  If taken out too early it could lead to a seroma requiring repeated aspiration.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 17 reviews

Prolonged drainage after tummy tuck

+1

After a tummy tuck in most patients, the drains are removed during the course of the first two weeks.  To have persistent drainage for a longer period of time does happen in some patients, particularly in those who have had extensive liposuction or excision of an large apron of skin.  Premature removal of the drain will result in fluid accumilation in the lower abdomen (seroma formation).  Your surgeon will remove your drain when the output diminishes.  Try to be patient.  Good luck.    

Joseph N. Togba, MD
Oakland Plastic Surgeon
4.5 out of 5 stars 11 reviews

Drain Output after Tummy Tuck?

+1

Thank you for the question.

Given the output that  your drain is still having,  I would suggest that you leave the drain in place.  Occasionally, it is necessary to leave drains in  a longer period of time;  it is  rare that doing so causes any problems.

Continue to follow-up with your plastic surgeon.

Best wishes.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 757 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.