Tummy tucks and drains
Whether getting a mini-tummy tuck or complete tummy tuck you will likely have drains. When I perform mini-tummy tucks I usually use one drain, and two drains in a complete tummy tuck. The drains help remove excess fluid throughout the healing process.
A natural part of the healing process includes your body producing a little fluid. Your body is also able to reabsorb some fluid, but in the beginning there is more than your body can handle. The drains help remove that fluid. In most cases, the first drain (when two are used) can be removed in about one week. The second drain is usually removed between the first and second week. The same 1-2 week period applies when only one drain is placed. If there is more fluid than average draining into the drains they may need to stay longer. The important thing is that they are removed when your body is able to handle things on its own.
I hope this info helps!
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Tummy tuck drains
Often, after a tummy tuck is performed there are drains needed. On ocassion, a mini tummy tuck will not require a drain at all but this is for a tiny thin patient who has not had babies before (usually, but there are some genetic exceptions).
With that, the drains are typically dry within a week. When they come out, the office nurse clips the suture and the drain literally falls out. They keep draining for a couple of days, just a few drops and then they dry up. The little mark over the course of a few months should become invisible. By then, you likely have started a silicone and steroid cream of some sort that will make it go away even quicker.
The drains are important
I like to place two drains on my abdominoplasty. I will take them out when they are draining less than 30 cc /24 hours and this can take about 7-10 days. Remember, you can always take a drain out, but you can't simply put it back in. Patient's can often return to work with a drain and disguise it under the clothes.
Drains stay as long as needed.
If there is almost nothing draining after 1 week, we take both out. If there is a small amount, we take the one out with the less drainage and the other comes out a few days or 1 week later. If there is still a lot draining we leave the second drain in till it has almost nothing, but that is a rare occurrence.
Changes in Abdominoplasties Eliminate the Need For Drains
This is a great example of how medicine changes to improve patient care, and why attending national meetings is of great benefit. Drains after tummy tucks used to be required. I used them in my practice for many, many years.
But modifications in how I, and many other plastic surgeons, do the procedure now eliminate the need for them. I explain more in the video.
What to Expect During Recovery From Tummy Tuck Surgery
How long your drains remain in place will depend on how much
drainage you have in the days following your abdominoplasty. This is why
patients are asked to keep a record of the amount of fluid collected in the
bulbs each day. On average, drains are removed 7 to 10 days after
Depends on the patient
We typically use three drains because it results in fewer complications in the long term. The first drain typically comes out at 7 days, the second at 9 days, and the third at 14 days. This minimizes the chance that will be a hemotma or seroma as things heal. However, this all depends on the amount of drainage you have.
Drains and Tummy Tucks
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.
Pablo Prichard, MD
Drains Typically Left in for 7-14 Days
are frequently used in the post-operative period in abdominoplasty patients to
minimize the potential for seroma formation. Drains are typically left in place for 7-14 days following
surgery. They are usually removed
when drainage drops below 25cc per 24 hour period.
management of surgical drainage varies from patient to patient. Each patient has unique surgical
anatomy and surgical procedures are modified for each individual patient for
these reasons. In addition each
surgeon has his own drain protocols.
In some patients, drainage may persist for longer periods of time,
especially if patients are physically active. When drains are removed to early, there may be an increased
complication rate. This might
result in seroma formation which requires multiple aspirations or replacement
of the drain. Although drains seem
to be a major nuisance, they serve a very important function in most
Drains After Tummy Tuck
When used (as they aren't always necessary) both drains are usually removed within 2 weeks. Occasionally, they need to be left in longer.