Drain Still in and Draining Mostly Blood 14 Days After Tummy Tuck, Should I be Concerned?

a little bit of blood can make drainage fluid appear quite red. drainage after 2 weeks is not the norm .but can happen without it being alarming. why dont you check your blood count and see where you stand.  i would rather have the drains in too long than too short. aspiration later on is an irritation to everybody involved.

You may have had a hematoma that is now liquefying and coming out of the drain.  This tends to look a deep red or brown color, not bright red which would indicate active bleeding.  Continue to be seen by your surgeon.

It is normal to have a
little bit of drainage after the drain has removed.  The skin wound will need a few days to fully
close and until that happens some fluid can leak.  However, there should not be a large amount
of drainage, nor bright red blood.   If
this happens, go see your surgeon immediately.

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. Blood looking drainage 14 days out should be examined by your plastic surgeon.  It is quite likely that it is just blood tinged rather than actual blood. Best wishes,Pablo Prichard, MD

Drain tubes can be left in for several weeks and I have seen this. Though 75cc/24 hrs is high, it is not necessarily representative of a problem. Is the blood a light or dark red? Are there clots? Is it decreasing somewhat? Is the color lightening up to some extent over time?

Answers to these questions are important. They can also help determine if you have active bleeding or even an "old" hematoma that is dissolving.

Keep in close follow up with your plastic surgeon.