I have saline subpect implants I want out for several reasons. I want a simple extraction. What are the odds that I will have fluid accumulate and do I need a drain placed if the capsules are left in place?
How Important is It to Place a Drain After Implant Extraction?
Doctor Answers (13)
Breast implant removal without drains
We do not use drains when breast implants are removed, or removed and replaced. Occasionally there will be a small fluid collection called a seroma, though a snug bra and time will solve the situation without a drain.
Best of luck,
Drains after explantation?
With implant removal, I do recommend the placement of drains in all my patients though they can be of a very small size and can possibly be removed within a few days. Without them, a certain percentage of patients will accumulate fluid which then has to be aspirated out with needles - not necessarily a pleasant option. In rare situations and with persistent fluid accumulation, a drain may even then need to be placed.
There are differing approaches and there may not be a right or wrong answer as it is plastic surgeon preference but the above is what I find works for me (and is the rationale of why I do it).
Placement of drain with breast implant removal (explantation)
The odds of having fluid accumulate are 100%. The odds of it being a problem are more difficult to quantify. Oftentimes the fluid accumulates and slowly absorbs allowing for a gradual and concentric reduction and contraction of the breast which is a good thing, Alternatively if it gets infected or forms a chronic pseudocyst, it could be a bad thing. In general I do not use a drain unless treating a chronically draining seroma or infected wound cavity.
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Drain after implant removal
If just the implants are removed and nothing is done wit the capsule, it is OK not to place a drain (but depends on surgeon preference). However, there is a risk of fluid collecting in the empty space. If this happens, it can be removed with a needle, or a small drain can be placed later. In my experience, it is usually not a major problem.
Drains after Breast Implant Removal?
For most patients I do not think trains are necessary after straightforward breast implant removal; however, I understand why some surgeons would prefer to use them.
Drain placement after implant removal
Drain placement is frequently done after implant removal to prevent fluid accumulation. Therefore, if you don't get drains your risk of fluid build-up is pretty high.
Using drains when removing breast implants
Drains can help eliminate any accumulation of fluid in the breast pocket. If your surgeon plans on leaving the capsule in tact, you will likely not need drains. If the capsules are removed you may need drains for a few days to help close the "dead space" that may be left behind once the implant is removed.
Your surgeon may also choose to place some internal sutures to help close off the space.
Drain after implant removal
Drains are not necessary if the capsule is left intact. Your board certified plastic surgeon should choose to remove the capsule if is causing problems (which you say you have). If that is the case then he will need drains. Best wishes,
Drains for implant extraction
Using a drain makes sure that fluid does not accumulate which you are healing. Although it is annoying for a few days, it makes sure the fluid gets out. If the fluid does accumulate, you will need to have it removed in the office with a needle, which is not a big deal but it is uncomfortable for you.