Do I have too much tummy tuck drainage?

    I always recommend that patients wear the compression garments as instructed and keep the drains functional by stripping them every 2 hours or so.  240 cc from the drains in one day is not particularly concerning at one week unless the drains are particularly bloody.

After a tummy tuck drains are placed to help remove the fluid the body produces during the recovery process.  This helps prevent fluid collections down the road that can cause infections.  Many surgeons will place two drains. When one of the drains falls out or is removed, the output on the other one may go up. Since your first one is out, the remaining drain is doing the work of two drains.  That is part of the reason the output is so high.  It definitely can take a while for this output to come down.  The key things are not to remove it before the output comes down and to keep accurate records of how much the output is every day.  You should soon start to see that the output is decreasing as you are healing.  If it is not coming down, your surgeon will want to see you because there are some tricks that can speed up the process.  Good luck.

Thanks for your question.  In my experience that is quite a bit of drainage this far out of surgery, are you seeing your surgeon regularly? If not, get in immediately. Please protect that drain so that it does not accidently get pulled out. 

The amount of drainage may be higher as you had liposuction of your flanks done at the same time and the fluid this produces may be draining out the TT drains.  If one drain has decreased to a low amount, the other drain may be doing the work of 2 and so may be higher.  As long as you are not noticing any areas which are getting progressively more swollen, the drain(s) seem to be doing their job.  Follow your doctors orders, keep your abdominal binder on and be patient and the drainage likely will gradually decrease.

The drain output quantity that you describe is certainly above average.  However, assuming the "quality” of the drain output remains serous (like serum),  then there is probably not much to do at this point,  except to protect the current drain that remains in place.  Do not allow it to be dislodged.

 Hopefully, you will notice that the drain output will decrease every few days allowing for its eventual removal,  without further concerns. In my practice, there are rare cases where I have had to leave drains in for 3 to 4 weeks postoperatively.

 Of course, your plastic surgeon will be in the best position to advise you more precisely.

 Best wishes.