What are the pros and cons of a Drainless Tummy Tuck?

Plastic surgeon performing tummy tucks for more than half a century years have used drains. Recently a technique has been slowly becoming more popular using Progressive Tension Sutures (quilting stitches) to attach the superficial skin/fat to the deep muscle layer below to prevent fluid accumulation that a drain would otherwise remove. 
It is not fool proof (nothing is), takes a bit more time under anesthesia to place these stitches and a girdle is generally worn immediately but a drain-less Tummy Tuck seems to work well. Patients tend to like this as there is no drain care and they can shower earlier. There may be slightly more swelling, more of a chance for seroma in some but in the long run (after 1-2 months) no difference in the swelling of those with and those without drains. On the other hand use of drains in my experience is a quicker operative time, early on prevents seroma and minimizes bruising, easy and painless to remove postoperatively, no need to wear the elastic garment/girdle until the drains come out in my practice.
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In a traditional tummy tuck, fluid can accumulate in the "open space" that the procedure creates between the abdominal flap (the skin and fat) and the abdominal wall. Some surgeons insert drains to avoid this. In my practice, 99.9% of all my tummy tuck patients are candidates for a drainless tummy tuck. This technique uses progressive tension sutures to essentially eliminate the open space, removing the need for a drain. Patients are unable to feel the internal sutures, and they dissolve over time. In addition to eliminating the need for drains, this form of suturing removes tension from the incision resulting in a very fine-line scar when healed, as well as helps the surgeon to achieve a more natural contour to the tummy, specifically around the belly button to have a more natural appearance.My tummy tucks have been drainless for 10+ years, and in my opinion, drain-free is all upside no downside.I show my technique frequent on SnapChat when patients consent, so add us at plasticsurgcolo.I recommend seeking a consultation with a Board Certified Plastic Surgeon to learn more.

The advantage is that you dont have to deal with the drains.  Also, there will be no little scar holes where the drains come out.  The disdavantage is that in some circumstances the seroma rate will be higher.Best wishes