13 days post op drainless tummy tuck and for the last few days I am draining through my incision. (Photo)

There's a movement to get away from placing drains after a tummy tuck which is very appealing to patients and surgeons. The surgeon has to do more than just skip placing the drain. He/she needs to place quilting sutures underneath to minimize the open space between the muscle fascia and the overlying fat and skin. You have a seroma, which looks clear (non-infected), but need to see your surgeon to aspirate it. It looks like it's found its way out through your incision. You also seem to have a little cellulitis (skin infection) in the mid supra pubic skin and I can't tell if your belly button has a scab in it or it is necrotic, non-viable. In any case, try to see your surgeon, sooner than later. Good luck.

You should contact your surgeon and ask them to take a look at your wound. If there was excessive fluid collection it is better that the fluid drains out than that it stays in. The wound will heal once the excessive drainage has slowed down. Your surgeon may put you on an antibiotic for a while to prevent infection. I expect that this will resolve without too much trouble. Good luck

Although uncommon some surgeons still get a small percentage of their drainless tummy tuck developing fluid collections. The picture shown indicates an effusion of fluid, and the redness around the lower incision indicates a likely skin infection, which might be associated with fat necrosis.  A situation like this would likely be treated with placement of a seroma catheter which is a percutaneous insertion of a thin catheter, that is sutured to the skin and attached to a collection bulb. With continuous suction and some antibiotics one would expect this situation to resolve.In my practice, the occurrence of clinically significant seromas requiring aspiration has been two in the past five years.  The technique is good, but I like to make sure all the space is thoroughly closed, so unlike Drs. Pollock I use enough suturing to almost completely close the space. A meta-analysis in the Aesthetic Surgery Journal, 

Aesthet Surg J. 2017 Mar 1;37(3):316-323. doi: 10.1093/asj/sjw192.

Seretis K, Goulis, D, Demiri EC, Lykoudis, EG

Prevention of Seroma Formation Following Abdominoplasty: A Systematic Review and Meta-Analysis

reviewed all the literature on this topic, and found that "preventive measures" decreased the incidence of seroma four-fold. One of the studies included in the "preventive group" that used only progressive tension sutures, from 2006, showed fluid accumulation between the sutures, detected only on ultrasound. This fluid was not clinically detectable by palpation or inspection and resulted in no need for seroma aspiration or any complication. The total amount of fluid associated with clinical complications including drainage in the other groups was greater than 80 cc, and the total amount of non-clinically detectable fluid in the progressive-tension group was always 80 cc or less. The use of drains plus progressive tension sutures did not change the amount of fluid, so there is really no benefit to using drains plus progressive tension sutures.

The study was discussed by Pollock and Pollock, who noted that in their series of 565 patients using progressive tension sutures they never had a clinically significant seroma. When a seroma occurs, it may require multiple visits and aspirations, and if persistent, introduction of antibiotic sclerosing solutions, or reoperation to remove a fluid filled fibrous cavity. The drain opening may leave a scar in the incision or pubic mons which may become pigmented or depressed. Not having to use drains spares the patient and plastic surgeon from the chance of these undesirable events and/or outcomes.

My experience mirrors that of Drs. Pollack.  I have had no clinically significant seromas while using progressive tension sutures in the past five years or so.
Rather than use the 15-20 individually-placed sutures described by Drs. Pollock, I completely close the dead space with continuous PDO and monoderm Quill sutures. These sutures effectively reduce the dead space to almost nothing, so even the small amount of fluid that might collect between the sutures, cannot create any significant seroma. Using running Quill sutures allows relatively rapid dead space closure as no knot-tying is needed. The umbilical location is confirmed with a Lockwood flap marker before the lower abdominal closure is completed.