Are drains necessary or an option with having a tummy tuck?

Doctor Answers 8

Drains after tummy tuck

Most surgeons use drains after tummy tuck surgery. There are some that don't use drains. A good compromise would be to use quilting sutures and drains but remove them fairly early depending on the drainage to prevent having seromas which can be very difficult to treat. I would recommend  having a consultation with an experienced, board certified plastic surgeon to determine what is best in your case.

Drains after tummy tuck

There is no hard and fast rule regarding drains after full abdominoplasty. In those patients with only a small amount of excess skin and very little fat, drainless tummy tuck is quite possible. This is achieved through the usage of multiple quilting sutures on the inside to close the space that would normally be drained. However as a patient's residual fat increases, the probability for needing drains also increases. I certainly limit drain usage whenever possible but it depends upon the patient. If the drain is never used for any patient, then it simply increases the likelihood of postoperative complications such as seroma in certain patients. I hope this helps and good luck.

Paul B. Mills, MD
Saint Louis Plastic Surgeon
5.0 out of 5 stars 10 reviews

To drain or not to drain a tummy tuck?

I have always drained tummy tucks with tiny 7mm drains that do not leave scars or hurt when removed. These drains typically drain 300-400 cc of fluid (almost a pound) in the first 2-3 drains after surgery. I have always used quilting sutures which help prevent fluid collections called seromas, but I believe most patients would prefer not to carry around that extra fluid, which increases the swelling, in the first couple days following surgery. Since drains I use do not hurt when they are removed, my patients do object to them. Good luck

Laurie A. Casas, MD, FACS
Chicago Plastic Surgeon
4.9 out of 5 stars 86 reviews

Drains necessary in tummy tuck?

excellent question... The answer is it depends entirely on surgeon preference. The intention behind leaving drains is that they remove fluid that may accumulate in the open space in the immediate postoperative period. Alternatives include no drains and/or "quilting sutures" which are meant to hold the tissues against one another and limit the space where fluid can accumulate. If drains are placed they are typically removed by one week. At the end of the day I would not advise choosing your surgeon based on this particular aspect of the case (as it represents a small aspect of your overall recovery) but rather based on your comfort with the surgeon and the results you think you can achieve with him/her. Hope this helps and good luck!

Are drains necessary or an option with having a tummy tuck?

Some excellent plastic surgeons use drains, some use internal quilting sutures, and some use both. Whether a surgeon uses drains or not should be one of the least important factors in choosing the surgeon. The choice of drains or no drains should depend on the extent of the procedure and the surgeon’s opinion based on his or her experience. Good results have been obtained both with and without drains. The length of the recovery and the extent of swelling are not diminished in procedures where no drains are used.

 

 What is far more important, is the choice of the surgeon. I would suggest you find a plastic surgeon certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person. While a second or third opinion may be worthwhile, continuing to pursue consultations until you get the answers that you think that you want to hear may not necessarily be in your best interest. If you are ambivalent, don’t do the procedure.

 

 Robert Singer, MD FACS

 

 La Jolla, California

Robert Singer, MD
La Jolla Plastic Surgeon
4.6 out of 5 stars 19 reviews

Drains

Drains are up to the surgeons discretion.  Some surgeons use them and some do not.  The idea behind drains is to prevent seromas, which unfortunately, still happen.  The literature is not clear the best approach to prevent seromas and both techniques are reasonable.  Talk to your surgeon about their plan for drains.  

Tyler C. Street, MD
Napa Plastic Surgeon

Drain v. Drainless Tummy Tuck

I do not use drains any more with this procedure and have switched from pain pumps to Exparel which is a long acting injectable pain medicine like Lidocaine or Marcaine but lasts for three days. This is injected all along the muscle and skin to provide pain relief. This is termed the Pain-less, Drainless Tummy Tuck.

If you go to a doctor who uses #drains, they usually stay in 3-5 days but may be required to remain in longer. 

With drain-less tummy tuck as an option for this procedure, take a look at the video attached here for some more information on this procedure and what to ask your surgeon in consultation.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 93 reviews

Tummy Tuck and Drains

The use of drains with a tummy tuck varies depending on the extent of the procedure and the preference of the surgeon based on their experience. This is something that would be discussed during your consultation.

Bryan G. Forley, MD
New York Plastic Surgeon
4.9 out of 5 stars 11 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.