I'm considering a tummy tuck. Are drains better than progressive tension sutures?

Using progressive tension sutures helps prevent fluid collection, helps contour the abdomen, keeps tension off the scar for a nicer result, and prevents the scar from pulling up.  The key to a successful abdominoplasty result is a beautiful belly button and a low hidden scar; the progressive tension sutures help that happen. I think it is great to use progressive tension sutures in most cases...not just for the drains but for the beauty of the final result from your tummy tuck.  Dr Rodger ShorttOakville Plastic SurgeonAss't Clin Professor &Director of Cosmetic Surgery Training,McMaster University

Most patients tend to find the drains bothersome so I personally do almost all of my tummy tucks without them. Some people are not candidates for drainless TT for one reason or another however and without examining you it is difficult to advise which procedure would be better for you. In general there are many advantages to a drainless tummy tuck:No pesky drains and collection bulbs to manage for a week or longer post-opNo painful drain-holding sutures in your pubic area for as long as your drains are inNo additional wound care of the drain sites after they are removedNo additional scars from the drain siteThe ability to remove more abdominal wall skin when progressive tension sutures are used.The only real potential disadvantage for a drainless tummy tuck is:A theoretical increase in the risk of a fluid collection forming (most studies show this is not the case when the procedure is done properly.)As you can see, the advantages greatly outweigh the disadvantages and that is why I personally do not use drains whenever possible and many surgeons who do are switching to a drainless technique.