Drains vs. no drains with a Tummy Tuck, what are the differences?
Doctor Answers 21
Drains Vs No Drains
All that being said, I prefer to use closed suction drains. I prefer not to use an abdominal binder or compression garment during the first week, in part due to the concomitant use of liposuction. Liposuction thins the subcutaneous fat, but also disrupts some of the blood supply and causes additional fluid drainage. I feel that it is safer to not compress the abdominal skin after abdominoplasty with liposuction (especially at the midline) during the first week or so. In my hands, I feel that this creates a better more sculpted result. Additionally, patients are sometimes placed on blood thinners in order to decrease embolic risk, which I feel further justifies drain usage.
Personally, I wouldn't pick a plastic surgeon based on whether or not they use drains but rather decide based on their results and reputation.
Absolutely, see a board certified plastic surgeon for any abdominal contouring procedure.
Drains with Tummy Tuck
Do I need drains when I have a tummy tuck?
I have had really good success with using tissue glue for closure of the tummy tuck/abdominoplasty without the use of drains which are quite a hassle for patients. Finally, one has become available that is synthetic and not from human products so there is no need to worry about problems like before. I am very pleased with my results with this new product as are my patients, especially the ones that come to see me from different parts of the country and overseas! I have even started using it in my post-bariatric plastic surgery patients.
Dr. Edward Jonas Domanskis is Certified by the American Board of Plastic Surgery
Newport Beach, San Francisco,Miami, Italy, Anguilla
949.640-6324/1.888.234-5080(Ca) FAX- 949.640-7347
Assistant Clinical Professor of SurgeryWOS-Plastic,University of California (Irvine)
Orange County’s Physician of Excellence/America’s Top Physicians/Top Doctors Plastic Surgery- 2005-2017
President,American Society of Bariatric Plastic Surgeons
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Drains vs. No drains with Tummy Tuck
Drains are a valuable adjunct in the early healing of a tummy tuck
In my view, drains are valuable in the early recovery of a tummy tuck and minimize the chance of hematoma or seroma, a collection of blood or fluid under the skin. Drains are rarely in for more than a week, and can be removed without pain. Like many things, to have it and not need it is better than to need it and not have it.
Do you need drains after tummy tuck?
Suturing the abdominal flap down to the muscles is a newer technique that plastic surgeons use instead of drains. The theory is that by closing the extra space beneath the skin between the skin and muscle that this will prevent fluid buildup and make drains unnecessary.
The most important thing is that you have confidence in your plastic surgeon. Choose your plastic surgeon based upon the surgeon's expertise, skill,, and empathy and relationship with you. Once you've chosen your surgeon then let the surgeon decide the best method to use.
Drain Free Tummy Tuck with TissueGlu
The drain is uncomfortable, can leave a tell tale scar, and is difficult to manage. Without a drain the recovery is faster, easier, and more comfortable.
Drains vs. No Drains with a Tummy Tuck
The #drainage tubes for a tummy tuck are used by trained Plastic Surgeons for many different operations. The purpose is to drain extra fluid which may otherwise accumulate under the skin, fat or muscle following an operation. Patients generally find this annoying and uncomfortable and they can impede mobility and therefore slow aspects of #healing. Over the years, surgeons have improved procedures and found ways to eliminate the need for these #drains in a variety of operations; including #tummy #tuck or #abdominoplasty.
I have found that most of my patients do very well with the exception of those have large areas of liposuction or lipo-abdominoplasty. I may use drains on a case by case basis for these patients. A newer option now can include the use of tissue #glue to adhere the abdominal #skin to the #muscle; eliminating any space that previously required a drain.
If you go to a plastic #surgeon who uses drains, or if your situation requires drains, they usually stay in 3-5 days but may be required to remain in longer. Your board-certified plastic surgeon will recommend the type best suited for you. The most important decision to be made before performing any surgical procedure is determining whether you are an ideal #candidate.
About No Drain Tummy Tucks
Thank you for your question.
During a tummy tuck surgery, there is space between the abdominal wall and the overlying fat and skin (the abdominal flap). The body will do what it usually does during the healing process, produce fluid, if nothing is done to close this space. Because there is nothing to confine the fluid from accumulating, a seroma can develop in this space. In other words, the tissue produces fluid more quickly than it can reabsorb.
Negative suction drains are placed in spaces like this to get rid of the fluid and create suction between the tissue planes. There is a way, however, to eliminate this space without using uncomfortable drainage tubes. Dr. Patel utilizes progressive tension sutures inside the tissues to close off the space and relieve tension on the last surgical closure. This results into less pain, less discomfort and less tension. Also, there will be better scarring with potentially minimizes infection risk.We have successfully used progressive tension sutures during abdominoplasty instead of surgical drains, with a lower seroma rate than is generally thought to occur with tummy tucks and drains. With this method, the seroma rate is close to zero and you cannot beat that approach. Best of luck!
Dhaval M. Patel
Double Board Certified
Drains or No Drains TT
The answers by the other posts are excellent and comprehensive. The idea behind drainless tummy tucks stems from using progressive tension sutures to effectively minimize the "dead space" and allow the flap to "stick" to the abdominal wall. However, there is still fluid from liposuction and still a small possibility of seroma development. In my hands, I use progressive tension sutures and use a small drain, but I remove them earlier (within a few days) than before.
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.