How important is it for drains to be used after explant surgery with capsulectomy?

Question

Eric Wright, MD · Answer

Greg0704,

For a complete total capsulectomy, I always use drains to help prevent a seroma, a fluid collection that can form in the location where the implant was located.  Each plastic surgeon will have their protocol for explant surgery.

Dr. Eric J. Wright

Andrea Marando, MD · Answer

Thank you for your question.

It depends on many factors such as the degree of bleeding during surgery, on the technique used by your surgeon, the size of the implants removed and therefore the size of the "empty space" left, on your age, medical conditions, medical treatments etc.

In my practice in Manchester and London, I very rarely use drains in breast surgeryl; however every case has to be assessed in relationship to all the parameters above mentioned.

I hope it helps.

Andrea Marando
Plastic and Cosmetic Surgeon
Manchester and London, UK

Maisam Fazel, MA, MBBChir, FRCS · Answer

In my practice I almost never use drains after implant removal and capsulectomy. Instead I place light quilting sutures to close the space which reduces the risk of serum formation. Drains are inconvenient, can be a route for infection and most importantly, have been shown to have little impact on the final results so are best avoided in my opinion.

Kenneth Hughes, MD · Answer

As long as the fluid is minimal, your body should absorb it. I do not recommend drains after breast implant removal, but other surgeons will. Follow the post-operative protocol of the PS who performs your PS as he/she is responsible for your recovery.

Camille Cash, MD · Answer

The use of drains varies by surgeon and patient.  Drains help to collect fluid after surgery in order to prevent seroma formation in the breast pocket after explant.  I encourage you to discuss what is best for you with your surgeon.

How important is it for drains to be used after explant surgery with capsulectomy?

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Answer: How important is it for drains to be used after explant surgery with capsulectomy?

Answer: How important is it for drains to be used after explant surgery with capsulectomy?

Answer: Drains

Answer: Drains

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How important is it for drains to be used after explant surgery with capsulectomy?

Answers (9)

Answer: How important is it for drains to be used after explant surgery with capsulectomy?

Answer: How important is it for drains to be used after explant surgery with capsulectomy?

Answer: Drains

Answer: Drains

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Recommended reading

Everything you need to know about Breast Implant Removal

Our mission is to create a world where every investment in modern beauty is Worth It.