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.

Daniel Barrett, MD · Answer

Dear Greg0704,
drains can be used after surgery in order to reduce the chance of seroma and hematoma. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Nelson Castillo, MD · Answer

Thank you for sharing your question.  In most cases drains do not be used but it is dependent on the size of the pocket created and how entailed the capsulectomy is.  Hope this helps.

Shaheel Chummun, FRCS(Plast) · Answer

Thank you for your answer. The use of drains depends on the surgeon's preference and individual cases. It is best to see a plastic surgeon who can examine you and discuss the need for drains in your specific case.

Connie Hiers, MD, FACS · Answer

Drains are useful to remove excess fluid that might accumulate. I usually do not use drains, but some surgeons do. The use of drains is decided based on your surgeon's experience and preference.

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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