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Typically, drains are removed when they are putting out between 20 and 30 cc a day. Every plastic surgeon is different. I do not often use drains for my breast reductions. Drains may need to stay in as long as the fluid is continuing to build up. As long as fluid is being produced in an excess of 20 cc a day, I would leave the drain in even if it takes several months. Thank you, J. Timothy Katzen, MD, FACS
In most cases I do not put drains after breast surgery. However, if you do have a drain, generally it is removed a few days after surgery. At 20 cc per day, it can likely be removed. However, you should discuss this with your surgeon since we do not know all the details of your surgery. Good Luck.
Your question is a good one! A notable variation between surgeons is use of drains: when they are used, how long they are left in, and what purpose is served. Still, (and despite their widespread use) there is not much evidence-based data on the management of closed-suction drains. Many surgeons use volume criteria, such as removal after a drain puts out less than a certain amount of fluid per 24 hours. Others will discontinue the drain at the same time post-op antibiotics are stopped (antibiotics are another topic that varies) while still others consistently take out the drain on a designated post-op day. One question you might want to pose to your surgeon is, "What is your criteria for drain placement and removal?" This way, you know what to expect; it's always good to be a part of the process. Congratulations on your surgery! Best, Dr. Barbara Persons
Use of drains is a function of training and experience. I prefer to use them in breast reduction and abdominoplasty. The drains are removed once drainage has reached a baseline level. Certainly there is a balance between retaining the drains and risk of infection. This should be determined based on the facts and circumstances of each case.
Congratulations on having undergone the breast reduction procedure; this operation tends to be one of the most patient pleasing operations we perform. You will find that the management of drains will vary from one surgeon to another (if they use them at all). Some will remove the drains 1 to 2 days (regardless of the output), some will remove the drains when the output is below a certain level (as long as a few weeks). For the most precise information regarding removal in your case, you will be best off running the question by your plastic surgeon. Best wishes.
You should have a consultation with a board certified plastic surgeon. After He/She has examined you and established medical necessity, your insurance company is contacted for preauthorization. Discussions of risks and benefits of surgery including postoperative size needs to be done in p...
For your second appointment it should be considered a pre-op appointment. On that appointment in our practice we talk about what to expect after surgery and all the do and don’ts before and after surgery.
First, a breast reduction does not increase your risk of cancer, in fact it may decrease your risk in some ways since the "breast load" is lower. In addition, performing liposuction of the back at the same time is certainly reasonable.
