Explanation and lift; ps says I won't need drains? Is that normal?

Hello I see that on a lot of explanations with drain bags but I'm having explanation and lift and the plastic Surgon says I won't need drains is that ok? she is a board certified plastic surgeon.

Doctor Answers 10

Drains after explantation

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Drains have always been a controversial area in plastic surgery. Some plastic surgeons always use them, some never use them. In my experience I always drained the pocket after explantation because your body hates to have an empty space. Once the  implanis removed the space can be filled with fluid called a seroma and  this may need to be drained with aspiration or placement of an actual drain.  To avoid this problem I routinely place drains  for two days.  If you are very concerned about this issue is your best option is to get a second opinion 

Sacramento Plastic Surgeon

Explantation with lifts

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Thank you for your question.  I personally have patients use drains for a few days post explantation to avoid a seroma (collection of blood/blood products) in the pocket where the implant was in the first place.  Best of luck to you

Milind K. Ambe, MD
Orange County Plastic Surgeon
4.7 out of 5 stars 52 reviews

Explanation and lift - is it ok to note use drains?

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Thank you for asking about your breast explanation and lift.

  • The decision to use drains truly depends on your surgeon's preference, what is done at surgery and how things look on the operating table.
  • It is perfectly acceptable to not use drains if you don't need one - and I have often found that in smaller women, they are not necessary.

Always see a Board Certified Plastic Surgeon. Best wishes  - Elizabeth Morgan MD PHD FACS


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Every surgeon have their own protocol in regards to drains.  Many times this decision is made at surgery.

Robert E. Zaworski, MD
Atlanta Plastic Surgeon
4.9 out of 5 stars 61 reviews

Drains are necessary

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For explant surgery, it is almost always best to remove the capsule in its entirety.  This will allow the space to heal.  If you leave the capsule in place, it does not heal.  Fluid can accumulate in the space.  The situation that brings the patient to implant removal will have an affect on the decision.  This is a surgery which requires discussion with the plastic surgeon about the problem, the goals, and the technical concerns.  The body does not re-absorb the capsule.  Revision surgery requires drains because the fluid is going to be generated when you operate on the scar capsule.  If you provide a mechanism for the fluid to be removed (i.e. drains), the risks are lower.  If the fluid accumulates because there were no drains, it will most certainly cause problems in the future.

#Explant #BreastImplantRemoval - and lift; ps says I won't need drains?

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There are no absolutes with respect to the use of drains.  Some surgeons use them all (or nearly all) of the time for a procedures such as this, some almost never, and some decide depending on the extent of the procedure, and may adjust that decision intra-operatively.  I would typically use drains for this procedure but there is little hard data supporting that either way.  You should discuss this with your own PS and ask her why she is opting for this approach.  It sounds like you've done your research in choosing a board-certified PS and so you can be comfortable with whatever decisions are made at each step of the way.  I hope that this helps and good luck.  Dr. Alan Engler, Member of #RealSelf 500

To use drains or not

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You have chosen a board certified surgeon to care for you. I would recommend you discuss any concerns with her and she will choose the correct treatment that suits you best.

Dr. Edwards

Explanation and drains?

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 Practices will vary. Personally, I find the use of drains helpful during almost all cases involving removal of breast implants.  Best wishes.

Drains or no drains

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Removing implants and performing a lift does not mandate the use of drains following the procedure. I will use drains if all of the capsule surrounding the implant is removed. I would proceed if you are comfortable with your surgeon.

Are drains needed for explantation and a lift?

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Typically, if only an explantation is done (removal of implants), drains are not necessary. As far as the lift goes, it depends on the type of lift and the surgeon preference. Some surgeons use drains, while others do not. A more extensive lift may require drains, again, depending on the surgeon and the amount of dissection and bleeding. There is no right answer here.

Gustavo E. Galante, MD
Schererville Plastic Surgeon
5.0 out of 5 stars 55 reviews

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.