Monsplasty - Should you always have drains with this surgery?

Question

I was wondering should you always have drains with this surgery? If drains were not used how long could a doctor keep manually draining ? Thanks

Marco A. Pelosi III, MD, FACOG, FACS · Answer

Surgical drains are used whenever there is high chance that excess fluid will collect underneath the site of the monsplasty. This is related to the amount of dissection, the size of the area, how bloodless the surgical field appears at the time of surgery, and how much suturing is done in the deepest layers. Most larger monsplasty procedures require drains. Some mini monsplasty procedures do not.

Carlos Marciales, MD · Answer

Drains are important to prevent fluid from accumulating, if fluid accumulates it is a complication of surgery and it should be drained with needles, it is better to have drains for a few days and avoid punctures, as to whether or not it should be left, it will depend on the technique used by the surgeon

Mehmet Bekir Sen, MD · Answer

MONSPLASTY operations are not like major operations such as tummy tuck, so it is not always necessary to put a drain. If there is no suspicion of bleeding, it may not be placed. if the doctor considers it appropriate... If a tight bandage or tight corset is used and the doctor sees no risk, the drain may not always be needed

Bianca Knoll, MD · Answer

thank you for posting this question. If a monsplasty is done as a single procedure, not in combination with a lipoabdominoplasty for a example, your surgeon probably does not have to use drains. Often additional sutures to occlude the deadspace can help avoiding postoperative fluid collection. But every patient is different, with a different healing process. I hope this helps.

Rigo J. Mendoza, MD · Answer

Unlike a full tummy tuck where you may need to do extensive undermining of the skin, it is not required for a Monsplasty or mini TT.  Therefore, rarely if ever, will you need to put drains in a Monsplasty or mini TT.

Michelle Jones Singer, MD · Answer

Placing a surgical drain after a monsplasty depends on how extensiive the dissection was done. I typical will only drain manually once. If the fluid recollects, I will place a drain in. I will not remove the drain until the drainage is completely resolved.

Camille Cash, MD · Answer

Use of drains will vary based on surgeon and procedure.  Their purpose is to collect fluids as the body heals from surgery.  A monsplasty that is performed as a standalone procedure may not require drains.  If used, the drain will be removed once the fluid collections reaches a certain threshold, which is often a few days to a week.

Praful Ramineni, MD · Answer

Drains help minimize fluid buildup after surgery and can improve results.  Most surgeons use 20-30 cc of drainage in a 24 hour period to determine when the drains are removed.

Monsplasty - Should you always have drains with this surgery?

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