Do you need drains after breast explant surgery?

Thank you for the question. Keep in mind that practices will vary (which is why you've encountered the "mixed opinions"); the information you receive here may not be relevant when it comes to exactly waht your plastic surgeon protocol is. In my practice, I do use drains for all patients who undergo breast implant removal surgery. The drains help with fluid removal (and helps prevent seroma formation).
 Generally speaking, breast implant removal surgery is a very well-tolerated procedure typically  associated with much less discomfort and medication requirement for postoperative medications ( compared to the initial breast augmentation procedure).
 I hope this helps.

There is a great deal more to answering the question then you might suppose at the front end.  The decision to use drains is surgeon dependent, and even varies from procedure to procedure.  For example, if large implants are being removed and no mastopexy (breast lift) procedure is being done, this is an example of where drains may be useful or more indicated.  If small implants are being removed, it might be less likely that drains are utilized.  Work with your Board Certified Plastic Surgeon to evaluate your specific situation, goals, anatomy, and opportunities.  Best wishes. WirthPlasticSurgery.com