What is a prudent length of time for drains after explant with capsulectomy?

Question

Going for explant of 25 plus years original over implants. Right has baker 3 contracture (very hard) with leak. Left (can't even tell there's an implant there). Having both capsules removed. I've had 4 consults...3 PS gave a time frame of 3, 5, and 7 days until drain removed, the 4th would not use drains at all. What is the standard practice and does the risk for seroma increase if drain removed prematurely (even if drainage amount negligible after 3 days). Thank you!

Tom J. Pousti, MD · Answer

You will find that there is no “standard” answer to your question. In my practice, I leave drains in place until their  outputs are low. Generally, this means less than 10-15  cc per drain per day (average duration that drains are left in place 3 to 5 days in my practice). Best wishes for an outcome that you will be very pleased with.

Matthew Kaufman, MD · Answer

Hi and thank you for the question.  The timing of drain removal cannot be accurately predicted before the procedure is performed.  The drainage will be impacted by the amount of dissection that needs to be done to remove your capsule.  Generally, I like to leave drains in place until they are putting out less than 30ml of fluid for three days in a row.  This will decrease the risk of seroma formation.  Hope this helps, good luck with everything.

What is a prudent length of time for drains after explant with capsulectomy?

Answers (2)

More Breast Implant Removal Questions

What is a prudent length of time for drains after explant with capsulectomy?

Answers (2)

More Breast Implant Removal Questions

Is a compression bandage or garment best to have right after explant surgery?

My silicone breast implants were placed in1983. Will Medicare/United Healthcare supplement cover any of the costs involved?

Can silicone breast implants be deflated by a doctor using a syringe or other method?