Are tummy tuck drains removed once fluid is below 30cc in EACH of the 2 trains, or 30cc combined?

Question

My drains were removed at 1 week post Tummy Tuck and Flank/Back liposuction. Each drain was drawing about 23-26 cc of fluid daily at that time. At 3 week, 4 days post op, I cannot tell if I have a seroma, or swelling. When foam inserts are placed in the garment to reduce indentation (from zipper and seams) there is a buildup of 'swell' in areas surrounding the foam. The foam itself leaves a significant indentation.

Camille Cash, MD · Answer

Each surgeon has her/his own protocol when drains should be removed.  The drains are evaluated individually and there could be occasions where one drain is removed and the other remains a little longer.  Swelling is common and expected even after drain removal.  If you feel your swelling is excessive or that you may have developed a seroma you need to be assessed by your surgeon.

Miguel Delgado, MD · Answer

Each surgeon determines their own guidelines for removing drains and usually based on each patient. Generally I like to see 25/30 cc's or less for 24 hours before removal. You need to see your surgeon to determine if you have a seroma.  Good luck.

Navid Jallali, MB ChB (Hons), MD, FRCS (Plast) · Answer

Thank you for your excellent question. Generally speaking yes this is the level when most surgeons will remove the drain. However, even if you leave the drain in for prolonged periods some patients still develop a seroma. I would see you PS who will examine you and decide if the seroma needs draining (they can get absorbed if left alone). Best of luck.

Michael J. Denk, MD, FACS · Answer

My general rule of thumb is that each drain should be 30cc or less over the previous 24 hours before being removed. However, exceptions are made depending on the clinical situation. Each plastic surgeon has his/her criteria and personal experience. You may very well have a seroma, which can easily be aspirated during on office visit. It would be best if you were evaluated by your plastic surgeon. Furthermore, it sounds as if your garment’s fit needs to be checked also. Pressure garments can be very helpful, but they also can be harmful if they do not fit just right. Best of luck.

Nelson Castillo, MD · Answer

Thank you for sharing your excellent question.  Each surgeon has their own protocol for drain removal based on the specific procedures performed but for most your drains were low enough to be removed. Unless you feel a distinct fluid collection most likely you are experiencing tissue swelling which should improve as your results mature.  Talk to your surgeon as they know the full details.

Are tummy tuck drains removed once fluid is below 30cc in EACH of the 2 trains, or 30cc combined?

Answers (10)