Are drains required to prevent seroma after implant removal?

In general, I use drains when doing an explantation, especially when performing a capsulectomy.
I like to explain it like this - The implant has created a cavity that the body needs time to heal.  The drain helps to remove any extra fluid that the body puts into this space during the healing process.
Drains cannot completely prevent a seroma, but they can decrease the chance of it happening.
The drains are usually present for about a week, but this time period varies by how much is draining.  

The use of drains varies by surgeon and patient circumstance.  Drains are helpful to prevent seromas which can sometimes occur when implants are removed.  I encourage you to discuss your surgeon's preference and rationale.  It's important to feel comfortable and confident in your surgical plan.

After the implant is removed the empty space can accumulate fluid.  A drain can help prevent that.  However, women who undergo explant alone are frequently dissatisfied because of the empty appearance, hanging skin and require a lift.  The technique I recommend is explantation and a lift using The Bellesoma Method.  The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage.  Vertical scars are avoided, nipple sensation and the ability to breast feed are maintained, if not injured during your previous surgery.  At the same time or later, fat transfers can be performed if additional volume is desired.    Best Wishes,Gary Horndeski, M.D.