If your situation requires #drains, they usually stay in 3-5 days. However, it may be required to remain in longer than that. Your #healing will continue for 2-3 months for the early period. This includes some swelling, bruising, malposition, color differences. The purpose of the post-procedure #garment is to provide some gentle #support and to reduce swelling following a #TummyTuck or #Abdominoplasty. If it feels too tight or causes pain, take it off. Patients wear the #elastic garment for several weeks after surgery, as directed by their doctor. Some choose to wear it longer for several months for comfort.
Your board-certified plastic surgeon should be recommending the solution best suited for you. Most importantly, communication and asking questions of your surgeon and the staff are key.
A seroma or hematoma can happen with our without drains being used.
If you are needed repeat seroma drainage, then a drain seems reasonable.
It sounds as though the drain is a good option. They usually stay in for several weeks until the output is less than 30ml a day for 2 days in a row.
The short answer is that your alternatives are to have it drained on a daily basis or have a drain put in. The no drain tummy tuck is based on the idea of using progressive tension sutures to close off the space where fluid accumulates, and I have been using this technique for almost 20 years. What I have learned is that although the amount of fluid output is greatly diminished on average, there is still some potential for fluid accumulation so I continue to use drains. Usually they can be removed within a couple of days but in the occasional patient with higher output we have the option of leaving it in longer.
YES! a drainage system can be re inserted via Radiology fluro insertion or under local open area of TT.
Seromas after tummy tucks, whether drained or not ,can happen. With the amount of drainage you are having on a daily basis, it makes sense to me to put a seroma catheter or new drain in, rather than having to serially drain it on a daily basis. Once the drainage goes down to less than 15 mL or so per day in my opinion it's then safe to remove the drain. Good luck.
While no drain tummy tucks have a similar incidence of seroma to tummy tucks with drains, they do still occur. A drain is advisable at this point since your drainage amount seems to be constant and not trending downward. Make sure that you empty the drain frequently and limit your activity to diminish the amount of fluid production. Drains often work, but sometimes other treatments are needed if the seroma persists.
A drain will simplify your life during your travels. It may even speed up the resolution to your seroma.
Either office taps or a drain will eventually solve the problem. I would not be too worried.
Thank you for your question and series of photographs. I am sorry that you are dealing with these seroma issues. As with any tummy tuck surgery, no drain tummy tucks can result in the development of seromas that would require office aspiration and treatment to avoid a permanent pseudo capsule or scar tissue from forming. Though it sounds as you have been receiving appropriate treatment, the placement of a drain may be of benefit to prevent daily fluid removal through a needle and syringe. Hope this helps.
It sounds like you have a seroma after an abdominoplasty. This is a common complication and is not serious if properly managed. Your incision is still healing and if you get a large fluid collection it could burst your incision. Given the amount of fluid you are describing and the early postoperative timing, I agree with your doctor's recommendation that a drain is probably your best option, especially if you are going to be unable to do frequent aspirations. Stay with your doctor and follow their advice.