More drains equal more risk for infection, less drains equal more risk for seroma? What will determine number of drains?
Doctor Answers 7
Thank you for your question. The number of drains depends on the surgeon and the patient. The amount of skin lifted and amount of liposuction performed can influence how many drains. Typically drains stay in place for 5-10 days. I do not recommend my patients go back to work with drains in. Discuss with your surgeon to determine his or her preference.
Drains and Tummy Tuck
I do not use drains any more with this procedure and have switched from pain pumps to Exparel which is a long acting injectable pain medicine like Lidocaine or Marcaine but lasts for three days. This is injected all along the muscle and skin to provide pain relief. This is termed the Pain-less, Drainless Tummy Tuck. If you go to a doctor who uses #drains, they usually stay in 3-5 days but may be required to remain in longer.
Drainless Tummy Tuck
Actually the data is clear and convincing that performing a tummy tuck using progressive tension sutures and without drains has a LOWER risk of seroma. To be clear, the surgeon can not simply not use drains. He needs to secure the skin flap securely to the abdominal wall to obliterate the space and prevent sliding movement between the layer. With this accomplished, drains are unnecessary.
Best of luck!
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The use of drains, and the number of drains, is completely dependent on surgeon preference. Some surgeons use none some surgeons use one or more. It depends on what the surgeon finds gives him or her the best results. If you have questions about how many drains you might have, you will have to ask your surgeon.
Drains post abdominoplasty
Thank you for your question. 1-3 drains is typical for an abdominoplasty especially with liposuction. Most surgeons use quilting sutures to decrease the amount of space fluid can collect. In a very small abdominoplasty, sometimes drains are not required. If you are having liposuction at the same time, it preferred to have drains. Typically 2 are placed. With an abdominoplasty there is really no increase risk of infection. Adding drains to something like a mastopexy-augmentation does add a small increase risk of infection because of the implant which is a foreign body. You can return to work with drains if necessary. The drains will remain in place until they are discharging little to no fluid. Don't rush this process.
Drains after surgery
Drains placed following a TT does not mean higher infection rate of you care for them properly. I recommend patients wax a few days before surgery and use Biopatches around the drain sites. 1-3 drains sounds typical. I use quilting or progressive tension sutures to minimize dead space, and use 2 drains if also performing Lipo. I might add a third in larger patients.
Taking excellent care of the drain sites is important so discuss this with your surgeon.