I'm just wondering what's the difference between drainless and drain TT? Which one is better? I'm planning to have muscle repair with TT and no lipo!
Answer: Drains in a tummy tuck A tummy tuck can be done without drains. The upper abdomen is quilted down to the abdominal wall to help prevent fluid accumulation. This can leave temporary indentations in the skin in thin patients. Unfortunately many patients still accumulate fluid that then needs to be drained in clinic after the surgery. By having a temporary drain you can avoid having a secondary procedure to drain the potentially accumulated fluid. I typically will use drains to avoid that potential discomfort and problem.
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Answer: Drains in a tummy tuck A tummy tuck can be done without drains. The upper abdomen is quilted down to the abdominal wall to help prevent fluid accumulation. This can leave temporary indentations in the skin in thin patients. Unfortunately many patients still accumulate fluid that then needs to be drained in clinic after the surgery. By having a temporary drain you can avoid having a secondary procedure to drain the potentially accumulated fluid. I typically will use drains to avoid that potential discomfort and problem.
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Answer: Both procedures are safee annd effective Abdominoplasty procedures have been done with drains for many years with good results. If his surgeon has experienced doing this procedure, the drains are more of a short-term nuisance than anything. They usually are removed within the first week or 2 and in the hands of a skilled surgeon good abdominal contour can be achieved with this method.
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Answer: Both procedures are safee annd effective Abdominoplasty procedures have been done with drains for many years with good results. If his surgeon has experienced doing this procedure, the drains are more of a short-term nuisance than anything. They usually are removed within the first week or 2 and in the hands of a skilled surgeon good abdominal contour can be achieved with this method.
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November 27, 2019
Answer: Tummy tuck candidate Dear MommySAVan,
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November 27, 2019
Answer: Tummy tuck candidate Dear MommySAVan,
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July 8, 2020
Answer: Wherever possible I will avoid the use of a drain for an abdominoplasty I think that you have to leave your surgeon with the option to use a drain if he or she feels that it is necessary during the surgery. In most cases I have now stopped using a drain and I do stitch the abdominal flap down to the muscles underneath. This obliterates the space where the fluid can collect and I think that it also prevents the skin flap moving over the underlying muscles and facilitates the flap sticking down to the muscles. I have been very pleased with this approach and I believe that my seroma rate is lower even without drains using this technique.
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July 8, 2020
Answer: Wherever possible I will avoid the use of a drain for an abdominoplasty I think that you have to leave your surgeon with the option to use a drain if he or she feels that it is necessary during the surgery. In most cases I have now stopped using a drain and I do stitch the abdominal flap down to the muscles underneath. This obliterates the space where the fluid can collect and I think that it also prevents the skin flap moving over the underlying muscles and facilitates the flap sticking down to the muscles. I have been very pleased with this approach and I believe that my seroma rate is lower even without drains using this technique.
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July 8, 2020
Answer: Drainless tummy tuck versus traditional technique In order to avoid using a drain during a tummy tuck, a surgeon generally places multiple rows of deep resorbable sutures under the skin, which act to eliminate any dead space and prevent shearing forces between the abdominal wall and the skin flap. This decreases the chance of developing a fluid collection (seroma) after surgery and makes drains unnecessary. In my opinion, the pros vastly outweigh the cons and I generally perform only "drainless" tummy tucks. I also routinely perform extensive liposuction at the same time as the tummy tuck.Pros
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July 8, 2020
Answer: Drainless tummy tuck versus traditional technique In order to avoid using a drain during a tummy tuck, a surgeon generally places multiple rows of deep resorbable sutures under the skin, which act to eliminate any dead space and prevent shearing forces between the abdominal wall and the skin flap. This decreases the chance of developing a fluid collection (seroma) after surgery and makes drains unnecessary. In my opinion, the pros vastly outweigh the cons and I generally perform only "drainless" tummy tucks. I also routinely perform extensive liposuction at the same time as the tummy tuck.Pros
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July 8, 2020
Answer: Depends upon your starting point . . . I believe it can safely/effectively be done either way, and selectively use drains myself, especially if a patient is heavier (with more potential for fatty oozing), is having hip/flank liposuction concurrently (2/3 of the time), and especially if their risk factors for a blood clot (increased BMI, age, time on table, positive family history) require that we add Xarelto to their post-op regimen, which may cause some oozing. Usually a single lower abdominal drain is in place only 5-7 days, and doesn't cause a lot of headaches/discomfort, but it sounds like you're in better shape if you don't need adjuvant liposuction and therefore are a candidate for a drain-free approach (and we rarely see seromas that require further intervention in those cases . . . ) Hope this helped!
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July 8, 2020
Answer: Depends upon your starting point . . . I believe it can safely/effectively be done either way, and selectively use drains myself, especially if a patient is heavier (with more potential for fatty oozing), is having hip/flank liposuction concurrently (2/3 of the time), and especially if their risk factors for a blood clot (increased BMI, age, time on table, positive family history) require that we add Xarelto to their post-op regimen, which may cause some oozing. Usually a single lower abdominal drain is in place only 5-7 days, and doesn't cause a lot of headaches/discomfort, but it sounds like you're in better shape if you don't need adjuvant liposuction and therefore are a candidate for a drain-free approach (and we rarely see seromas that require further intervention in those cases . . . ) Hope this helped!
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