Four Weeks Post Tummy Tuck, Draining 60+cc a Day - Is There a Problem?

You have an unusually high amount of drainage.

Definitely talk to your surgeon about why this is.

In some unusual cases,patients have a high amount of drainage.  In select patients, it is possible to create a window to allow for continuous drainage from the lower part of the incision rather than continue to use drains for this purpose.  This generally solves the problem.

Typically if fluid continues to drain beyond about three weeks after a surgery the lining is close to maturing and will require resection.  Plavix can certainly cause prolonged drainage.  After surgery compression can really help seal the wound.  I've seen the sclerosants funtion this far out as well (this involves injection of tetracycline or doxycycline as an irritant to promote sealing of the wound).  Best Wishes

I will add one more confusing opinion. It is possible to use antibiotic sclerosants to the drain to try and promote closing down of the seroma cavity. Tetracycline or doxycycline are common agents for this purpose.