Tummy tuck is a popular procedure because it addresses three common concerns all at once: loose skin, excess fat, and muscle laxity. Results from tummy tuck surgery at our Denver practice are usually drastic for the majority of patients. Many report finally feeling more confident in a swimsuit, better fitting clothing, less skin rolls, and improved workouts after recovery.
Patients will find as they do research and consult with various plastic surgeons that some doctors still perform the “traditional” tummy tuck technique, which involves drainage tubes during post-op healing. While the patient may get great results with either technique, it is important to think about reducing discomfort and minimizing tension on the incision as it heals. The biggest difference between “drainless” versus “traditional” is how the surgeon closes the skin flap at the end of surgery.
The “traditional” tummy tuck technique has been sufficiently used for over 30 years. With this technique, a drainage tube is placed underneath the skin flap in between the skin and muscle tissue planes. These layers ultimately heal together over time.
However, fluid begins to secrete in between the 2 layers from friction when the patient moves or shifts during her day. This excess fluid needs somewhere to go as the body creates too much to be reabsorbed. The drainage tube is placed in between the fat and muscle tissue planes for 7 to 14 days post surgery to collect and help the body release this fluid while the 2 tissue layers heal. However, the layers are still healing after the drainage tubes are removed thus leaving more risk for large build up of fluid underneath the skin called a seroma. Tummy tuck patients are 10% more likely to develop seroma when undergoing the “traditional” technique. The only way to remove this fluid is to aspirate with a large needle which can be very frightening and uncomfortable for the patient. The biggest drawback while healing from the “yraditional” technique is dealing with a plastic tube poking out from a fresh incision while having to empty the cloudy, pinkish contents of the collection bulb several times per day, coupled with the fear of inadvertently pulling the tube out. Additionally, the patient must hide the drainage tube and collection bulb in their undergarments during recovery.
The “drainless” technique was created by a group of surgeons about 15 years ago when the doctors were looking for a way prevent seroma development and to keep the two tissue layers in place for added healing benefits. The technique has been adopted widely by surgeons who want to stay current and have less post surgery complications.
The “drainless” tummy tuck’ technique provides advantages for the surgeon, patient, and caretakers. It has a less than 1% seroma rate, and is much more comfortable for the patient. During the “drainless” technique, the surgeon sews the skin flap back to the muscle and fat layers with 20 to 25 extra dissolvable quilting sutures. This added step mitigates the amount of friction and sliding between the fat and muscle layers therefore, preventing fluid creation. Because the flap of skin is secured with quilting stitches, it keeps in place with movement and the incision is subjected to less tension which, in turn, provides a better looking scar. Drainless tummy tuck patients experience more comfort without having to look after a drainage tube and fluid container during healing. They are exposed to less bacteria as no foreign object is entering the fresh incision. Our surgeons also worry less about treating the patient for seroma, infection and scar revisions with this simple technique.