Drains in Breast Augmentation

Abstract

Introduction: Capsular contracture is the most discussed aspect in breast augmentation. Drains are important in preventing hematoma and subsequent capsule formation, but drains have been associated with increased incidence of early breast contracture and infection. The purpose of this article is to review the use of drains during breast augmentation surgery and to present their effect on the incidence of capsule contracture observed in a short-term study of patients receiving breast augmentation with cohesive gel implants. Material and Methods: Sixty consecutive cases of breast augmentation with cohesive gel implants were followed up for 6 months. All cases had tube drains for 24 to 48 hours postoperatively. Results: Infection and early capsular contracture were not observed in this study. Discussion: With the US Food and Drug Administration's clearance of cohesive gel implants, subglandular placements are bound to increase. Subglandular placement is associated with increased incidence of capsular contracture. Meticulous hemostasis and the use of drains to prevent hematoma are important aspects in preventing capsular contracture. Conclusion: Our experience shows that drains are safe and effective and do not increase infection rates or cause early capsular contracture.