Breast augmentation with silicone implants: The role of surgical drainage - Report on 502 consecutive patients

G. Gherardini, R. Zaccheddu, S. M. Milner, M. El-Shazlyl, I. Liapakis

Research output: Contribution to journalArticlepeer-review

Abstract

Breast augmentation is one of the most frequently performed cosmetic surgery procedures worldwide. We report on a series of 502 consecutive cosmetic breast augmentations by a single surgeon, using both the submuscular and submammary approaches. A vacuum drain was placed in the surgical pocket at the end of the procedure. The drain fluid collection was recorded immediately after the surgery and the following day before removal. A tenfold increase in the amount of fluid collection was noted in the drain's reservoir. Thirteen patients presented with minor wound healing problems at the second postoperative follow-up, which were treated conservatively; two of them had the implant removed and replaced after 2 months. There were only two capsular contractions at 1-year follow-up. We focus our discussion on the drainage in the early postoperative period and conclude that the routine use of a surgical drainage reduces the risk for complications. Based on our findings, we advocate that short-term routine use of a surgical drain is advisable.

Original languageEnglish (US)
Pages (from-to)9-12
Number of pages4
JournalEuropean Journal of Plastic Surgery
Volume29
Issue number1
DOIs
StatePublished - Jun 1 2006

Keywords

  • Breast augmentation
  • Complications
  • Silicone implants
  • Surgical drainage

ASJC Scopus subject areas

  • Surgery

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