Whether you need drains after FTM top surgery depends on the type of surgery you have. Most surgeons use drains after double incision top surgery, but they may not be necessary for other types of surgery, such as nipple-sparing mastectomy or keyhole top surgery.

Drains are tubes that are inserted into the surgical site to collect fluid. This fluid can help to prevent infection and promote healing. Drains are usually removed after a few days, but sometimes they may need to stay in for longer.

If you are having double incision top surgery, you will likely have drains. Your surgeon will discuss with you whether or not you need drains and how long they will need to stay in.

Here are some things to keep in mind about drains after FTM top surgery:

  • The drains will be connected to bulbs that you will need to empty regularly. The amount of fluid that drains will vary, but it is usually not very much.
  • You will need to keep the drains clean and dry. Your surgeon will give you instructions on how to do this.
  • If you have any concerns about your drains, be sure to contact your surgeon.

Drains can be a nuisance, but they are an important part of the healing process after FTM top surgery. If you have drains, be sure to follow your surgeon’s instructions carefully.

The need for drains after FTM top surgery can vary depending on the surgical technique used and the surgeon’s preferences. Drains are thin, flexible tubes that are placed in the surgical area to remove excess fluid or blood that may accumulate after the procedure. They help reduce the risk of complications such as seroma formation (fluid accumulation) and assist in the healing process. Here are some considerations:

  1. Surgical Technique: The type of FTM top surgery procedure you undergo may influence the need for drains. For instance, procedures like double incision mastectomy typically involve the use of drains to remove fluid and blood from the surgical site. On the other hand, periareolar or keyhole techniques may have a lower likelihood of requiring drains.
  2. Surgeon’s Preference: Each surgeon may have their own approach and preference regarding the use of drains. Some surgeons routinely use drains as a precautionary measure, while others may have specific criteria for their use based on individual factors and surgical techniques.
  3. Individual Healing: The decision to use drains can also depend on your individual healing response and the amount of fluid or blood expected to accumulate post-surgery. Your surgeon will assess your specific case and determine whether the use of drains is necessary based on factors such as surgical technique, your anatomy, and other considerations.
  4. Duration of Drain Placement: If drains are used, they are typically left in place for a specific duration determined by your surgeon. The duration may range from a few days to a week or more, depending on the amount of fluid drainage and the healing progress.

It’s important to discuss the use of drains with your surgeon during the pre-operative consultation. They will explain their approach and rationale and provide specific information on whether drains are likely to be used in your case. They will also provide instructions on how to care for the drains, including monitoring drainage output and any necessary restrictions or precautions during drain placement.

If drains are used, your surgeon or their medical team will provide guidance on when and how to remove them, which is typically done in a follow-up appointment. It’s important to follow the post-operative instructions provided by your surgeon to ensure proper drain management and promote optimal healing.