Use of Drainage in Breast Augmentation Surgery: Benefits and Clinical Evidence From Our Experience

The use of drains in plastic surgery remains a subject of debate, particularly in breast augmentation. Despite advancements in surgical techniques, postoperative complications such as hematomas and seromas, and their subsequent evolution, remain significant concerns, as they may even require reoperation. The use of breast drains during the procedure is a practice adopted by many surgeons to mitigate these risks. This article examines the benefits associated with the use of drains in breast augmentation, supported by clinical evidence and established surgical practices. In this retrospective study, the effectiveness of drainage in reducing postoperative complications, such as seromas and hematomas, and improving the postoperative course is analyzed. A total of 58 cases of breast augmentation were examined, divided into two groups: GROUP 1, patients with drainage placement, and GROUP 2, patients without drainage placement. Our study highlighted the usefulness of breast drain insertion in terms of reducing postoperative complications and improving postoperative management. A statistically significant increase in the incidence of seroma was observed in Group B (without drainage) when compared to Group A (with drainage), with rates of 25% and 15% respectively (p = 0.03) (Tab. I). In conclusion, the use of drains in breast augmentation not only benefits the immediate health and well-being of the patient but also contributes to ensuring a safer and faster recovery, reducing the likelihood of postoperative complications that could compromise the aesthetic and physical outcome of the procedure.