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Topic: No drains after implant surgery

Forum: Breast Reconstruction — Is it right for you? Discuss timing and various procedures and techniques.

Posted on: Aug 29, 2020 06:22AM

LaVue wrote:

My plastic surgeon said I will not have drains after the implant surgery. He said the second surgery doesn't require drains. From what I read, many women do have drains after implant surgery.

Thoughts anyone?

Dx 2/3/2020, DCIS, Left, 3cm, Stage 0, Grade 2, 0/5 nodes Surgery 6/9/2020 Lymph node removal: Sentinel; Mastectomy: Left; Prophylactic mastectomy: Right; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Dx 6/22/2020, LCIS, Right, 0/4 nodes Surgery 10/6/2020 Reconstruction (left): Silicone implant; Reconstruction (right): Silicone implant
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Aug 29, 2020 07:01AM DebAL wrote:

hi lavue, I did not have drains for my exchange surgery. I found it to be a much easier surgery than the the first. Wishing you a quick recovery!

Dx 1/22/2018, IDC, Left, <1cm, Stage IA, Grade 1, 0/3 nodes, ER+/PR-, HER2- (IHC) Surgery 2/12/2018 Mastectomy: Left, Right Surgery 2/12/2018 Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Chemotherapy 4/2/2018 Cytoxan (cyclophosphamide), Taxotere (docetaxel) Hormonal Therapy 6/14/2018 Arimidex (anastrozole) Surgery 8/9/2018 Reconstruction (left): Fat grafting, Silicone implant; Reconstruction (right): Fat grafting, Silicone implant Surgery 12/20/2018 Reconstruction (left): Fat grafting; Reconstruction (right): Fat grafting Surgery
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Aug 29, 2020 07:23AM Seilien wrote:

maybe you don't have a large pocket for drains? I had 4 during my mastectomy which took out the most breast, then 2 during my emergency expander removal which was on 1 side tight from radiation, now I have 1 for my other expander but I've been letting it expand for over a year.

Dx 7/30/2018, Right, Stage IV, metastasized to brain, ER+/PR-, HER2+ Radiation Therapy 6/1/2019 Whole-breast: Breast, Brain Surgery 11/22/2019 Reconstruction (right): Tissue expander placement Chemotherapy 7/28/2020 Xeloda (capecitabine) Surgery 8/28/2020 Reconstruction (left)
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Aug 29, 2020 09:53AM - edited Aug 29, 2020 09:54AM by Beesie

Yup, I had drains for the MX with expander placement, and no drains for the exchange surgery when the expander is taken out and implant is put in.

Some people do have drains for this second surgery but I'd say more don't than do. The first surgery is a much bigger procedure with a much greater impact on your body - all your breast tissue has been removed. The second surgery isn't really affecting your body much, it's just exchanging one foreign object for another.

“No power so effectually robs the mind of all its powers of acting and reasoning as fear.” Edmund Burke
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Aug 29, 2020 12:59PM LaVue wrote:

Thanks for sharing your experiences everyone. I hated the drains the most after the bilateral so it's definitely a welcome not to have the after the implant surgery.

Dx 2/3/2020, DCIS, Left, 3cm, Stage 0, Grade 2, 0/5 nodes Surgery 6/9/2020 Lymph node removal: Sentinel; Mastectomy: Left; Prophylactic mastectomy: Right; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Dx 6/22/2020, LCIS, Right, 0/4 nodes Surgery 10/6/2020 Reconstruction (left): Silicone implant; Reconstruction (right): Silicone implant
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Aug 29, 2020 03:46PM MinusTwo wrote:

I had two drains for the BMX and again had two drains for the exchange. They're a pain but I had no problems.

2/15/11 BMX-DCIS 2SNB clear-TEs; 9/15/11-410gummies; 3/20/13 recurrance-5.5cm,mets to lymphs, Stage IIIB IDC ER/PRneg,HER2+; TCH/Perjeta/Neulasta x6; ALND 9/24/13 1/18 nodes 4.5cm; AC chemo 10/30/13 x3; herceptin again; Rads Feb2014
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Sep 11, 2020 11:46PM OnTarget wrote:

No drains for the exchange here!

Diagnosed at 42, Oncotype score 16, ITC in one node- considered node negative. Lost right implant to infection March 2020. Waiting to start reconstruction all over again. Dx 4/8/2019, ILC, Left, 3cm, Stage IB, Grade 2, 0/3 nodes, ER+/PR+, HER2- Dx 4/23/2019, ILC, Right, <1cm, Stage IA, Grade 2, 0/2 nodes, ER+/PR+, HER2- Surgery 5/15/2019 Lymph node removal: Sentinel; Mastectomy: Left, Right; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Hormonal Therapy 6/14/2019 Zoladex (goserelin) Chemotherapy 8/6/2019 Cytoxan (cyclophosphamide), Taxotere (docetaxel) Surgery 11/6/2019 Reconstruction (left): Silicone implant; Reconstruction (right): Silicone implant

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