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Related Experiment Video

Updated: Nov 28, 2025

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
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Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction

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Drainage on augmentation mammoplasty: Does it work?

Luiz Charles-de-Sá1, Natale Ferreira Gontijo-de-Amorim2, Julia Klein Rossi3

  • 1Department of Plastic, Reconstructive and Aesthetic Surgery, Training and Research State University Hospital of Rio de Janeiro - UERJ-RJ, av. Mal.Rondon, 381.São francisco Xavier. Rio de Janeiro. CEP: 20950-003, Brazil; Perfoma Clinic - Natal, Brazil; Pitanguy Institute, Rio de Janeiro, Brazil.

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
|November 30, 2020
PubMed
Summary

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This study found that closed-suction drainage after breast augmentation surgery does not offer significant benefits in preventing complications. The procedure is costly and time-consuming without clear advantages in the short term.

Area of Science:

  • Plastic Surgery
  • Surgical Innovation
  • Patient Outcomes

Background:

  • Breast prostheses are linked to potential complications, despite advancements in surgical materials and techniques.
  • The efficacy of surgical drainage in mitigating complications following breast augmentation remains a subject of debate.

Purpose of the Study:

  • To investigate the role and effectiveness of vacuum drainage in augmentation mammoplasty procedures.
  • To compare outcomes between patients with and without closed-suction drainage.

Main Methods:

  • A prospective, multicenter, randomized clinical trial involving 150 breast augmentation candidates.
  • Patients were divided into two groups: one with closed-suction drainage and a control group without drainage.
  • Outcomes were assessed through clinical evaluations, postoperative ultrasonography, and long-term follow-up for complications like infection, seroma, hematoma, and implant issues.
Keywords:
BreastBreast augmentationDrainageImplant

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Main Results:

  • No significant difference in outcomes was observed between the drainage and no-drainage groups based on ultrasonography at 7 days and 3 months.
  • Drainage volumes in the first 48 hours ranged from 22 to 320 ml.
  • A notable percentage of patients (33-44%) reported temporary sensitivity disturbances in the nipple-areola complex and lower breast segments.

Conclusions:

  • Closed-suction drainage in breast augmentation is associated with increased costs and time without demonstrable short-term benefits.
  • The study suggests that routine use of closed-suction drainage may not be justified for augmentation mammoplasty based on current evidence.