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open drainage vs. closed incision sites

Talk about all types of liposuction procedures, as well as alternative body shaping treatments, including Smartlipo, Vaser, Titan, CoolLipo, Mesotherapy, Lipodissolve, Velasmooth, and more.

open drainage vs. closed incision sites

Postby deb2233 » Fri Feb 29, 2008 10:57 am

hi everyone-
i have been reading a lot lately about the tumescent technique and how most of the time the incision sites are left open to drain. i asked my doc about this and he said that all of the lipo he does is "tumescent" in a sense, but that he actually closes the sites. My PS is Dr Connall in Oregon, and I have heard nothing but wonderful things about him- he is super nice and i know I am in the best hands.. its just that all these questions keep popping up (hourly, it seems!) and I can't keep calling the office LOL! Any personal experiences out there with open drainage vs. closed incisions? what are the benefits/drawbacks of each? personally the leaking does not sound very nice to me, but i also have read that this approach can cut the swelling down?
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Postby minify » Fri Feb 29, 2008 12:00 pm

It's really the preference of the individual doctor vis a vis the patient. Both open and closed drainage adherants will give you many reasons why their choice is the best. Open drainage people say less swelling, less infection, closed people say better skin tightening, more control.

I think the best method is the one the doctor is used to using and has experience with. I had closed drainage and longer swelling but very little leaking. Now I am stuck with this huge pack of chux pads I didn't actually need. ;-)
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Postby naluwahine » Fri Feb 29, 2008 12:11 pm

i'm the same as the last poster. i had one stich in each of my 4 incisions and i was swollen for a long time but i hardly leaked at all unlike a lot of people who seem to leak for a long time. i used a little gauze pad on the first day and that was it...i think i'd rather be swollen than to leak all over the place. just my thoughts :D
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Postby ukjulie » Fri Feb 29, 2008 12:33 pm

Hi

I had closed drainage. I had 15 sites. I had slight leaking 1st night, then none. I have not had excessive swelling at all, just normal amount as per mentioned on this site by various people. I prefer closed i think as the leakage sound messy. I think the swelling comes regardless. Open incisions may be more prone to infection, i have not heard of anyone getting infection though either way. I never covered my incisions again after 3rd day and 1st shower. Put antibiotic cream on them as advised by PS.Had stiches out day 7, painless.

I vote closed!!!!!!!!!! :lol:

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Postby mtquinn » Fri Feb 29, 2008 2:16 pm

I had lower ab/flank lipo on 1/15/08 with all entry sites closed and it was fine. I am still somewhat swollen but in no way do I feel like if the holes were left open that it would be any better. Ick. Drainage. Sounds very unpleasant. I am grateful he closed the sites, but to each their own.

Good luck!
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Re: open drainage vs. closed incision sites

Postby justdone » Fri Feb 29, 2008 3:30 pm

deb2233 wrote:hi everyone-
i have been reading a lot lately about the tumescent technique and how most of the time the incision sites are left open to drain. i asked my doc about this and he said that all of the lipo he does is "tumescent" in a sense, but that he actually closes the sites. My PS is Dr Connall in Oregon, and I have heard nothing but wonderful things about him- he is super nice and i know I am in the best hands.. its just that all these questions keep popping up (hourly, it seems!) and I can't keep calling the office LOL! Any personal experiences out there with open drainage vs. closed incisions? what are the benefits/drawbacks of each? personally the leaking does not sound very nice to me, but i also have read that this approach can cut the swelling down?


I had a single stitch closed incisions (only 5- he kept them to a minimum as I tend to scar very easy) and the majority of the swelling was down within 7 days.
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Postby hotfudge » Fri Feb 29, 2008 4:29 pm

My insitions were stiched too. I prefer to be swollen than to leak.
http://www.makemeheal.com/pictures/view ... bumid=5310.

Lipo on lower and upper abdomen, back, flanks, arms
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Postby jemsplace » Fri Feb 29, 2008 6:09 pm

Hi! I had tumescent lipo on my i/o thighs and love handles with open incisions. I only drained for about 24-36 hours, but the nurse had me so wrapped up it didn't bother me. I had to change the dressings once about 12 hours after my procedure because they were too wet at that point, and after that, very little leakage, nothing a maxi pad couldn't handle. At 48 hours did not need even those. I hardly bruised at all (except some on the inner thighs) and contribute that to not having the fluids still inside me. My nurse encouraged me to try to push out (massage) the liquid the first day to help prevent bruises. I had no issues using open sites, but it kind of depends on the person and the doctor. I also have had minimal swelling, so that has been great. Hope this gives you a little insight.
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Postby Lezza » Fri Feb 29, 2008 8:51 pm

I had one small suture in each incision, but yet left open enough to drain, and boy did I ever drain...

I prefer it to be this way again with my upcoming sx in March... :wink:

As you can see ALL our PS do differ...
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Postby abbysmom » Fri Feb 29, 2008 9:51 pm

Prior to my surgery I didn't know that the incisions could be left open - so I didn't even ask my doctor which he preferred.

I had 12 open incision sites. I really didn't drain that much and all drainage stopped after the first 12-24 hours. My bruising/swelling wasn't really bad either.

If I would have known he was going to use open incisions ahead of time it would have freaked me out. But now that I have been through it, it was no big deal.
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Postby RebeccaDownunder » Sat Mar 01, 2008 12:41 am

I had one stitch in each incision, had some leakage into foam padding then nothing. Stitches came out 7 days PO. I had minimal swelling and bruising. I asked my PS about sutures and he said he preferred it due to risk of infection.
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Postby YourOwnChoice » Sun Mar 02, 2008 6:03 pm

I have had stitched and not stitched. I now request NOW sutures except when needed in the groin area.

Where I was stitched I had a lot more swelling and a longer recovery on then the side that the stitches popped on. I drained a lot more on the popped stitch side .

Draining -you want as much draining as possibly in the first few days if there is fluid that still needs to drain. As has been mentioned here, some drain a lot and some not at all.. but for me I want no stitches so that any that needs to drain out can do so easily. I discussed with my PS why and the results and he was happy not to stitch
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