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Q&A WITH DR. SCOTT MOSSER: Do patients always need drains after top surgery? Can one opt out? ARE DRAINS NECESSARY? The question of whether or not to use drains has increased confusion and anxiety about surgery perhaps more than any other top surgery topic. Rest assured that drains are not bad, and the stakes for using them (slight pain and annoyance) are not as high as they are made out to be. At the Gender Confirmation Center (GCC), the patient generally gets to decide if they prefer drains for double incision surgeries; however, drains are required for other procedure types such as keyhole and periareolar surgeries. ____________________________ WHAT ARE DRAINS AND WHY ARE THEY USED? The Jackson-Pratt (JP) drain is a medical device more commonly referred to in the top surgery world simply as “drains.” The device draws out fluid that collects under your incisions after your surgery. Drains are very effective to reduce the risk of having a fluid collection under the skin after surgery, also called a seroma, or the collection of blood around wounds, called a hematoma. ____________________________ PROS AND CONS OF DRAINS: Why don’t people like drains? The placement of drains may cause additional scarring and pain, which is where the stigma against drains originates. However, our surgeons’ techniques do not cause any additional scarring. The discomfort that drains cause are minimal and the benefits greatly outweigh the inconveniences. Do they hurt? The placement of drains is intended to limit discomfort, healing complications, and scarring. The way our surgeons place the drains usually makes them pain free, or they may cause only minor temporary discomfort. Do they cause extra scarring? As mentioned above, there are no extra incisions for the drainage tubes for those who undergo a double-incision, buttonhole or fishmouth top surgery. Instead, the tubes exit the chest from the outer part of the already existing chest incision. For a procedure with minimal scarring (eg, periareolar or keyhole), there will only be very small scars under the arms, right below the armpits, from where the drains are inserted. ____________________________ HOW DO DRAINS WORK? When the bulb is compressed (squeezed) with the stopper in place, a constant gentle suction is created. In order for the drain to draw fluids away from the surgical site, the bulb should be compressed at all times (unless you are draining the fluids). ____________________________ FINAL THOUGHTS ON DRAINS We usually recommend our patients opt for drains. They will help you have the most reliable recovery possible, and we believe they are well worth it for an expedited healing process. ____________________________ For detailed info about drains and post-op drain care: https://www.genderconfirmation.com/dr... To book a consultation with Dr. Mosser or with another GCC surgeon: genderconfirmation.com/consultation-request/ Please visit our website: genderconfirmation.com #DrMosser #DrFacque #DrLey #DrDanielJacobs #topsurgery #genderconfirmationcenter #trans #transgender #transisbeautiful #sanfrancisco #AllGender #GenderAffirmingCare #TransCare #transproud #Transpride #transgenderlife #transgendersurgery #nonbinary #nonbinarysurgery #periareolar #keyhole #doubleincision #buttonhole