Drain Care After Breast Surgery

The purpose of the drain in your surgical incision is to remove blood and other fluid that collects following surgery. The drain helps avoid build up of this fluid and reduces swelling and chances for infection. It's helpful to remember that the drain is:

• made with a one way valve, so fluid and air cannot get into your incision
• stitched to your skin, to prevent it from falling out
• not painful, just slightly uncomfortable

The majority of fluid will drain during the first 24-48 hours after your surgery. It will start out bright red and will lighten and get a more watery appearance. Occasionally small clots may appear in the fluid or the color may revert to the deeper red. This is normal. If drainage does not appear or is very scant, your incision is healing and the drain may not be needed much longer.

You will be instructed on how frequently to empty the drain; usually twice a day is sufficient. Wash your hands before and after emptying the drain and discard the fluid in the toilet. If your surgeon asks you to keep track of the amount of fluid, you can record it on a sheet of paper. The record can help your surgeon determine when to remove the drain.

If you notice any of the following conditions, it is important to seek medical advice the same day:

• Leaking of fluid around tube
• Drain slips out
• Increased burning or pain around the area where the tube is inserted.
• Swelling in the affected arm
• Fluid becomes thick, yellow or has a foul odor.