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A MyBCTeam Member asked a question 💭
Baldwinsville, NY

7 weeks after surgery and I still have my drains in. Reconstruction surgeon said drainage needs to be down to 30 ml for 2 consecutive days. Main surgeon said she’d remove them now and hope for the best. She said the longer they are in the higher risk of infection. Not to mention they are uncomfortable. They were thinking maybe I am being too active so I try and vegetate. When I have physical therapy that makes my drainage amount increase. Any advice would be greatly appreciated.

March 14, 2025
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A MyBCTeam Member

Limit repetitive movements with that arm (vacuum, sweeping, etc.), and whatever chores you take on, move easily/more slowly, and take breaks- that way your system can gradually take care of any fluid that builds up instead of being overwhelmed. Elevate the arm when you take breaks- no sense in having gravity working against you! When they remove the lymph nodes, the fluid has to find a new pathways, and a problem with that may allow the fluid to build up, This in turn can become an ongoing issue (lymphedema).

So just take it easy, not too much at any time, keep an eye on the fluid numbers, and adjust your activity levels in accordance with your progress! Hugs!

March 14, 2025
A MyBCTeam Member

I had to be drained 4X after my drains came out (had 4 in for 3 weeks) and I admit. Did not hurt! But the did arm activity was causing more fluid. So I would limit that

March 15, 2025
A MyBCTeam Member

You could ask to remove those and if any additional fluid builds up they can always drain it with a needle and it doesn’t hurt. But it’s true that below a minimum they usually don’t remove them. IMO it’s actually strange that it’s taking this long. Maybe there already is an infection?

March 14, 2025
MyBCTeam

Managing drain output after breast surgery requires finding the right balance of activity. While physical therapy is important for recovery, it's true that too much arm movement can increase drainage. Consider wearing compression garments or wrapping the area with an Ace bandage, as some patients have found this helps their Show Full Answer

Managing drain output after breast surgery requires finding the right balance of activity. While physical therapy is important for recovery, it's true that too much arm movement can increase drainage. Consider wearing compression garments or wrapping the area with an Ace bandage, as some patients have found this helps their body absorb fluid more effectively. Typically, drains are removed when output is less than 25-30ml per day. While having drains for 7 weeks is frustrating, each person's healing journey is different. Your surgeon's concern about infection risk with prolonged drain placement is valid. You might want to temporarily reduce the intensity of your physical therapy and avoid lifting your arm above your head until drainage decreases. If the drains are removed and a seroma (fluid buildup) develops, there are several treatment options available, including needle drainage or reinsertion of drains if necessary. Work closely with your healthcare team to find the right balance between staying active enough for proper healing while not overdoing it.

March 14, 2025

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