Chest Reconstruction Top Surgery and Drains This article provides information on the function, risks and benefits of surgical drains in the hope of addressing the increased confusion and anxiety surrounding this topic. Generally speaking, our surgeons try to give surgical drains to all top surgery patients, and especially those that are at a heightened risk for hematomas: patients with high levels of body fat, patients who undergo liposuction and/or patients who have significant amounts of tissue removed. We also discuss common concerns around surgical drains such as pain, discomfort, seromas, and their effect on your top surgery scars. Are Drains Necessary? The question of whether or not to use drains …