I had my surgery with Satterwhite a little over a year ago. I can't say for sure if drains would have had an effect on swelling/pain/recovery time/other stuff, but I can say that my recovery went just fine without them (and, hey, one less thing to deal with). Had surgery on a Friday, took my pain meds for the first couple days just to be safe, then switched to tylenol, then went off that before my post-op appointment on Wednesday. Had a little swelling, but not more than you'd expect to see normally. It went away on its own with time. Honestly, recovery wasn't nearly as bad as I had expected. The binder was the worst part.