Even though this post is years old.  A lot of surgeries are doing drain free methods.  My top surgery is scheduled with Dr. Reed in Austin and he does about 3-4 top surgeries a week and uses a drain free method.  I've been doing a lot a research on "To drain or not to drain" and the data is inconclusive in regards to drains preventing infection and build more than not draining does.  It is because of the lack of proof that drains are more beneficial a lot of surgeons are opting not to use them or to give guys a choice.  I was a little nervous about not having drains because of how common they are but like most surgeons, Dr. Reed will do additional work for any complications that may arise.  I'm an overall healthy guy.  I've never had the flu and don't really get sick so I'm not too worried about going drain-less.