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This sex-based difference (about 50% higher for women than men) was largely driven by a heightened risk of breast cancer in women

Lee AL, Goldstein RS

Sources: Smoking and Health: Report of the Advisory Committee to the Surgeon General of the Public Health Service

While most cosmetic surgeries can safely be performed without drains, there are rare cases such as extensive tissue work or specific anatomical considerationswhere drains might still be necessary