For you, I would wait a year.

George J. Beraka, MD answers: Is it too early to have my implants replaced?

I had breast augmentation in August 2007 and had my right implant removed 5 months later. The cause of it was unknown at the time, but after months of my incision not healing, and numerous visits to doctors and countless cultures, an infectious disease specialist was able to pinpoint it to a particular staph infection. I was given antiobiotics which I took for 3-4 months.

My incision healed up in August and I've been given the green light for my redo in February. All doctors have recommended that I wait 6 months. Needless to say, I'm happy, yet fearful about getting my implant back in. Is it too early though? I certainly can wait if need be. Could I get another staph infection? I definitely do not want to repeat what I went through again. Is there anything I can do to prevent this from happening? Your advice and insight is greatly appreciated!

George J. Beraka, MD
14 months ago

To margaret6,

Hi! After a typical infection, 6 months is a reasonable period of time to wait before replacing the implant. But you describe a difficult and unusual complication. You say that it took a full year from your original surgery until the wound healed.

This suggests that you may have a lot of internal scarring and possibly thinning of the tissues. So I would wait longer, not so much because there is such a high risk of another infection, but rather because the surgery may go better if you give the internal scarring time to soften.

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A: Breast implant replacement - You should be good to go

Kenneth R. Francis, MD
14 months ago

Margaret,

I am sorry about your complicated breast augmentation. It is generally accepted that a six month waiting period after infected breast implant removal is a sufficient amount of time for your body to clear the infection completely from your tissues.

Fortunately, this complication occurs very infrequently and the likelihood of it happening to you again is also remote.

The shower with Hibiclens recommendation on the night before your surgery is an additional means to decreasing your infection risk. There is evidence that Hibiclens wipes used in the shower provide better antibacterial protection for the skin than the Hibiclens soap. Ask your plastic surgeon about using them.

Good luck!

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A: Implant replacement

Steven Wallach, MD
13 months ago

It sounds like you got good advice by your doctors. Concern about a new implant is a valid one, but most people would say that waiting 6 months or until the tissues were soft is the appropriate earliest time to replace your implant. If your infectious disease doctor and your surgeon feel that this is the appropriate amount of time, then you should feel comfortable to go ahead. Remember, that a staph infection can happen anytime from may different sources.

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