Causes and Remedies For Horrible Rash/ Reaction Post Breast Augmentation? (photo)

My daughter just had breast augmentation on feb.8th. (Silicone). About a week after surgery, she developed a rash around the side of her right breast, then it spead to the underside of both breasts, her flank and abdomen area. Around her incisions became reddened and blistered, no purulent drainage, just serous fluid. No temp/no pain. just horrible itching. Pred pack helped for first 3 days, also on abx.Rash beginning to spread again. Surgeon thinks dermabond allergy.

Doctor Answers (2)

Rash/Itch After Breast Augmentation?

+2

I'm sorry to hear about the allergic reaction your daughter has experienced;  I'm sure the symptoms are quite aggravating.

Based on the location and appearance of the rash,  I would agree strongly with your plastic surgeon that this is probably related to the dermabond  applied to the incision line. The appearance is very typical.

Generally, this type of reaction takes several weeks to resolve ( there may be crusting and drainage... associated with the rash).

I would suggest continued follow-up with your plastic surgeon and the use of anti-histamines and oral steroids as prescribed by your plastic surgeon.

Best wishes.


San Diego Plastic Surgeon
5.0 out of 5 stars 710 reviews

Rash After Augmentation

+1

The appearance in the photos is consistent with a sensitivity reaction to something applied to the area o the incision (e.g., Dermabond, skin adhesive, adhesive tape, or Steri-Strip).

When I see what I perceive to be a topical sensitivity, I remove any residual tape or adhesive, wash the areas as well as possible and use hydrocortisone cream until the rash resolves (usually about 5 days).

For more generalized itching, a couple days of Benedryl or oral steroids can be helpful.

If the rash yet worsens or becomes more generalized, I would get the assistance of an Allergist and/or Dermatologist.

After this resolves, you may wish to document the specific sensitivities/cause of the rash with skin testing.

Paul C. Zwiebel, MD
Denver Plastic Surgeon
4.0 out of 5 stars 12 reviews

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