i had breast augmentation 8 months back above the muscles. A month back i had an abscess which started to discharge from the incision sight ( below the breast ). i was treated with antibiotics and also had a surgery to drain the abscess.Two weeks after the surgery new abcess formed in the area below the nipple i was put on intravenous antiboitics however the abcess burst and started leaking . Its more than a month now the sore formed in not yet healed and abscess is still leaking
Breast Abcess? (photo)
Doctor Answers (8)
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Drainage and Abcess Suggests Implant Infection
Thank you for your question and photos. Drainage from an implant incision this far out from surgery is suggestive of an implant infection. It is advisable that you discuss this matter with your surgeon.
Possible implant infection
Your symptoms are certainly worrisome. It is possible that you had an infection from a buried incision. The suture can act as a foreign body and will continue to abscess until it is removed. The other question is if your implant is involved. If this was the case your breast would be swollen firm, red and tender and most likely you would be having chills and fever. If you have any level of concern you should be evaluated by an experienced plastic surgeon. No amount of antibiotics would clear an actual implant infection and the implant will need to be removed. Once things have settled down you would be able to have the breast augmented again.
Breast Implant Infection
It can sometimes be difficult to tell if an implant needs to come out in the case of an infection. However, if the breast is firm, red, swollen, warm to the touch and draining despite previous treatment, it is unlikely that antibiotics will clear the infection.
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You need to have evaluation for possible implant infection
It is unusual to have abscess and drainage 8 months post augmentation. The most common cause of the drainage post augmentation is implant infection. Further evaluation by ultrasound can be helpful.
The posted photos are in poor positions. But until proven otherwise you have implant infection. Thus you need implant removal.
Infected breast implant
If you still have the implant in place, then it sounds like the implant may need to come out. It is best to follow closely with your surgeon.
Management Of An Infected Breast Implant
These are all signs of an infected breast implant. This will not be solved by antibiotics alone...as you have already learned. At the least you need surgery to wash out the pocket, replace the implant with a new one and close the wound. At the worst that implant needs to come out to resolve the infection and be replaced after 3 months of good healing time.
Web reference: http://www.eppleyplasticsurgery.com
Probably implant infection - see your surgeon asap
One can't say from the photos and you need to see your doctor asap but in anybody with a prosthetic implant and a draining recurrent infection, in all likelihood the implant is infected and needs to come out because you can't cure implant infections without prosthetic removal in most all cases.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.
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