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Infection After Breast Augmentation and Lift

Does this look Normal for a second surgery? I had a major infection. Should I have been put on oral antibiotics to prevent infection? I originally had a lift and an augmentation - October, 08. Now, I just had them redone - April 08.

The left one was the original problem and now seems to be again. I asked my PS to put me on oral antibiotics and he said that he doesn't recommend orals after surgery because he gave me a dose before and after my surgery. I insisted and he gave me Augementin 875mg 2x per day. Advice?

Doctor Answers (12)

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No Infection


Infection is very apparent when it happens. The tissues are red and if it's really bad there will be pus from the incisions. I don't see any redness in the picture. The use of antibiotics is different for everyone. What your surgeon did is very appropriate. I'm sure if he felt there was an infection he would have you on antibiotics. Give it time, you will heal.

Fairfax Plastic Surgeon
5.0 out of 5 stars 13 reviews

Breast Augmentation


The only way to really advise you correctly would be to examine you.  If you don't trust your surgeon, then you should get a second opinion from a board certified plastic surgeon in your area.


Toronto Plastic Surgeon
5.0 out of 5 stars 20 reviews

Infection After Breast Augmentation and Lift


The breast in the photograph does not appear to be infected but rather looks like there is some suture reactivity taking place.  This can happen with Vicryl sutures and Monocryl sutures as well as others.  At this time I would let the breast incisions settle down and then reassess at a later date.

Web reference:

Houston Plastic Surgeon
5.0 out of 5 stars 31 reviews

Breast incision appearence



Your photo appears to show incisions that have healed wide as opposed to infection.  If you did not have an infection during your recovery than not taking antibiotics had no affect.  Incisions can heal wide or visible secondary to many factors including technique, tension, genetics, and many others.  I would discuss this with your plastic surgeon regarding timing of re-evaluation and the decision of whether or not to proceed with scar revision.

All the best,

Dr Repta

Web reference:

Scottsdale Plastic Surgeon
5.0 out of 5 stars 72 reviews



It's difficult to give you advice based on your description and photo.  Oral antibiotics are not often an issue if there's a question of infection.

New York Plastic Surgeon
5.0 out of 5 stars 24 reviews

Infection post breast augmentation


Based on the photographs, it seems that your redness is very focal to the area around the incision.  The main portion of the breast appears to be uninvolved.  Could it be that you may be reacting the sutures that are used for the internal dermal suturing?  Sometimes, sutures like vicryl and monocryl can cause a reaction like the one around your incision.  Please check with your surgeon for that possibility.  Good luck with this issue.

Voorhees Plastic Surgeon
5.0 out of 5 stars 16 reviews

Trust in your Plastic Surgeon


The signs of infection have already been listed here. When in doubt, contact your plastic surgeon and schedule an appointment to been seen. I do not disagree with your plastic surgeon's recommendations on antibiotics. The important thing is that if you have a concern, you should contact your surgeon.  

Columbus Plastic Surgeon
5.0 out of 5 stars 18 reviews

Breast lift revision


An augmentation mastopexy is the reason for the most litigation of plastic all surgery cases.  This indicates it is a procedure where complications of varying degrees are not uncommon.  Based upon the pic provided, it does not appear to be infected.  I give all breast augmentation patients antibiotics, but this is not mandatory.  See your doctor and don't be afraid to ask questions. Good Luck!

San Diego Plastic Surgeon
5.0 out of 5 stars 7 reviews

No scientific evidence that antibiotics decrease the risk of infection in breast augmentation.


Even though many plastic surgeons administer antibiotics to breast augmentation patients (me too), there is no evidence that they reduce the risk of operative infection.  I would not disagree with your plastic surgeon.

Web reference:,13-atlanta-breast-augmentation.htm

Atlanta Plastic Surgeon
4.5 out of 5 stars 6 reviews

Trust your surgeon

I agree with the points made above.   Go to your surgeon and ask him or her.  Infections of breast implants are usually very obvious.  Hot, red, tender, fever, chills, eventuallly pus and exposure of the implant.  They are rarely
Los Angeles Plastic Surgeon
4.5 out of 5 stars 57 reviews

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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