How do you know for sure if you have an infection in breast implant pocket? Is it likely to return after reimplanting? (Photo)

Infections with implantsyour case is confusing.   it is possible to have a subclinical or chronic low grade infection. treatment choices are difficult.. you can take the implants out for 3-12 months and then re -implant or try a protracted course of oral antibiotics for 2-3 months.  

Thank you very much for your question. It does sound as if you have a low grade
infection in your breast.The cause of capsular contracture is not
100% known but is possibly related to low grade infection.This would tie in with the fact that your
condition does improve when you are on antibiotics.Interestingly breast implant infections are
more common in people who do have recurrent UTI’s as the bacteria from this can
spread in the blood and settle on a foreign object such as a breast implant.I think if you do have tender, painful
breasts with significant capsular contracture the best option may be to remove
the implants and the capsules so that your breasts are back to normal
tissue.You can then either leave the
implants out for a time to clear the infection or insert the implants during
the same operation.I would wish you the best of luck with this
in future.AR

Your story is confusing.  If your breasts are now soft, it is unlikely you have an infection, but with your history of response to antibiotics, and soreness, then a chronic low grade infection with a non aggressive bacteria must be considered.  I would consult with your surgeon, and describe your response. Your photo does not show deformation of the breast which would occur with a severe capsule.