Infection following breast augmentation is a serious complication that can result in patients losing their breast implants. Signs of infection include redness, swelling, drainage, pain, fever and occasionally flu like symptoms.
When any of these symptoms occur, they should be investigated aggressively. This may include laboratory studies, ultrasonography, and possibly aspiration of fluid within the breast pocket for culture.
It’s important that you be re-evaluated by your plastic surgeon. Your clinical course doesn’t seem to be improving, despite two courses of antibiotics. In addition, you continue to have unilateral redness and tenderness. These findings suggest that infection is definitely a possibility.
If it is determined that you have an infection, aggressive treatment will be necessary to salvage your breast implants. This would include an infectious disease consultation, appropriate culture specific antibiotics and possible re- exploration of the breast pocket with aggressive cleansing. Even with these maneuvers, once infection is established within the breast pocket, removal of breast implants is usually necessary.