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Serratia Marcescens After Rhinoplasty. What Are Chances with a Silicone Implant?

20 days after a rhinoplasty with silicone implants, I'm infected with a bacteria called serratia marcescens. Have been on ciprofloxacin antibiotics for 5 days now. Significant reduction in swelling plus drainage from incision site of the rhinoplasty. What are my chances of saving the implant with this bug? Will this seed for future infections? My doctor is thinking about keeping me on the antibiotics for 30 days. If saving the implant is not possible, when should it be removed?

Doctor Answers (5)

Infection After Nasal Implant #nosejob

+1

Once an implant is infected like that it should be removed. Trying to salvage it can often lead to a worse outcome with repetitive infection. It is a general principal we all follow that infected implants should be taken out. That does not mean you can not have another one placed but the infected one has to go. You will likely need a time period free of the implant to allow things to heal and infection to recover.


Scottsdale Plastic Surgeon
5.0 out of 5 stars 21 reviews

Nasal implant and infection

+1

If you have a serratia infection with a nasal implant, then you most likely need the implant removed.  Good luck.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 17 reviews

Infection with rhinoplasty and silicone implant

+1

It may be possible to salvage the implant, although not probable.  Prolonged antibiotics are adviseable but have their own set of issues.  Ultimately, if you have to have the implant(s) removed you may have better luck withyour own tissue such as cartilage or bone.

 

Talmage Raine MD FACS

dr@drraine,com

Talmage J. Raine, MD
Chicago Plastic Surgeon
4.5 out of 5 stars 8 reviews

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Silicone Implant Infected

+1

Hi,

Remove the implant as soon as possible. You will not be able to save the implant. The implant is the source of the infection. Once its removed and healed up, you can replace it. Make sure you go to someone who knows how to work with silicone implants.

Best,

DrS.

Oleh Slupchynskyj, MD, FACS
New York Facial Plastic Surgeon
5.0 out of 5 stars 213 reviews

Infection after rhinoplasty

+1

It's encouraging that the swelling and drainage has decreased with antibiotics.  Chances are good that with appropriate antibiotic treatment you may not need to remove the implant.  If the infection fails to resolve, or progresses, the implant should be removed immediately.  Having a silicone implant carries with it a lifetime increased risk of infection and extrusion.  It won't necessarily "seed" with Serratia, but you will be more susceptible to infections from a number of bacteria.  As long as the implant is in place be vigilant about any changes to your nose - redness, tenderness, drainage, malodor, et cetera.

Donald B. Yoo, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 19 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.