Bilateral mastectomy 1 month post op my L breast had 250 cc of fluid. 2nd sx, breast was filled with white yeast pudding (Photo)

2nd attempt with a expander, 3 wks post op and 180 cc of fluid, sediment and crystals were noted. Await culture results? What,How and Why? Of course what happens next? I am 47 years old, with a prophylactic mastectomy due to 3 generations with TNBC.

Doctor Answers 1

Breast Reconstruction

Probably infected expander. Remove the expander, tissue culture and infectious disease consult. Antibiotics.
No expander for 6-12 months.
May consider a latissmus Dorsi flap for implant reconstruction. Otherwise a free flap, and no implant.

Baltimore Plastic Surgeon
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