Surgeon cleaned under GA & told me to inject under skin into breast pocket with iodine every 2days & dress with aqualcel ag. No infection but microfilm. After 3 treatments my breast has become hard, hot, sore and inflamed not at wound site but breast pocket. Allergy iodine? Infection? or cos i used waterproof sticky dressing instead of gauze doc told me said it needed to drain. Why is this happening.I just want to heal and be well?
December 30, 2021
Answer: Iodine treatment for wound issues It is always diffiult to provide adivice based only on photographs but I would suggest that you return to your surgeon soon to review what has happened since you started this wound care. The medial breast appears quite red and I would be worried that you might have an infection in that area (if this is a new finding).
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December 30, 2021
Answer: Iodine treatment for wound issues It is always diffiult to provide adivice based only on photographs but I would suggest that you return to your surgeon soon to review what has happened since you started this wound care. The medial breast appears quite red and I would be worried that you might have an infection in that area (if this is a new finding).
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Answer: Management of Exposed Implant Requires Removal kerrina66,You appear to have an implant pocket infection/germ colonization and thus exposure of the implant has occurred within the depths of the open wound, which is obvious if you can irrigate around the implant in the pocket. That being the case, this will not likely go on to satisfactory resolution, with capsule contracture a virtual certainty, even if the apparent infection can be controlled locally. A study by Massachusetts Plastic Surgeon Eugene Courtiss, MD, published in the Plastic and Reconstructive Surgery Journal in the late 1960s or early 1970s reviewed the issue of implant exposure and outcome if the implants could be salvaged by antibiotics and wound treatment, and the outcome was uniform occurrence of capsule contracture, leading to unsatisfactory aesthetic outcome in those patients where the implants could be salvaged without removal. If there were no infection/inflammation, there would be no spreading redness and tenderness, but it may be difficult to culture germs if you are using Betadine, whether or not you are on an antibiotic. If you were to see me for consultation, I would recommend removal of the involved implant, which will allow rapid healing and then replacement in about 6 months, once the acute healing has occurred and the scar has softened. The gause and Betadine (povidone iodine) have nothing to do with the redness
Helpful 1 person found this helpful
Answer: Management of Exposed Implant Requires Removal kerrina66,You appear to have an implant pocket infection/germ colonization and thus exposure of the implant has occurred within the depths of the open wound, which is obvious if you can irrigate around the implant in the pocket. That being the case, this will not likely go on to satisfactory resolution, with capsule contracture a virtual certainty, even if the apparent infection can be controlled locally. A study by Massachusetts Plastic Surgeon Eugene Courtiss, MD, published in the Plastic and Reconstructive Surgery Journal in the late 1960s or early 1970s reviewed the issue of implant exposure and outcome if the implants could be salvaged by antibiotics and wound treatment, and the outcome was uniform occurrence of capsule contracture, leading to unsatisfactory aesthetic outcome in those patients where the implants could be salvaged without removal. If there were no infection/inflammation, there would be no spreading redness and tenderness, but it may be difficult to culture germs if you are using Betadine, whether or not you are on an antibiotic. If you were to see me for consultation, I would recommend removal of the involved implant, which will allow rapid healing and then replacement in about 6 months, once the acute healing has occurred and the scar has softened. The gause and Betadine (povidone iodine) have nothing to do with the redness
Helpful 1 person found this helpful
