Complications 3 mos post op with explant and mastopexy with Galaflex mesh. Infection or something else? Please help! (photos)

Question

3/13 Explant, lift w galaflex. 6/2 Redness began, ABX started. 6/4 Blister like appearance. 6/5 Incised & drained "softball size" amt, mostly clear, no odor. Packed/wicked thru 7/13. 7/10 ABX started. 7/13 Discontinued wicking. 7/16 Began draining a lot of fluid. 7/18 Surgery, removed small amt of necrosis & mesh, no sign of infection. 7/18 ABX started. 7/18 Removed drain. 8/2 Redness began. 8/5 ABX started. 8/7 Redness increased, area very hard and painful. Your input is very much appreciated.

Nelson Castillo, MD · Answer

Thank you for sharing your question and photographs.  It does appear that you continue to have a breast infection which will require drainage by your physician, and removal of any foreign material that may remain.  Hopefully with good culture results of the fluid, and appropriate tissue debridement you will see quick recovery.  Best wishes.

Daniel Barrett, MD · Answer

Dear ohitsmandy,I understand your concern. However, without a proper assessment it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment. Only after thorough examination you can get proper recommendations and advice.Daniel Barrett, MD

Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Camille Cash, MD · Answer

I'm sorry you are having so many issues.  It appears you have an infection.  I recommend an examination by surgeon and discussion of possible interventions.  Cultures may be done to help get more information to properly treat it.

Kamran Khoobehi, MD · Answer

Galaflex is absorbable material and used to provide support. One of the main risk of the mesh is infection and treatment includes antibiotics for short period. If there is no response to antibiotics then surgical removal needed. Please see your surgeon for treatment.

Jane Namkung, MD · Answer

I'm so sorry you are having this problem.  It does appear you have an on going infection.  I would go back to your surgeon to be seen and examined.

Complications 3 mos post op with explant and mastopexy with Galaflex mesh. Infection or something else? Please help! (photos)

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