Infection after breast augmentation surgery

         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 flu like symptoms.

         When any of these
symptoms occur, they should be investigated aggressively. This may include
laboratory studies, ultrasonography, and possibly fluid aspiration from the
breast pocket for culture.

         Based on your
history, it appears that you have a superficial type of infection known as a
stitch abscess. This results from an absorbable suture protruding through the
skin and becoming secondarily infected.

         Treatment involves
removing the suture and treating the wound with dressing changes and antibiotics.
If improvement doesn’t occur rapidly, then further investigation is indicated
to rule out infection of the breast pocket.

         It’s important that
your plastic surgeon closely monitors your progress. It appears that your wound
is slowly improving and should continue to get better with time. 

Sounds like a very localized reaction to the suture.  I have seen this happen in some patients that are sensitive to certain absorbable sutures including barbed sutures.  If it has taken this long to resolve, I would recommend excising the the area and closing again in a different fashion.  

There are two major types of infections that are seen after breast augmentation surgery.  The more common type of infection is superficial in natural, usually clears up with antibiotics, and occurs in roughly 1% of cases.  Less commonly, deeper infections can occur which involve the implant.  These infections are much more serious, and can require intravenous antibiotics or even removal of the implant.  It can sometimes be a challenge determining if a deeper infection has occurred.  Your best resource is a board certified plastic surgeon with experience performing breast augmentation.