Could This Be an Infection (Skin) or the Breast Implant? (photo)

I noticed hole a week or so after surgery... only drainage, no pain, no swelling and no fever. Been taking antibiotics with no real improvement but it's not getting worse either.

Doctor Answers 13

Could This Be an Infection (Skin) or the Breast Implant? (photo)

You need in person examination and possible re opening of the scar incision. Best to be seen sooner than lateer. 

Miami Plastic Surgeon
4.6 out of 5 stars 173 reviews

Could This Be an Infection (Skin) or the Breast Implant?

It is too difficult to give you a diagnosis based on that picture.  It this timeframe out from surgery, I would not expect any drainage from that wound.  I recommend you see your surgeon sooner, rather than later, for a formal examination and treatment plan.

Garrett A. Wirth, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 11 reviews

Suture granuloma

This looks like a suture granulomas (or suture abscess or spitting stitch) which are not uncommon following breast or body surgery. These usually resolve after the piece of suture material is removed without the need for further surgical intervention. However, for definitive diagnosis and care, you should see your board certified plastic surgeon.

Todd C. Case, MD
Tucson Plastic Surgeon
4.9 out of 5 stars 55 reviews

Drainage after breast augmentation

I would contact your surgeon and plan on being seen sooner than later because it is best to identify problems or potential problems sooner than later.  Any drainage may mean a communication with the implant or implant pocket.  In my opinion, if the fluid can come out bacteria can get in and you have to treat this to try to prevent and infection.  An infection, if it involves the breast implant may require removal of the implant.

Thank you and best of luck.

Ralph R. Garramone, MD
Fort Myers Plastic Surgeon
4.8 out of 5 stars 59 reviews

Suture abscess after breast augmentation

The photograph could demonstrate one of several conditions.  You could have a superficial abscess at the scar line or a skin separation or be spitting an internal stitch.  None of these conditions is dangerous but a visit to your plastic surgeon is warranted for treatment.

Robert L. Kraft, MD, FACS
New York Plastic Surgeon
5.0 out of 5 stars 39 reviews

Stitches after breast augmentation

Most will use sutures which are buried and will dissolve after breast augmenation, and occcasionally one of the buried sutures will come through as a 'suture abscess'. This is what appears to be the case in your photo and these clear up rapidly as the surture is removed. Your surgeon can take a look and know for sure.

Best of luck,

Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 42 reviews

Infection ?

It certainly does not look infected from this picture but see your plastic surgeon to be sure.  It certainly looks more like a stitch abscess or spitting suture to me.

Steven Schuster, MD, FACS
Boca Raton Plastic Surgeon
4.0 out of 5 stars 6 reviews

Recovery from Breast Surgery

Thanks for posting the photo.  Unfortunately it is blurry and low resolution.  However, from what I can see, it looks like you have a superficial skin separation, which is no big deal and will heal just fine.  However, without seeing you in person and examining you, it is impossible to know for sure.  You should follow up with your surgeon for any concerns.


Good luck.

David Shafer, MD
New York Plastic Surgeon
4.9 out of 5 stars 75 reviews

Superficial infections around the areola with breast augmentation

Thank you for your question. Although it is hard to tell from just a photograph and not an evaluation, it appears that you have a superficial infection, likely due to an infected stitch or two.  This is usually best treated with removing the offending sutures which your surgeon can to in the office. Antibiotics are usually not necessary but I would leave that decision up to your surgeon. Your scar might be a little more noticeable as a result of this minor infection but this can be revised in the future as a minor office procedure. 

James McMahan, MD
Columbus Plastic Surgeon
4.8 out of 5 stars 38 reviews

Breast Augmentation Complication?

Thank you for the question and picture. 

Most likely you're experiencing a superficial stitch coming to the surface ( stitch abscess);  this situation is easily treated.  Very rarely,  this may be an indication of a deeper and more serious involvement of the breast implant.  Follow-up with your plastic surgeon to be sure.

Best wishes.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,486 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.