Infection surrounding chin implant. Should the implant be removed?

Question

On Feb. 2, I had neck lipo/chin implant performed, with a pretty prominent incision/suture line afterwards. The dissolving sutures have fallen out, but there was 1 residual scab in the center of the scar. About 5 days ago some oozing of yellow/pink translucent fluid droplets began adjacent to scab. 2 days ago the scab washed off, releasing lots of fluid and leaving a deep pit that has been growing, w/ continued weeping. I started keflex yesterday, but am worried the implant must be removed?

Paul E. Kelly, MD · Answer

Dear San Diego - by now I am sure that you have sought attention for the infection in the chin implant area - there is not question that the site is/was infected and immediate attention is required - Keflex is not my favored choice for an antibiotic in this area - Cipro might be a better choice while a culture is taken and specific treatment can be directed. Hope all works out well and you can decide if another implant will be placed in the site.

Darryl J. Blinski, MD · Answer

The posted photos indicate an infected implant. I recommend immediate removal and antibiotic therapy. Replacement after 3 months if healed. From MIAMI

Mohsen Tavoussi, MD, DO · Answer

If you do have infected chin implant, it will have to be removed ASAP. Infections around an implant rarely resolve with antibiotics. Follow up with your surgeon. The implant can be replaced several months later when things have calmed down.

Samir Shureih, MD · Answer

Do not treat yourself (I would not). You need to culture the fluid, and get the appropriate antibiotics. SEE YOUR SURGEON ASAP.

Michel Siegel, MD · Answer

From the pictures you provided I would be very worried that you do have an infection. Keflex may not be sufficient. The implant may need to be removed, and additional antibiotics given.

	I strongly encourage you to see your Surgeon as soon as possible, so he can better evaluate and decide.

	 

	Dr SIegel

Infection surrounding chin implant. Should the implant be removed?

Answers (6)