Can breast implant extrusion reoccur after surgery to clean and change it? Could other type of sutures be less reactive? (Photo)

Question

Post reconstruc. breast surg. 4 wks. In a week blood starts to drip from the insis. doc sad its liquified blood clot. I feel better though In 3 wks excruciat. stubbing pain in incis. had an ultrasound.The results were all clean.in a week pain almost gone but black dot is on the incis. terrif. to find out it's an implant. Doc sad it has to be removed ,changed, area cleaned. what is the chance of reoccur.of extrusion? a chance of reaction to other type of suture? I'm 18,HEALTHY Don't smoke.

Nana N. Mizuguchi, MD, FACS · Answer

Implant salvage on a healthy individuals can be performed successfully.  I would try to remain positive and stay in close contact with your surgeon.Best Wishes,Nana Mizuguchi, MD

Harry T. Haramis, MD, FACS · Answer

It may be prudent to remove the implant for a few months and then reevaluate for options.Close follow up with your plastic surgeon is recommended.

Tom J. Pousti, MD · Answer

I am sorry to hear about the complications you have experienced; your disappointment/concerns are certainly understandable. Although I'm not sure I understand the specifics of your situation, some general thoughts may be helpful to you.You will find that there are very few "absolutes" in the field of plastic surgery. In other words, practices will vary from one plastic surgeon to another.Personally, I think that the management of breast implant exposure situation needs to be individualized. In most cases, patients are best served by removing the breast implant involved, with the goal of breast re augmentation many months subsequently. Ultimately, timing of the re operation is best individualized depending on the clinical/microbiology findings.Factors that I use when deciding when to return to the operating room include:  the nature of the infection present initially ( superficial versus deep, microbiology results…),  how well and/or quickly the patient's tissues "heal" after removal of breast implants,  the patient's physical examination with emphasis on softness/pliability of the patient's tissues…  Generally, if in doubt, best to undergo breast re augmentation later rather than too soon.Keep in mind, what I have described is based on my personal experience/opinions. Your plastic surgeon, having the benefit of knowing your history and  current situation, will always be your best resource.
Best wishes for an outcome that you will be pleased with longer-term.

Steven Wallach, MD · Answer

Sounds like you had some issues going on. If the implant is not exposed, then often a small dehiscence at the incision goes on to heal with local wound care. If the implant is exposed, then likely it needs to be removed. Best to follow with your surgeon.

Darryl J. Blinski, MD · Answer

By definition you have an infected implant! Thus removal the correct option. Allow 3 months healing than reinsertion new implant. Sorry.

Can breast implant extrusion reoccur after surgery to clean and change it? Could other type of sutures be less reactive? (Photo)

Answers (6)

Answer: Incision issue

Answer: Incision issue

Answer: Can breast implant extrusion reoccur after surgery to clean and change it? Could other type of sutures be less reactive?

Answer: Can breast implant extrusion reoccur after surgery to clean and change it? Could other type of sutures be less reactive?

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Everything you need to know about Breast Implant Revision

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Can breast implant extrusion reoccur after surgery to clean and change it? Could other type of sutures be less reactive? (Photo)

Answers (6)

Answer: Incision issue

Answer: Incision issue

Answer: Can breast implant extrusion reoccur after surgery to clean and change it? Could other type of sutures be less reactive?

Answer: Can breast implant extrusion reoccur after surgery to clean and change it? Could other type of sutures be less reactive?

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Recommended reading

Everything you need to know about Breast Implant Revision

Our mission is to create a world where every investment in modern beauty is Worth It.