Infection to implant removal. Were these two infections related? (Photo)

Question

Trying to make sense, 49 y/o. Lift w/implants on Sept 9. Looked great. Seemed to be healing normally. On Oct 13, infection on right nipple (picture incl) which was treated with 10 days of Bactrin DS and ointment. Healed fine after 2 weeks. Surgeon suspected suture colonization. At 6 mths post op, pain on gala flex on outer end of breast, followed by painful lump there, red spreading across bottom of breast, fever and chills, swollen breast. Implant removed. Related infections?

Nelson Castillo, MD · Answer

Thank you for sharing your question and photographs. It would be impossible to know completely if both infections were related but suspicion is high, especially if culture results demonstrated the same strain of bacteria.

Donald R. Revis Jr, MD · Answer

Good morning,
Although you will never know with certainty. it is quite likely that the entire infectious process is one and the same and all related- you suppressed it early on with the antibiotics, but didn't completely eradicate it, resulting in subclinical spreading to your mesh and implant, which subsequently found a home and blossomed.

Daniel Barrett, MD · Answer

Dear Marn1972,
there is no way to know if they are related. It can be two separate infections with different bacteria. I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a 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

Connie Hiers, MD, FACS · Answer

I would think the two infections were not related due to the time span between each. However, a small amount of bacteria from the first might have contaminated your implant in a small dose which gradually grew to the second infection. More often, the second infection followed a dental appointment or infection elsewhere, like sinus.

Camille Cash, MD · Answer

I'm sorry to hear of the issues you've had from surgery.  There's no way to know for sure if the two infections were related.  Your surgeon would be the best one to ask as she/he was able to exam you and follow you through this process.

Douglas Taranow, DO, FACOS · Answer

Infection following breast procedures are pretty rare.  The separation from the original issue and the severe infection would point to a secondary issue.  A low level colonization or infection brewing for months is quite rare, it is not impossible 
Best wishes on a speedy recovery 
Dr. Taranow

Infection to implant removal. Were these two infections related? (Photo)

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