I think it would be unlikely to find a doctor would be willing to drain fluid from around a breast implant without at least the input of a board-certified plastic surgeon. Your primary care physician may be able to order a test to determine if fluid is there but most surgeons would prefer that a plastic surgeon deal with the fluid that is there. It is possible to have insurance coverage for this and is possible for another plastic surgeon to perform.
Insurance will likely not cover what was initially a cosmetic procedure. You can call your insurance company and discuss your scenario with them to see if it is an exclusion to your policy. Two options exist. Depending upon the location and size of the fluid collection, it can be aspirated in the office. The risk of doing that is rupture of the implant. A safer way of dealing with it is to remove the implant in the operating under direct vision, minimizing the chance of rupture, removing the implant and then replacing the same implants. I would not recommend anyone else except a plastic surgeon to do this. Other doctors may not be familiar with the situation and may risk injuring the implant.
Best wishes,Dr. Ravi Somayazula
Your insurance will likely not cover this. You may want to consider going to a radiologist to drain it under direct visualization. There is always a risk of implant rupture.
I don't recommend that you allow a nonsurgeon to drain your breast. Perhaps a radiologist using ultrasound could safely drain your breasts. If you are having fluid build up 5 months after surgery, you really need to be seen by a plastic surgeon. I would suggest getting an ultrasound done first to see if you truly have fluid.
Not quite sure why there was not follow up. Patients should follow up with their surgeon after surgery of any kind. Fluid around the implant is not common so you want to see if in fact that is the case. Draining fluid around the implant puts the implant at risk of puncture. A "regular doctor" is not going to do that and I don;t believe many plastic surgeons would either. You should follow up with your plastic surgeon or another plastic surgeon. Insurance is not likely to cover this.
If you are concerned that fluid is collecting around your implant you should only see a plastic surgeon to evaluate and possibly treat this. No one else is truly qualified to assess and treat this condition.
This is a very tricky procedure that has a very high chance of damaging the implant. Aspirations should only be done by a very experienced plastic surgeon. Occasionally a small incision can be made and the fluid drained under direct vision and highly sterile technique. Ultrasound can also be useful in draining the Seroma (fluid) but unless your doctor has ultrasound, it can be very expensive and would have to be done in a radiology department. I would advise to visit another plastic surgeon to assist you with this problem.
Thank you for your question and I'm sorry to hear that about your experience. It is unlikely that another physician will feel comfortable draining fluid around a breast implant. Another concern is determining why there is fluid 5 months after surgery. I would advise you to see a board certified plastic surgeon to assess what is going on. Best of luck, Dr. Kludt