Right breast infection. Should I go with an areola incision next time?

Photos would be helpful, but the areolar incision has a higher risk of infection than the underneath incision. Unless the beast tissue is thin in that area, I would suggest the same incision. E coli is bacteria that you are probably picking up in the bathroom. You need to wash your hands very well each time before you leave the bathroom and clean that room very well prior to surgery.

Although you've been unlucky twice, don't blame the inframammary incision, which is the safest incision precisely because you are less apt to get implant contamination. Unfortunately, I would place blame on your surgeon or the surgery center, something I'm loathe to do. E. coli is not skin flora, it is from our gut, and may indicate either sterility problems in the OR or contamination after surgery at home. Implant infection is very rare in primary breast augmentation, and although it's more common in revision, it's still kind of like lightning striking twice. Yes for new doc (and new surgery center), no for new incision.

I would be interested in what was done between the first two operations. How long did you wait before having the implants placed again. A few months would not have been enough time