Hi everyone. Hope someone could help me with this question. Just had breast augmentation 10 days ago, but incision opened in a tiny spot and exposed implant. No aparent infection yet. Is it safe to have it removed and replaced this soon? How will recovery be? Is there a chance it reopens? I’ve read some other cases where they let the pocket and incision heal before replacing implant.
March 13, 2023
Answer: Variable answers, but one thing is certain Hi there, There will be many variable answers to this question. Some will recommend immediate replacement and others wait. But one thing is for certain: you will DEFINITELY have a higher chance of complications like capsular contracture on the side with an exposed implant whether it is salvaged, replaced immediately or delayed. The pocket should be irrigated thoroughly with antibiotics at the time of antibiotics. Yes there is a chance it will reopen, get infected, or get long term capsular contracture. You should ideally speak with your surgeon, but if unavailable, see a board-certified plastic surgeon to establish care. Best of luck!
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March 13, 2023
Answer: Variable answers, but one thing is certain Hi there, There will be many variable answers to this question. Some will recommend immediate replacement and others wait. But one thing is for certain: you will DEFINITELY have a higher chance of complications like capsular contracture on the side with an exposed implant whether it is salvaged, replaced immediately or delayed. The pocket should be irrigated thoroughly with antibiotics at the time of antibiotics. Yes there is a chance it will reopen, get infected, or get long term capsular contracture. You should ideally speak with your surgeon, but if unavailable, see a board-certified plastic surgeon to establish care. Best of luck!
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March 9, 2023
Answer: Implant exposure WOw, this is a difficult question with many answers (some correct and some questionable). I agree with any revision procedure involving replacement of the implant (as the implant may be considered 'colonized' with bacteria once exposed). The question is when to perform the revision. Some say to wait months to allow the wound to close before attempting any revision, but this may allow bacteria to further colonize the pocket. Others feel early action with revision and replacement prudent. First, how did the wound open? Was there any trauma? How large are the implants and how tight is your closure? As long as I am confident that the wound would not re-open, I would replace the implant early. I would wash out the pocket with copious amounts of Dakin's solution (antibacterial solution) and continue you on oral antibiotics for a week. Best wishes, Dr. Taranow
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March 9, 2023
Answer: Implant exposure WOw, this is a difficult question with many answers (some correct and some questionable). I agree with any revision procedure involving replacement of the implant (as the implant may be considered 'colonized' with bacteria once exposed). The question is when to perform the revision. Some say to wait months to allow the wound to close before attempting any revision, but this may allow bacteria to further colonize the pocket. Others feel early action with revision and replacement prudent. First, how did the wound open? Was there any trauma? How large are the implants and how tight is your closure? As long as I am confident that the wound would not re-open, I would replace the implant early. I would wash out the pocket with copious amounts of Dakin's solution (antibacterial solution) and continue you on oral antibiotics for a week. Best wishes, Dr. Taranow
Helpful 1 person found this helpful