Remove and replace or leave alone? Re-augmentation nearly 3 years ago. (photos)

Question

I had reaugmentation nearly 3 years ago, no problems. 5 days a( 1tarted with pain and swelling left breast, with a slight fever. 1 day later a small pinhole appeared on inner side L.breast which was leaking excessive liquid(slight yellow tinge). A&E diagnosed infection and started IV antibiotics. US showed implant intact with small amount fluid around it. Pain and swelling settling. all antibiotics finished. this started 18.8.24 and is still leaking small amounts of fluid intermitt most day

Shaher W. Khan, MD · Answer

Hello, thank you for your question. I am sorry to hear about what you are going through. Given that you have experienced ongoing leakage and infection, it is important to follow up with a board-certified plastic surgeon. Please watch the attached video in detail that answers your question directly and specifically.

Gary M. Horndeski, MD · Answer

It sounds like your implant is infected.  I recommend you have them removed, wait 6 months and then have them replaced.

Best Wishes,

Gary Horndeski, M.D.

Connie Hiers, MD, FACS · Answer

You need to go back to your surgeon and have the implant removed. You probably have some bacteria around the implant and inside the capsule. The implant needs to be removed to remove all foreign material so that the infection can be completely healed. Once healed, a new implant can be replaced. If not removed, this problem may go on for a while and you will develop a hard capsule on that side which will require surgery. Do surgery now.

Camille Cash, MD · Answer

I'm sorry to hear about the issues you are experiencing.  It sounds as if an infection is present.  It's best to have the implants removed and allow time for the breasts to heal completely (usually about six months).  You can then consider reaugmentation.  Be sure to see a board certified plastic surgeon near you to discuss your options.

Mats Hagstrom, MD (license on probation) · Answer

Generally speaking an implant that is contaminated is going to need to be removed.
In most instances a contaminated foreign body will not clear the bacteria with the use of antibiotics.
 There have been a few documented instances where contaminated implants have been cleared of bacteria, using antibiotic ongoing irrigation.
The problem with leaving the implant in place is that bacteria will slowly errode the tissues.
When patient stopped taking antibiotics the infection will flare up again. if the body has the ability to drain the fluid, then signs of infection may be less. 
The opening will never heal if there is contamination.
You should be in a close contact with your plastic surgeon hopefully has enough skill and experience to properly manage an infected implant.
Best,
Mats Hagstrom MD

Remove and replace or leave alone? Re-augmentation nearly 3 years ago. (photos)

Answers (5)