Soft Tissue Breast Infection?

1 yr postop, saline unders, sudden onset of swelling and pain on 1 breast. no redness or fever. dr treated with keflex on day 7 of meds condition resolved, on day 9 they reappeared and increased in swelling and pain. Went to ER for ultrasound and placed on iv meds. US showed no fluid, capsule in tact, just soft tissue swelling. did 36 hrs of iv antibiotic was discharged. started minocyline 100mg for 14 days last night. breast still swollen very firm and sore. can this be infection of tissues?

Doctor Answers 7

Breast implant infection

It's hard to say without examing you first, but I suggest that you return to your plastic surgeon to see if the implant needs to be removed.

Infection of the breast implant almost always requires X plantation.

It's possible to have a soft tissue infection of the breast unrelated to the prosthesis. It's impossible to comment on your situation based on the history. If you indeed have an infection that involves prosthesis almost assuredly it will require removal.

Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon
4.7 out of 5 stars 35 reviews

Breast infection?

I think that the best person to address this for you is your surgeon. Exams in person will help guide the management. Good luck.  Hope all works out.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Infection after Breast Implants

The absence of fluid around the implant suggests the implant area is not infected. You may need a repeat ultrasound or different antibiotic if you are not improving with the minocycline. 

Karol A. Gutowski, MD, FACS
Chicago Plastic Surgeon
4.9 out of 5 stars 68 reviews

Soft Tissue Breast Infection?

A soft tissue infection would be my #1 concern here. Follow up closely with your surgeon. Best wishes.

Jourdan Gottlieb, MD
Seattle Plastic Surgeon
4.6 out of 5 stars 45 reviews

Mastitis is likely one year after a breast augmentation

If this  was an implant infected condition then it would not resolve with antibiotics alone, the implant would have to be removed.  Most likely a mastitis and needs to be treated with the appropriate antibiotic for resolution.  

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 19 reviews

Infection involving breast with an implant

My major concern would be involvement of the implant.  I would have you see your plastic surgeon as soon as possible.  It is not unheard of to develop a capsule after even routine dental work.  Good luck and I hope all ends well.

Steven Schuster, MD, FACS
Boca Raton Plastic Surgeon
4.0 out of 5 stars 6 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.