Swelling at the Inframammary Incision 2 Wks Postop, Infected? (photo)

Any incision will have a certain amount of redness and swelling. It is a normal part of the healing process. Photographs don't demonstrate anything troubling.

 is difficult to tell from your photograph whether or not there is an infection present. In the perioperative period there will be redness and swelling around the incision site. Other signs and symptoms to look out for in terms of determining whether or not you have an infection is whether or not you have any fever or chills or general malaise. If there is any drainage or foul odor from your dressing this is another indication of possible infection. Does the area around the incision feel hot to the touch? Is there a tenderness to the skin near the incision? These are some questions that may guide you in your determination however the best recommendation is to follow up with your plastic surgeon immediately.

It is imperative that you be seen and examined.  I don't know if an adhesive or glue was used and there is residual product on the wound.  The incision otherwise  appears stable.

From your photos, nothing looks concerning.  It appears your closure involved raising the edges up against each other.  If you have spreading redness from your incision, you need to contact your surgeon and should be keeping him in the loop.

I would definitely suggest returning to see your PS and continuing the antibiotics until you see him/her. Perhaps your GP could prescribe you another course in the mean time if your surgeon is unable to see you to ease your mind.

The internet is not a particularly good place to get a second opinion about the presence or absence of an implant infection.  A physical exam is essential in making the diagnosis.

From the photos alone, I would not be particularly alarmed. Both sides seem to have a small amount of reaction to the suture material. Close follow up with your surgeon is important. If you wish a useful second opinion, you will need to make an appointment with a plastic surgeon. 

All the best. 

It is pretty much impossible to tell you whether you have a wound infection or not over the internet based upon these images.  There certainly appears to be a difference in the healing of the two wounds, and this may be due to infection in the right wound or other factors.  The best person to determine this and recommend a course of action is your surgeon, who can examine the area in person.  If you are sufficiently concerned and need another opinion than that of your own surgeon, I would suggest at least a consultation in person with another surgeon in your area.  Good luck.

The inframammary incision can sustain significant stretching during breast augmentation while placing a large implant through a small incision.  This can make the incision edges difficult to work with and produce irregularity at the incision closure.  Postoperative swelling and redness can also result from this stretching.

Infection usually begins to appear 5 or more days after surgery.  The incision and the skin around the incision will become red.  Drainage from the incision may appear.  The patient may also begin to experience a fever of 100.5 degrees or greater.  A course of antibiotics, as prescribed by your surgeon is prudent when concerned about infection.  The diagnosis is difficult to make from pictures online and is best made by your surgeon during close follow up after your sugery.