CC Revision advice

salsaeminem · 11-26-2007, 03:20 PM

Hello Dr. Kearney,

I was hoping you may be able to offer some advice to me?

My history - BA, smooth, saline unders, 350cc (C cup) September 2006. Developed CC right away in left breast. I was put on Singulair and told to massage. 3 months later no change, 3 months after that (April 07) I had a capsulectomy (removed implant, replaced with new) CC came straight back - I knew by day 5 basically.

This time it's not quite as bad as it moves about but basically like a ball shape, is very firm to touch (ie I can't squueze my fingers together like I can with my other very soft breast. It also looks distorted, especally from the side.

I've been to see a couple of other plastic surgeon's since this happened and one of them suggested just doing the same thing again (as there is no point messing around with the good one) and hoping/praying for a good outcome. The other plastic surgeon suggested textured silicone (which would mean redoing both)

Both of them told me that Accolate is not recommended because of it's very toxic effects on the liver - I have to agree with that on what I've read..

I'm going back to see my original plastic surgeon in december sometime to see what my options are. Coudl you tell me what you would recommend for a second CC revision surgery? I don't know what to do this time, but I can't live with it like this. This has been one long, upsetting ride and I'm hoping the next time I have surgery, it will be a great result and I won't have to do this again for a long time.

I'm based in Redondo Beach, California.

I look forward to your reply, thanks so much!

Dr. Kearney · 11-26-2007, 05:41 PM

Tough problem. I believe this is do to a low grade infection. When I treat this I remove the implants and all of the scar capsule and put in new or the same implants. If the implants are smooth I put the same implant back in after scrubbing it with some bactericidal solution, if they are textured I change implants. Make sure the entire capsule was removed the first time some surgeons just relase the scar capsule. It is my opinion that this leads to a recurrent scar capsule in the majority of women. I am not sure there is any benefit to textured implants. I put them in for a year and was not impressed with the results. The key is to remove the old scar capsule, fill the space around the implant with antibiotic solution prior to closure and then you should stay on antibiotics for a few weeks. There is no scientific evidence for what I told you, I have just arrived at that approach over the years.

The use of asthma medication does not work which was shown in a study done by our society a few years ago. It also has some asssociated liver problems which are rare.

Your last option is to just remove both implants and the surrounding capsule, put a drain in and let everything heal, say three to four months and then go back and put new implants in. This would be my third option after removing the scar capsule (twice) as I suggested above. I have had to remove one set of implants in the last ten years when my first two attempts failed. I put her implants in five months later and she did well.

I wish you luck. This can be a complex problem. Hopefully in twenty years you will look back on this as a small speed bump of life.

Dr. Kearney

Nikki · 11-26-2007, 07:25 PM

That's really interesting. Do you think it's commonplace for surgeons to fill the pocket with antibiotic solution prior to closure? Sounds like a great idea.

I've had capsular contracture twice. The first time, I had a complete capsulectomy, and had the same implant (which was soaked in antibacterial solution) put back in. The cc came right back. I waited a year, then had a complete redo (w/complete capsulectomy). I switched from silicone to saline, and took Accolate as a preventative measure. I also took Cipro after that redo (I took Keflex for the first 2 surgeries). The cc did not recur. I had a redo this past June to go smaller and to switch back to silicone. I took Accolate again. I don't know if that had anything to do with me not getting cc, but I haven't had any problems at all.

salsaeminem · 11-26-2007, 07:29 PM

Thanks Dr. Kearney,

I always thought that this may have been an infection... The left breast was always more swollen, bruised than the other. Plus, my areolae incision did not heal for some 8 weeks....I went back to my plastic surgeon several times with my concerns but he brushed me off with various different justifications for my problems.

How do I convince him to follow your recommended approach? He did tell me that he did a capsulectomy (I opted for a new implant too with the view that if this was an infection then perhaps using a new one would also help) but I'm not sure he removed ALL of the capsule. Beforehand, he talked about leaving some in to support the implant so that I would not 'droop' on that side. I appreicate that you are all professionals and that you have your own way to do things, but if I was to go back to him again for a further revision, how could I persuade him for example to put me on antibiotics, or keep the drains in longer than one day (as I also think that this would help)
As you can probably undersatnd, my issue is financial with going to an altogether new plastic surgeon as I will have to pay all the associated costs again...

Thanks so much, you have been truly kind and helpful..

Dr. Kearney · 11-27-2007, 03:17 PM

I don't believe the increased bruising, pain or prolonged healing of the areolar incision is related to the capsular contracture. If the "infection theory" is correct it is a low grade infection and curiously enough, cultures taken from the pocket will seldom be positive. One side always hurts more than the other, bleeds more than the other, etc. Having said that I still believe that low grade infections cause or significantly contribute to capsular contractures.

I don't believe there is anyway of convincing your plastic surgeon to do it my way, nor can i guarantee that my way will work, it s just what has worked for me. If the entire capsule was not removed the first time you could make the argument with your plastic surgeon that it might be worth a try the second time. I suspect your plastic surgeon puts antibiotics around the implant prior to closure.

I would not recommend Accolate as it was anecdotal information that started its original use and it has not been shown to be of any benefit.

I fully understand about the finances and I would want to take care of you if you were my patient. I am sure your plastic surgeon would want to take care of you as well.

Good Luck Dr. Kearney

salsaeminem · 11-28-2007, 08:12 PM

Thanks Dr. Kearny for your great advice. I just have a question for my own curiosity? Why does the CC come back so quickly? If this is indeed a low grade infection, then I'm assuming it still exisited in the pocket after the revision and my body reacted to it again by forming scar tissue around the implant? It literally took about 5 days for it to feel harder again?

If I go ahead with the same revision technique as before, what can I do to try to eliminate this from happening again? Apart from Antibiotics, and I was massaging it from about day 2 last time, is there ANYTHING else I could do? Any supplements I could take that reduce scarring? (I know about Vit E but that comes later) Could it just be that my immune system is great and it fight things off quickly, hence forming scar tissue so fast?

I appreicate your time, no one else has replied back to me, so I thank you for that as I know you must be very busy.

Dr. Kearney · 11-28-2007, 09:12 PM

Actually you felt the hardness mostly do to the reoperation and the swelling which happens in all patients. It then takes a few weeks for the swelling to resolve and the tissues to soften up. Most likely you did not develop a CC immediately but over a few weeks. As the firmness from the swelling was going down the scar capsule was building. If the capsule was just released as opposed to removed, there would have been very little area to reform the scar capsule and the process would have seemed to occur very quickly.

I have never been certain or a big believer about Vitamin E. I am more a believer in a broad spectrum multivitamin/mineral formula. Taking excessive doses of any particular vitamin is not a good idea. This is all about your immune system and beefing it up that way is a good idea.

Once again, Good Luck, Dr. Kearney

salsaeminem · 03-11-2008, 01:08 AM

Dr Kearney,

I wanted to follow up from this thread as I have some additional questions and you seem to be full of great advice!

I went back to my plastic surgeon and he has agreed to a further revision. He uses antibiotics prior to closure and he will do a full capsulectomy this time. He will not leave any scar tissue this time (even though he did a capsulectomy last time he left a very smal portion to support the implant)

He has also agreed to put me on antibiotics this time - I have not had antibiotics the last 2 times.

I've read through all of your threads and a lot of my questions have been answered, but I have some specific questions:

What antibiotics should I be on? Are there any that work better for this type of prevention for CC? I've heard of Clindamycin in other threads but I'd like to hear what your recommendation would be.

What about Bromelain? I've also heard of this but not sure what it is.

My Doctor's preferred regimen that I have followed the last 2 times is to take Benadryl for the 1st 5 days as well as Arnica Montana.

Then he starts patients on Singular afterwards for 3 months. I don't think I'm going to take this this time as it didn't seem to help me out the last 2 times. What do you think? Following this he recommends Vit E - But in 1000ui dose (higher than you recommend) I took this last time and now I realise it was too much.

Can you help me out with what you would recommend for my case? I'd like to think I was doing EVERYTHING possible to prevent a recurrance this time..

I appreciate your support. I'm going for the revision on the 4th April - It WILL work this time!!!!

Thanks

Dr. Kearney · 03-12-2008, 02:16 PM

I use either Pencillin 500 mg three times a day or Keflex 500mg twice a day. I have never used Clindamycin.

Arnica taken with Bromelain maybe of benefit. Take them together as per the directions on the bottle.

I never use Singular, no data and potential toxicity. I don't argue with a patient who wants to take vitamin E but encorage them to take a dose that is reasonable 200 units/daily.

Stay positive, removing the capsule is the most important thing along with antibiotics for three to four weeks afterwards. (I have no data to support either of these, just my own anecdotal experience.)

Dr. Kearney

salsaeminem · 03-12-2008, 07:02 PM

Thanks Doctor... that seems like a LOT of antibiotics! I'm actually on Penicillin at the moment for a throat infection and the duration is only for ten days.

Thanks for your advice though, I'll discuss with my Doctor - and of course, let you know my progress.

Thank you.

Dr. Kearney · 03-12-2008, 08:01 PM

It does seem like a lot of antibiotics but if it prevents the capsular contracture it is worth it. After taking a therapeutic dose for five days the dose is decreased to subtherapeutic. Keflex dose is reduced to two a day instead of three and PCN is reduced to the same. If you are someone who gets yeast infections you should take acidophilus and bifidus along with the antibiotics. YOu can buy these at any health food store.

Again, good luck. I think you will do well.

Dr. Kearney

mayaonearth · 03-12-2008, 08:16 PM

I just wanted to chime in here... I had a redo due to a deflation, but really needed one anyway due to CC.
My plastic surgeon believes strongly in the theory of "low grade infection", in fact, he and a fellow dr of infectious disease are almost ready to submit their data. I will be on 2 antibiotics, and feel very positive on outcome. My plastic surgeon has had no cc return in patients that follow this 30-45day program, and he as well does NOT believe that Accolate works.
I appreciate your imput here, and also the tips on yeast infections as this is a major side effect currently for me.
Thank you so much Dr. Kearney!

salsaeminem · 03-13-2008, 12:20 PM

Thanks again - As he normally doesn't prescribe antibiotics, how many weeks should I ask him for?? I think he'll respond to my requests, but I have a feeling I may have to be very specific about what I want. What type would you recommend, How many weeks at what strength, times per day etc and dropping down to what? Again, I appreciate your help...

I can't wait to tell you how well everything is going!

Dr. Kearney · 03-13-2008, 02:26 PM

Keflex 500mg three times a day for five days then twice a day for 14 days or
Pencillin 500mg four times a day for five days then twice a day for 14 days.

You will do well.

Dr. Kearney

Jenster520 · 03-13-2008, 02:58 PM

Dr. Kearney, I just wanted to say thank you for taking the time out of your busy schedule to give advice to us girls. Your time is very much appreciated!!!

Lauren · 03-15-2008, 12:37 PM

Quick question, about 30-45 minutes before my surgery when they were prepping me, they said they put an antibiotic in my IV before surgery. They also gave me an antibiotic to take for a week post surgery 2 times a day 500mg.

Do most plastic surgeon give an antibiotic in their patients IV's before surgery? It seemed like a really good idea to me, but I don't see this mentioned a lot in the forum. Just curious if other plastic surgeon do that too?

Dr. Kearney · 03-18-2008, 04:38 PM

I would say virtually every plastic surgeon gives IV antibiotics before surgery. It is not mentioned because it is a routine part of everyone's protocol.

Dr. Kearney

salsaeminem · 04-03-2008, 04:53 PM

All,

I know a lot of you have looked at my CC revision thread - Thanks to Dr. Kearney for all the wonderful advice... I'm in for 3rd time lucky tomorrow, so please wish good vibes/pray for my new boob!!! I will let you know my progress.

Thanks girls!

x

Ivy · 04-03-2008, 05:09 PM

Quote:

Originally Posted by salsaeminem

All,

I know a lot of you have looked at my CC revision thread - Thanks to Dr. Kearney for all the wonderful advice... I'm in for 3rd time lucky tomorrow, so please wish good vibes/pray for my new boob!!! I will let you know my progress.

Thanks girls!

x

You're in my thoughts... good luck!

oliveskinlover · 04-03-2008, 05:50 PM

Oh I am totally going to be rooting for you!!!!! I hope the third time's the charm doll...

11-26-2007, 03:20 PM	#1
salsaeminem Join Date: Oct 2006 Posts: 48 Thanks: 0 Thanked 1 Time in 1 Post	CC Revision advice Hello Dr. Kearney, I was hoping you may be able to offer some advice to me? My history - BA, smooth, saline unders, 350cc (C cup) September 2006. Developed CC right away in left breast. I was put on Singulair and told to massage. 3 months later no change, 3 months after that (April 07) I had a capsulectomy (removed implant, replaced with new) CC came straight back - I knew by day 5 basically. This time it's not quite as bad as it moves about but basically like a ball shape, is very firm to touch (ie I can't squueze my fingers together like I can with my other very soft breast. It also looks distorted, especally from the side. I've been to see a couple of other plastic surgeon's since this happened and one of them suggested just doing the same thing again (as there is no point messing around with the good one) and hoping/praying for a good outcome. The other plastic surgeon suggested textured silicone (which would mean redoing both) Both of them told me that Accolate is not recommended because of it's very toxic effects on the liver - I have to agree with that on what I've read.. I'm going back to see my original plastic surgeon in december sometime to see what my options are. Coudl you tell me what you would recommend for a second CC revision surgery? I don't know what to do this time, but I can't live with it like this. This has been one long, upsetting ride and I'm hoping the next time I have surgery, it will be a great result and I won't have to do this again for a long time. I'm based in Redondo Beach, California. I look forward to your reply, thanks so much!

11-26-2007, 05:41 PM	#2
Dr. Kearney Certified by the ABPS Join Date: Sep 2007 Location: La Jolla, California Posts: 693 Thanks: 1 Thanked 384 Times in 271 Posts	CC revision advice Tough problem. I believe this is do to a low grade infection. When I treat this I remove the implants and all of the scar capsule and put in new or the same implants. If the implants are smooth I put the same implant back in after scrubbing it with some bactericidal solution, if they are textured I change implants. Make sure the entire capsule was removed the first time some surgeons just relase the scar capsule. It is my opinion that this leads to a recurrent scar capsule in the majority of women. I am not sure there is any benefit to textured implants. I put them in for a year and was not impressed with the results. The key is to remove the old scar capsule, fill the space around the implant with antibiotic solution prior to closure and then you should stay on antibiotics for a few weeks. There is no scientific evidence for what I told you, I have just arrived at that approach over the years. The use of asthma medication does not work which was shown in a study done by our society a few years ago. It also has some asssociated liver problems which are rare. Your last option is to just remove both implants and the surrounding capsule, put a drain in and let everything heal, say three to four months and then go back and put new implants in. This would be my third option after removing the scar capsule (twice) as I suggested above. I have had to remove one set of implants in the last ten years when my first two attempts failed. I put her implants in five months later and she did well. I wish you luck. This can be a complex problem. Hopefully in twenty years you will look back on this as a small speed bump of life. Dr. Kearney

11-26-2007, 07:25 PM	#3
Nikki NYY Fanatic Join Date: Sep 2006 Location: The Milky Way Posts: 3,417 Thanks: 2,471 Thanked 1,988 Times in 1,099 Posts	That's really interesting. Do you think it's commonplace for surgeons to fill the pocket with antibiotic solution prior to closure? Sounds like a great idea. I've had capsular contracture twice. The first time, I had a complete capsulectomy, and had the same implant (which was soaked in antibacterial solution) put back in. The cc came right back. I waited a year, then had a complete redo (w/complete capsulectomy). I switched from silicone to saline, and took Accolate as a preventative measure. I also took Cipro after that redo (I took Keflex for the first 2 surgeries). The cc did not recur. I had a redo this past June to go smaller and to switch back to silicone. I took Accolate again. I don't know if that had anything to do with me not getting cc, but I haven't had any problems at all. __________________ www.justbreastimplants.com/DeWire/ Dr. DeWire - Glen Allen, VA Click here and then click on the purple button to donate food and care to homeless animals. It costs nothing to donate - just the click of your mouse.

11-27-2007, 03:17 PM	#5
Dr. Kearney Certified by the ABPS Join Date: Sep 2007 Location: La Jolla, California Posts: 693 Thanks: 1 Thanked 384 Times in 271 Posts	CC revision I don't believe the increased bruising, pain or prolonged healing of the areolar incision is related to the capsular contracture. If the "infection theory" is correct it is a low grade infection and curiously enough, cultures taken from the pocket will seldom be positive. One side always hurts more than the other, bleeds more than the other, etc. Having said that I still believe that low grade infections cause or significantly contribute to capsular contractures. I don't believe there is anyway of convincing your plastic surgeon to do it my way, nor can i guarantee that my way will work, it s just what has worked for me. If the entire capsule was not removed the first time you could make the argument with your plastic surgeon that it might be worth a try the second time. I suspect your plastic surgeon puts antibiotics around the implant prior to closure. I would not recommend Accolate as it was anecdotal information that started its original use and it has not been shown to be of any benefit. I fully understand about the finances and I would want to take care of you if you were my patient. I am sure your plastic surgeon would want to take care of you as well. Good Luck Dr. Kearney

11-28-2007, 08:12 PM	#6
salsaeminem Join Date: Oct 2006 Posts: 48 Thanks: 0 Thanked 1 Time in 1 Post	CC Revision Thanks Dr. Kearny for your great advice. I just have a question for my own curiosity? Why does the CC come back so quickly? If this is indeed a low grade infection, then I'm assuming it still exisited in the pocket after the revision and my body reacted to it again by forming scar tissue around the implant? It literally took about 5 days for it to feel harder again? If I go ahead with the same revision technique as before, what can I do to try to eliminate this from happening again? Apart from Antibiotics, and I was massaging it from about day 2 last time, is there ANYTHING else I could do? Any supplements I could take that reduce scarring? (I know about Vit E but that comes later) Could it just be that my immune system is great and it fight things off quickly, hence forming scar tissue so fast? I appreicate your time, no one else has replied back to me, so I thank you for that as I know you must be very busy.

11-26-2007, 07:29 PM	#4
salsaeminem Join Date: Oct 2006 Posts: 48 Thanks: 0 Thanked 1 Time in 1 Post	Thanks Dr. Kearney, I always thought that this may have been an infection... The left breast was always more swollen, bruised than the other. Plus, my areolae incision did not heal for some 8 weeks....I went back to my plastic surgeon several times with my concerns but he brushed me off with various different justifications for my problems. How do I convince him to follow your recommended approach? He did tell me that he did a capsulectomy (I opted for a new implant too with the view that if this was an infection then perhaps using a new one would also help) but I'm not sure he removed ALL of the capsule. Beforehand, he talked about leaving some in to support the implant so that I would not 'droop' on that side. I appreicate that you are all professionals and that you have your own way to do things, but if I was to go back to him again for a further revision, how could I persuade him for example to put me on antibiotics, or keep the drains in longer than one day (as I also think that this would help) As you can probably undersatnd, my issue is financial with going to an altogether new plastic surgeon as I will have to pay all the associated costs again... Thanks so much, you have been truly kind and helpful..

11-28-2007, 09:12 PM	#7
Dr. Kearney Certified by the ABPS Join Date: Sep 2007 Location: La Jolla, California Posts: 693 Thanks: 1 Thanked 384 Times in 271 Posts	cc revision Actually you felt the hardness mostly do to the reoperation and the swelling which happens in all patients. It then takes a few weeks for the swelling to resolve and the tissues to soften up. Most likely you did not develop a CC immediately but over a few weeks. As the firmness from the swelling was going down the scar capsule was building. If the capsule was just released as opposed to removed, there would have been very little area to reform the scar capsule and the process would have seemed to occur very quickly. I have never been certain or a big believer about Vitamin E. I am more a believer in a broad spectrum multivitamin/mineral formula. Taking excessive doses of any particular vitamin is not a good idea. This is all about your immune system and beefing it up that way is a good idea. Once again, Good Luck, Dr. Kearney

03-11-2008, 01:08 AM	#8
salsaeminem Join Date: Oct 2006 Posts: 48 Thanks: 0 Thanked 1 Time in 1 Post	Dr Kearney, I wanted to follow up from this thread as I have some additional questions and you seem to be full of great advice! I went back to my plastic surgeon and he has agreed to a further revision. He uses antibiotics prior to closure and he will do a full capsulectomy this time. He will not leave any scar tissue this time (even though he did a capsulectomy last time he left a very smal portion to support the implant) He has also agreed to put me on antibiotics this time - I have not had antibiotics the last 2 times. I've read through all of your threads and a lot of my questions have been answered, but I have some specific questions: What antibiotics should I be on? Are there any that work better for this type of prevention for CC? I've heard of Clindamycin in other threads but I'd like to hear what your recommendation would be. What about Bromelain? I've also heard of this but not sure what it is. My Doctor's preferred regimen that I have followed the last 2 times is to take Benadryl for the 1st 5 days as well as Arnica Montana. Then he starts patients on Singular afterwards for 3 months. I don't think I'm going to take this this time as it didn't seem to help me out the last 2 times. What do you think? Following this he recommends Vit E - But in 1000ui dose (higher than you recommend) I took this last time and now I realise it was too much. Can you help me out with what you would recommend for my case? I'd like to think I was doing EVERYTHING possible to prevent a recurrance this time.. I appreciate your support. I'm going for the revision on the 4th April - It WILL work this time!!!! Thanks

03-12-2008, 02:16 PM	#9
Dr. Kearney Certified by the ABPS Join Date: Sep 2007 Location: La Jolla, California Posts: 693 Thanks: 1 Thanked 384 Times in 271 Posts	I use either Pencillin 500 mg three times a day or Keflex 500mg twice a day. I have never used Clindamycin. Arnica taken with Bromelain maybe of benefit. Take them together as per the directions on the bottle. I never use Singular, no data and potential toxicity. I don't argue with a patient who wants to take vitamin E but encorage them to take a dose that is reasonable 200 units/daily. Stay positive, removing the capsule is the most important thing along with antibiotics for three to four weeks afterwards. (I have no data to support either of these, just my own anecdotal experience.) Dr. Kearney

03-12-2008, 07:02 PM	#10
salsaeminem Join Date: Oct 2006 Posts: 48 Thanks: 0 Thanked 1 Time in 1 Post	Thanks Doctor... that seems like a LOT of antibiotics! I'm actually on Penicillin at the moment for a throat infection and the duration is only for ten days. Thanks for your advice though, I'll discuss with my Doctor - and of course, let you know my progress. Thank you.

03-12-2008, 08:01 PM	#11
Dr. Kearney Certified by the ABPS Join Date: Sep 2007 Location: La Jolla, California Posts: 693 Thanks: 1 Thanked 384 Times in 271 Posts	It does seem like a lot of antibiotics but if it prevents the capsular contracture it is worth it. After taking a therapeutic dose for five days the dose is decreased to subtherapeutic. Keflex dose is reduced to two a day instead of three and PCN is reduced to the same. If you are someone who gets yeast infections you should take acidophilus and bifidus along with the antibiotics. YOu can buy these at any health food store. Again, good luck. I think you will do well. Dr. Kearney

03-12-2008, 08:16 PM	#12
mayaonearth Join Date: Feb 2008 Location: Springdale Arkansas Posts: 1,022 Thanks: 211 Thanked 528 Times in 461 Posts	I just wanted to chime in here... I had a redo due to a deflation, but really needed one anyway due to CC. My plastic surgeon believes strongly in the theory of "low grade infection", in fact, he and a fellow dr of infectious disease are almost ready to submit their data. I will be on 2 antibiotics, and feel very positive on outcome. My plastic surgeon has had no cc return in patients that follow this 30-45day program, and he as well does NOT believe that Accolate works. I appreciate your imput here, and also the tips on yeast infections as this is a major side effect currently for me. Thank you so much Dr. Kearney!

03-13-2008, 12:20 PM	#13
salsaeminem Join Date: Oct 2006 Posts: 48 Thanks: 0 Thanked 1 Time in 1 Post	Thanks again - As he normally doesn't prescribe antibiotics, how many weeks should I ask him for?? I think he'll respond to my requests, but I have a feeling I may have to be very specific about what I want. What type would you recommend, How many weeks at what strength, times per day etc and dropping down to what? Again, I appreciate your help... I can't wait to tell you how well everything is going!

03-13-2008, 02:26 PM	#14
Dr. Kearney Certified by the ABPS Join Date: Sep 2007 Location: La Jolla, California Posts: 693 Thanks: 1 Thanked 384 Times in 271 Posts	Keflex 500mg three times a day for five days then twice a day for 14 days or Pencillin 500mg four times a day for five days then twice a day for 14 days. You will do well. Dr. Kearney

03-13-2008, 02:58 PM	#15
Jenster520 Join Date: Apr 2007 Location: Southern CA Posts: 303 Thanks: 170 Thanked 81 Times in 73 Posts	Dr. Kearney, I just wanted to say thank you for taking the time out of your busy schedule to give advice to us girls. Your time is very much appreciated!!!

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03-15-2008, 12:37 PM	#16
Lauren Join Date: Feb 2008 Location: Omaha, Nebraska Posts: 558 Thanks: 112 Thanked 154 Times in 142 Posts	Quick question, about 30-45 minutes before my surgery when they were prepping me, they said they put an antibiotic in my IV before surgery. They also gave me an antibiotic to take for a week post surgery 2 times a day 500mg. Do most plastic surgeon give an antibiotic in their patients IV's before surgery? It seemed like a really good idea to me, but I don't see this mentioned a lot in the forum. Just curious if other plastic surgeon do that too?

03-18-2008, 04:38 PM	#17
Dr. Kearney Certified by the ABPS Join Date: Sep 2007 Location: La Jolla, California Posts: 693 Thanks: 1 Thanked 384 Times in 271 Posts	antibiotics I would say virtually every plastic surgeon gives IV antibiotics before surgery. It is not mentioned because it is a routine part of everyone's protocol. Dr. Kearney

04-03-2008, 04:53 PM	#18
salsaeminem Join Date: Oct 2006 Posts: 48 Thanks: 0 Thanked 1 Time in 1 Post	3rd time is a charm!! - Surgery tomorrow All, I know a lot of you have looked at my CC revision thread - Thanks to Dr. Kearney for all the wonderful advice... I'm in for 3rd time lucky tomorrow, so please wish good vibes/pray for my new boob!!! I will let you know my progress. Thanks girls! x

04-03-2008, 05:50 PM	#20
oliveskinlover Join Date: Nov 2007 Posts: 1,069 Thanks: 451 Thanked 429 Times in 373 Posts	Oh I am totally going to be rooting for you!!!!! I hope the third time's the charm doll...

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