Post Op Infection Question

shzlaw2 · 11-18-2009, 07:12 PM

Hello,

I had a breast augmentation on 11/6 and was given IV antibiotics as well as 3 days of erythromycin post op. I must admit, 3 days didnt seem like much. Now, I've been diagnosed with an infection in my left breast, drainage, pain, fever, etc. Now, I'm on Levaquin while I await a culture. In your experience, have you successfully treated infection with antibiotics rather than additional surgery? Or have ever had to go directly back to the OR for drainage or removal?
I really appreciate your time and any information you may be able to provide.
Stephanie

Dr. Pelletiere · 11-19-2009, 09:33 AM

Sometimes antibiotics alone will clear up the infection. You just never know until you get into the process. Sometimes, you have to remove the implant and irrigate the pocket with betadine/antibiotics. If it looks just like a mild infection, you can soak the implant in betadine and then place the implant back in. The more severe infections call for changing to a new implant, and sometimes you have to take it out, leave it out for 3-6 months, and then replace it when the infection has cleared. The first start is always antibiotics. If there is no improvement on them, or only mimimal improvement, then the next step is surgery. Sometimes the implant gets seeded with bacteria, and no matter what you do, it will not clear until you change the implant.

shzlaw2 · 11-19-2009, 03:16 PM

Thanks very much, I appreciate your time.

11-18-2009, 07:12 PM	#1
shzlaw2 Join Date: Sep 2009 Location: Southern California Posts: 16 Thanks: 9 Thanked 0 Times in 0 Posts	Post Op Infection Question Hello, I had a breast augmentation on 11/6 and was given IV antibiotics as well as 3 days of erythromycin post op. I must admit, 3 days didnt seem like much. Now, I've been diagnosed with an infection in my left breast, drainage, pain, fever, etc. Now, I'm on Levaquin while I await a culture. In your experience, have you successfully treated infection with antibiotics rather than additional surgery? Or have ever had to go directly back to the OR for drainage or removal? I really appreciate your time and any information you may be able to provide. Stephanie __________________ 5'7" 135lbs. PreBA: Deflated 36 B after breastfeeding two little ones Post breast augmentation: Not sure yet- dealing with infection breast augmentation Date: November 6, 2009 Naturelle Saline Inframammary Crease 450 cc

11-19-2009, 09:33 AM	#2
Dr. Pelletiere Certified by the ABPS Join Date: Jun 2008 Posts: 413 Thanks: 3 Thanked 328 Times in 193 Posts	Sometimes antibiotics alone will clear up the infection. You just never know until you get into the process. Sometimes, you have to remove the implant and irrigate the pocket with betadine/antibiotics. If it looks just like a mild infection, you can soak the implant in betadine and then place the implant back in. The more severe infections call for changing to a new implant, and sometimes you have to take it out, leave it out for 3-6 months, and then replace it when the infection has cleared. The first start is always antibiotics. If there is no improvement on them, or only mimimal improvement, then the next step is surgery. Sometimes the implant gets seeded with bacteria, and no matter what you do, it will not clear until you change the implant. __________________ The above messages are not intended to substitute for direct medical advice or patient care. Proper medical/patient care can only come with direct patient interaction and a full examination. If you cannot accept this policy, please ignore my messages. Dr. Pelletiere specializes in aesthetic and reconstructive surgery in and around Chicago. Christopher V. Pelletiere, MD 1602 Colonial Parkway Inverness, Illinois 60067 847.358.9444 office@pelletieresurgery.com www.pelletieresurgery.com

11-19-2009, 03:16 PM	#3
shzlaw2 Join Date: Sep 2009 Location: Southern California Posts: 16 Thanks: 9 Thanked 0 Times in 0 Posts	Thx Thanks very much, I appreciate your time. __________________ 5'7" 135lbs. PreBA: Deflated 36 B after breastfeeding two little ones Post breast augmentation: Not sure yet- dealing with infection breast augmentation Date: November 6, 2009 Naturelle Saline Inframammary Crease 450 cc

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