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Infections in breast implants.

A M Freedman1, I T Jackson

  • 1Section of Plastic and Reconstructive Surgery, Mayo Clinic, Rochester, Minnesota.

Infectious Disease Clinics of North America
|June 1, 1989
PubMed
Summary
This summary is machine-generated.

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Breast implant infections are rare but serious, often requiring implant removal. Prompt treatment with antibiotics or surgery is crucial for managing complications like capsular contracture and toxic shock syndrome.

Area of Science:

  • Plastic Surgery
  • Infectious Disease
  • Microbiology

Background:

  • Breast implants, while uncommon, can lead to infections due to the non-sterile nature of the breast.
  • Common organisms include S. epidermidis, potentially causing capsular contracture.

Observation:

  • Periprosthetic infections typically necessitate implant removal, though antibiotic salvage is sometimes possible.
  • Atypical mycobacteria present rare but challenging eradication scenarios.
  • Toxic shock syndrome is a life-threatening emergency requiring immediate implant removal.

Findings:

  • Late-onset infections, occurring months or years post-implantation, may follow systemic illnesses like flu, suggesting bacteremia.
  • Prophylactic penicillin V for dental procedures in implant patients is suggested, though unproven.

Related Experiment Videos

  • Absolute sterility and meticulous surgical technique are paramount to prevent infection, hematoma, and ischemia.

    • Implications:

    • Severe infections mandate implant removal; less severe cases may respond to intravenous antibiotics.
    • Post-removal, a 6-month deferral before re-implantation is advised, preferably in a submuscular plane.
    • Salvaging exposed implants requires significant surgical judgment and preparedness for complications.