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Plastic Surgery/Saline gel implant problem

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Question
QUESTION: Sir,
My sister is 27 years old. She has undergone breast implant that is saline gel implant 11 days ago. After 3 days of surgery, drainage started from the stich, a light yellowish fluid along with the slight amount of blood is draining. She consult to her plastic surgeon to know whether it is infection or nor, the specimen was tested but there was no sign of bacteria growth from the report. What is the reason for this drainage, there is no pain, no swelling. please tell how to cure. Is there need to remove the implant............

ANSWER: Unfortunately, a lot of information is lacking so I can't tell you precisely what is going on.  A small amount of drainage from the incision with no bacterial growth is not of great concern as long as the problem is not involving the implant, itself.  Signs of concern would be swelling of the breast or bruising. If there were a significant difference in the appearance of the two breasts, I would be more concerned.  I presume that if the specimen was tested, her doctor also examined her and so these deeper problems are less likely.  If the problem is just superficial, there is no need to remove the implant.  

The location of the incision is also significant.  An armpit incision is very far from the implant and less likely to cause trouble.  An incision under the breast (inframammary) is much closer to the implant and so would be of more concern.  In this area, it is much easier for any wound problem to work its way down to the implant.  The periareolar (nipple) incision is in between, but usually allows for a greater distance between the incision and the implant compared to the inframammary incision.

Hope this helps

Howard Tobin MD FACS

---------- FOLLOW-UP ----------

QUESTION: Incision is under the breast, there is no redness or pain, drainage is from a single stitch under the breast. There is no deformation of breast still. Please tell me that it is simply body resistance due to the foreign body or saline gel leakage from the implant. If you need further information, please tell. Waiting for your reply. Thanks alot...........

Answer
From what you describe, I see no evidence of saline or gel leakage.  It does sound simply like a stitch reaction, which is not terribly uncommon and generally leads to no problem.  If it is a permanent suture, the stitch may have to be removed.  With absorbable sutures, often the problem will resolve without stitch removal.  If there is any indication that the problem is worsening, I would have your doctor take another look.

Howard Tobin MD FACS

Plastic Surgery

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Howard Tobin MD FACS

Expertise

I can answer questions related to Cosmetic Surgery. I cannot answer questions related to reconstruction, burn treatment, cleft palate surgery or traumatic surgery. My practice is, and has been for 36 years, limited to Cosmetic Surgery. For further information, go to www.newlook.org

Experience

As mentioned above, I have exclusively practiced cosmetic surgery for over 36 years. My practice encompases all aspects of cosmetic surgery

Organizations
American Academy of Cosmetic Surgery (past president) American Society of Liposuction Surgery (past president) Cosmetic Surgical Society of Texas (past president) Fellow American College of Surgeons Texas Medical Association see cv on website www.newlook.org for further details

Publications
Seventy three published articles. see cv on website www.newlook.org for further details

Education/Credentials
Graduate of Princeton University and Baylor College of Medicine Internship - University of Virginia Residency - Baylor Medical College Affiliated Residencies Fellowship - University of Cincinnati see cv on website www.newlook.org for further details

Awards and Honors
American Medical Association - Physician's Recognition Award; 1969- present American Academy of Otolaryngology - Head and Neck Surgery Honor Award, October, 1983 American Board of Cosmetic Surgery - Certificate of Appreciation - 1987 American Academy of Cosmetic Surgery - Best presentation at 1987 annual meeting: "Revision Mammaplasty with Replicon Prosthesis" Accreditation Association for Ambulatory Healthcare Certificate of Appreciation 1989-90 American Academy of Facial Plastic & Reconstructive Surgery Honor Award for distinguished service, 1989 American Academy of Facial Plastic & Reconstructive Surgery Appreciation Award for authorship of monograph on outpatient surgery , 1993 Certificate of Excellence in Continuing Medical Education in Cosmetic Surgery, 1993 - American Academy of Cosmetic Surgery. International Academy of Aesthetic Surgery & Aesthetic Medicine - Honor Award, 1994 American Academy of Cosmetic Surgery - Recognition plaque following term of Presidency - 1995 Accreditation Association for Ambulatory Healthcare Special Citation of Appreciation for Service; November 1996 International Academy of Aesthetic Surgery & Aesthetic Medicine - Appointed honorary North American President, 1995 1997 American Academy of Cosmetic Surgery: Award for excellence in cosmetic surgery; Jan 2003 Cosmetic Surgical Society of Texas Appreciation Award for Leadership; 2004 Honorary Member Mexican Academy of Cosmetic Surgery 2007

Past/Present Clients
A past sponsor of the Miss Texas USA pageant, he has also served as a judge for this and other pageants. His patients include many pageant contestants and winners up to the Miss Universe title

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