Implant Infection

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OnTarget
OnTarget Member Posts: 447
edited December 2020 in Breast Reconstruction

This is just a FYI post for anyone wondering about infections.

I had an implant exchanged and capsulotomies on both sides mid February.

A few weeks ago (late March), on a Wednesday night, I noticed two bright red, swollen spots along my scar line.

They were each maybe an inch around, and they looked like big, angry zits. One of the was kind of infected looking. I was also spitting sutures at those spots, no fever.

I contacted the PS on Thurs AM, and sent pics and they said "spitting stitches, don't worry".

On Friday, I let them know that some seroma came out of one bump, and some pus from the other, no fever. The bumps looked a little less red. PS was not worried.

On Saturday evening, I called the emergency line with a fever of 102.9. They would normally have brought me in, but with COVID19, they called in antibiotics to my pharmacy. We found a 24/7 pharmacy with a drive through. In retrospect, my breast was turning red and we didn't notice. It only showed up in some of the pictures we took for the doc.

Sunday AM my fever was 103.9. They'd told me it might go up and to wait 48 hours. Luckily my friend told me to try a hot compress. I did, and lots of seroma came out. My breast was bright red. I called the emergency line again, and my personal PS called me back. He said to come in to have my implant removed.

I ended up spending the night on the COVID-19 floor since I had some of the symptoms. The next day, my results came back clear, and they removed the implant. I spent a total of 5 days in the hospital.

What I learned is that having seroma come out is not good. Also, make sure you take pics of both breasts for color comparisons.

If I had it to do over, I should have insisted in a phone call to discuss it on Friday. If it had been caught earlier, they may have been able to save my implant or immediately replace it. Instead, I'm stuck starting over with a Tissue Expander in a few months.

Comments

  • LiveLoveLaugh2020
    LiveLoveLaugh2020 Member Posts: 322
    edited April 2020

    OnTarget so sorry that this has happened to you, especially during a scary time like this. I hope you're feeling better now and best wishes to you going forward.

  • OnTarget
    OnTarget Member Posts: 447
    edited April 2020

    Thank you LLL! I am feeling fine now, just not looking forward to going through the whole process a second time! But at least it is an option right now, so I'm happy for that. I don't love the crater!

  • LiveLoveLaugh2020
    LiveLoveLaugh2020 Member Posts: 322
    edited April 2020

    You're welcome. I don't blame you, I can't even imagine. This is such a struggle for all of us in a normal situation so I can't even imagine having to go through this and starting the process all over again. So not fair! But I'm glad you're feeling better.

  • LillyIsHere
    LillyIsHere Member Posts: 830
    edited July 2020

    I have a question regarding dental work and prophylactic antibiotics. My PS recommended I should take antibiotics if I have any dental work done, even cleaning. Anyone with similar experience?

  • OnTarget
    OnTarget Member Posts: 447
    edited July 2020

    Interesting question. My husband had his knees replaced and he's been told to take antibiotics before dental work.

    I had a BMX and implants and I wasn't told to do that.

    I have wondered why there is a difference.

  • LillyIsHere
    LillyIsHere Member Posts: 830
    edited July 2020

    OnTarget, I can see you had ILC like me. I wonder why were you recommended to have chemo? I was told chemo doesn't work for ILC.

  • OnTarget
    OnTarget Member Posts: 447
    edited July 2020

    Yes chemo is less effective for ILC, but I don't think it is not effective at all. I believe the theory is that chemo is more effective on fast growing cancer, and ILC is usually slow (lower grade).

    My Ki67 was 40%, which is aggressive.

    The RSPC score (part of oncotype) said I had a 13% chance of distant recurrence in 9 yrs. And my chemo benefit would be 6ish%.

    Being under 50, with higher clinical risk, a high Ki67, ITCs, and a desire to treat it aggressively, my team felt that chemo would be a good choice.

    I'm happy that I did it! Even if I have a recurrence, I know that I did my best.

  • XXXGGGYYY
    XXXGGGYYY Member Posts: 33
    edited December 2020

    Dear LillyIsHere: My plastic surgeon told me I need to take prophylactic antibiotics before dental work for the rest of my life, or at least while I have implants. My implants were put in 2018. Yesterday, my dentist seemed surprised that I was told to do this. He asked me if my cancer was "a long time ago, like 10-15 years or so." When I told him that it was in 2018, he again was surprised that I was told to take prophylactic antibiotics. His surprise is what caused me to now search it on this forum, just to see how unusual it really is. My dentist is "seasoned" with about 30 years of experience, and my plastic surgeon is younger but from Mayo in Minnesota.

  • OnTarget
    OnTarget Member Posts: 447
    edited December 2020

    XXXGGGYYY,

    My husband has to take prophlyactic antibiotics before dental visits because of his replaced knees, but my MO said that I don't need to do that for my replaced boobs. Not sure what the difference is other than the fact that he had joints replaced.

  • LillyIsHere
    LillyIsHere Member Posts: 830
    edited December 2020

    Thank you XXXGGGYYY. I did have dental work, filling + cleaning, and I decided not to use antibiotics. I did fine without antibiotics.

  • MinusTwo
    MinusTwo Member Posts: 16,634
    edited December 2020

    I've had implants since 2011. Had cleanings twice a year, a couple of fillings and a crown & a rood canal and never told to take antibiotics. However my BFF who had rhumatic fever as a kid, did have to take antibiotics.

  • DiveCat
    DiveCat Member Posts: 968
    edited December 2020

    I talked to my PS about this way back in 2014 as I planned my original surgeries. He did say that there are some PS’s out there that do recommend antibiotics for dental work, especially more involved work, but he does not however I could do case by case for more significant work. I have had quite a bit of dental work since and have not taken antibiotics nor had any issues, I kinda prefer to save them for when I have really need them.

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