Breast Implants: Far Beyond Just Aesthetic Surgery

The risk of surgical site infection is always present in surgery; the use of prosthetic materials is linked to an increased possibility of infection. Breast augmentation and breast reconstruction with implants are gaining popularity in developing countries. Implant infection is the main complication related to breast aesthetic and reconstructive surgery. In the present paper, we reviewed the current microbiological knowledge about implant infections, with particular attention to risk factors, diagnosis, clinical management, and antibiotic prophylaxis, focusing on reports from developing countries. After breast aesthetic surgery, up to 2.9% of patients develop a surgical site infection, with an incidence of 1.7% for acute infections and 0.8% for late infections. The rate of surgical site infection after post-mastectomy breast reconstruction is usually higher, ranging from 1% to 53%. The clinical features are not constant, and bacterial culture with antibiogram is the gold standard for diagnosis and for identification of antibiotic resistance. While waiting for culture results, empiric therapy with vancomycin and extended-spectrum penicillins or cephalosporins is recommended. Some patients require removal of the infected prosthesis. The main methods to bring down the risk of infection are strict asepsis protocol, preoperative antibiotic prophylaxis, and irrigation of the surgical pocket and implant with an antibiotic solution.

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Pre-Lubricated Polypropylene Injector for Breast Implant Delivery

Journal of Medical Devices ◽

10.1115/1.4052122 ◽

2021 ◽

Author(s):

Hsiao-Hung Chaing ◽

Chen-Ying Su ◽

Hsiu-Peng Lin ◽

Chiao-Pei Chen ◽

Ting-Chu Yu ◽

...

Keyword(s):

Fatigue Testing ◽

Breast Implant ◽

Breast Implants ◽

Aesthetic Surgery ◽

Plastic Film ◽

Safe Method ◽

Advantages And Disadvantages ◽

Small Incision ◽

Surgical Methods ◽

Film Method

Abstract Breast augmentation is a common aesthetic surgery, and there are two major surgical methods for breast implant delivery: the finger method and the plastic film method. There are advantages and disadvantages for each method, and we have developed a pre-lubricated polypropylene (PP) injector that might be the most suitable device for delivering breast implants. By covering the interior surface of the injector with the hydrophilic coating, the friction coefficient was significantly reduced when sliding a silicone sled against the pre-lubricated PP injector. In order to confirm the pre-lubricated PP injector would not damage the breast implant, fatigue testing was performed and the result showed the injector did not cause rupture or microleakage of the breast implant. In addition, the cell viability result demonstrated the pre-lubricated PP injector was biocompatible. In addition, the pre-lubricated PP injector provides a small incision site and stability during breast implant delivery. Our results provided evidence that the pre-lubricated PP injector is a smooth and safe method for breast implant delivery.

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Multisite Infection withMycobacterium abscessusafter Replacement of Breast Implants and Gluteal Lipofilling

Case Reports in Infectious Diseases ◽

10.1155/2015/361340 ◽

2015 ◽

Vol 2015 ◽

pp. 1-6 ◽

Cited By ~ 4

Author(s):

Eva Rüegg ◽

Alexandre Cheretakis ◽

Ali Modarressi ◽

Stephan Harbarth ◽

Brigitte Pittet-Cuénod

Keyword(s):

Antibiotic Treatment ◽

Medical Tourism ◽

Acute Infection ◽

Surgical Site Infections ◽

Breast Implants ◽

Aesthetic Surgery ◽

Mycobacterium Abscessus ◽

Wound Management ◽

The Right ◽

Periprosthetic Fluid

Introduction. Medical tourism for aesthetic surgery is popular. Nontuberculous mycobacteria (NTM) occasionally cause surgical-site infections. As NTM grow in biofilms, implantations of foreign bodies are at risk. Due to late manifestation, infections occur when patients are back home, where they must be managed properly.Case Report. A 39-year-old healthy female was referred for acute infection of the right gluteal area. Five months before, she had breast implants replacement, abdominal liposuction, and gluteal lipofilling in Mexico. Three months postoperatively, implants were removed for NTM-infection in Switzerland. Adequate antibiotic treatment was stopped after seven days for drug-related hepatitis. At entrance, gluteal puncture for bacterial analysis was performed. MRI showed large subcutaneous collection. Debridement under general anaesthesia was followed by open wound management. Total antibiotic treatment was 20 weeks.Methods. Bacterial analysis of periprosthetic and gluteal liquids included Gram-stain plus acid-fast stain, and aerobic, anaerobic and mycobacterial cultures. Results. In periprosthetic fluid,Mycobacterium abscessus, Propionibacterium, andStaphylococcus epidermidiswere identified. The sameM. abscessusstrain was found gluteally. The gluteal wound healed within six weeks. At ten months’ follow-up, gluteal asymmetry persists for deep scarring.Conclusion. This case presents major complications of multisite aesthetic surgery. Surgical-site infections in context of medical tourism need appropriate bacteriological investigations, considering potential NTM-infections.

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