While the use of antibiotics is common in breast augmentation surgery, there are many different opinions on what type and how long they should be utilized. Nevertheless, the primary aim is to prevent infection that is tied to a wide range of subsequent complications such as poor wound healing, capsular contracture, and cosmetic results that are less than optimal.
Antibiotic is a medicine that prevents the growth of microorganism. Nevertheless, it remains important to perform breast augmentation at a fully accredited surgical setting or hospital, avoid or at least minimize contact of the implant shell with the skin at the time of surgery, and practice good hygiene postop to further minimize risk of infection and its subsequent complications.
Some Los Angeles plastic surgery experts recommend antibiotics hours before the actual surgery, while surgeons feel that these should only be given within five to seven days of operation.
However, it has become a common practice to use antibiotic solution to bathe the breast implants, wound, and implant pocket at the time of surgery. The idea is to make everything sterile before and during implantation to minimize risk of infection and capsular contracture in which a copious amount of scar tissue forms around an artificial prosthesis.
Despite the growing popularity of implant and pocket irrigation, a study conducted between 2011 and 2012 involving 55 patients has shown no significant difference in the capsular contracture rate between a surgeon who used the procedure (3.7 percent) and someone one who did not (3.6 percent).
The researchers have concluded that breast implant and pocket irrigation with the use of antibiotics may not have an impact on the incidence or severity of capsular contracture when the surgery is performed at a fully accredited surgical facility using high-quality medical techniques.
When oral antibiotics are prescribed, it is important to finish the entire course and follow the dosage recommended by surgeon. If the treatment is stop early, the bacteria that have not been killed could restart an infection and lead to more serious complications.
Aside from antibiotics, surgical methods such as Keller Funnel could further minimize risk of implant contamination and infection. This involves the use of a cone-shape device that propels an implant towards the breast pocket without actually touching the prosthesis, thus it is sometimes referred to as “no touch technique.”
Some experts also feel that breast augmentation performed at an accredited outpatient facility could minimize risk of implant contamination because it does not handle infectious diseases like most hospitals.