Make sure that you follow with your surgeon an infection in areas that have had liposuction and/or fat grafting since fat can take a long time to resolve due to a diminished blood supply. I have noticed that clyndamycin has better penetration in areas that have had liposuction as compared to bactrim. You should continue on antibiotics that have good coverage for MRSA and good fat penetration like clindamycin. Typically, the draining of an infection is the management of any infection that turns into an abscess. This is a normal body response to an infection. It appears that you must have a small abscess that spontaneously drains. If fat is not placed in small amounts and with multiple passes in the buttock, then, it can die and form a nidus for infection. Fat behaves as graft (no blood supply) in the first couple of weeks, which decreases its ability to fight infection, if such an event occurs. I always stress that fat needs to be handled with care and in a very sterile fashion. I have done many fat transfers to the buttock without any infection. Infection risk after cosmetic surgery is very low.
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