Table 2.

Summary of Preventive Strategies Suggested by Authors for Minimizing Risk of Biofilm

Phase of Procedure	Recommendation
Implant adjuncts	Antibiotic mesh
Aseptic preparation	Nipple shield
	Irrigation of breast pocket with antibiotic solution
Preoperative IV antibiotics	Standard prophylaxis for surgical site infections (cefazolin, ampicillin-sulbactam, clindamycin); no benefit in CC vs placebo in 12 months112
Surgical Technique	Avoidance of peri-nipple-areola incision, especially with subglandular implant placement
	Atraumatic technique
	Meticulous hemostasis
	“no touch” technique with Keller Funnel