Abstract

Breast augmentation complications following polyacrylamide hydrogel injection and fat grafting: Clinicopathologic report of 2 cases

Highlights

  • Breast augmentation is a frequently requested procedure in the plastic surgery in order to achieve the appropriate breast volume or to correct breast asymmetry that follows surgeries or occurs developmentally

  • Polyacrylamide gel (PAAG) was one of the most commonly used fillers until it has been banned in China [5]

  • Our first case, had Polyacrylamide hydrogel (PAAG) injection and the main reason for seeking medical advice was the development of breast masses and pain

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Summary

Introduction

Breast augmentation is a frequently requested procedure in the plastic surgery in order to achieve the appropriate breast volume or to correct breast asymmetry that follows surgeries or occurs developmentally. Different procedures of breast enhancement were developed; invasive technique through implants insertion or flap surgeries, and non-invasive one using different breast fillers. The use of the latter became widely popular nowadays. Among different types of breast fillers; the use of Polyacrylamide hydrogel and fat grafting were commonly used [1,2]. Polyacrylamide hydrogel (PAAG) is a permanent filler composed of a hydrophilic gel of polyacrylamide that is extremely well tolerated and shows long duration of action [10]. The most common long-term complication of its use is the appearance of indurations, masses, deformity, pain,chronic infection, gel migration, cysts formations and adhesions [3]

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