Polyacrylamide gel migration after injection for breast augmentation: A case report

Polyacrylamide hydrogel (PAAG) was once considered a safe, reliable, and compatible injected filler and was widely used in breast augmentation, rhinoplasty, and other cosmetic surgeries. However, numerous complications, such as implant migration, have been observed after PAAG injections. Herein, we...

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Main Authors: Rongshuai Yan, Yujie Lan, Zeyuan Lei, Yao Chen, Dongli Fan, Yiming Zhang, Shaoliang Wang
Format: Article
Language:English
Published: KeAi Communications Co. Ltd. 2022-03-01
Series:Chinese Journal of Plastic and Reconstructive Surgery
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2096691122000048
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author Rongshuai Yan
Yujie Lan
Zeyuan Lei
Yao Chen
Dongli Fan
Yiming Zhang
Shaoliang Wang
author_facet Rongshuai Yan
Yujie Lan
Zeyuan Lei
Yao Chen
Dongli Fan
Yiming Zhang
Shaoliang Wang
author_sort Rongshuai Yan
collection DOAJ
description Polyacrylamide hydrogel (PAAG) was once considered a safe, reliable, and compatible injected filler and was widely used in breast augmentation, rhinoplasty, and other cosmetic surgeries. However, numerous complications, such as implant migration, have been observed after PAAG injections. Herein, we report a rare case of distant implant migration after PAAG injection for breast augmentation in which the material became displaced along the abdominal wall to the perineum and pelvic extraperitoneal space. After a well-prepared preoperative evaluation involving magnetic resonance imaging (MRI) and computed tomography (CT) examinations and three-dimensional hologram, debridement surgery was performed to remove the injected material. After the operation, the patient was followed up for two years and was not scheduled for a second operation. Postoperative complications of breast augmentation after PAAG injection, especially gel migration, still affect thousands of patients. Once material migration occurs, surgical removal becomes difficult. Early diagnosis and treatment are recommended.
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spelling doaj.art-4a4ebbe9722441f1af478b221f7c2cef2022-12-22T04:42:03ZengKeAi Communications Co. Ltd.Chinese Journal of Plastic and Reconstructive Surgery2096-69112022-03-01412024Polyacrylamide gel migration after injection for breast augmentation: A case reportRongshuai Yan0Yujie Lan1Zeyuan Lei2Yao Chen3Dongli Fan4Yiming Zhang5Shaoliang Wang6Department of Plastic and Cosmetic Surgery, Xinqiao Hospital, Army Medical University, Chongqing 400037, ChinaDepartment of Plastic and Cosmetic Surgery, Xinqiao Hospital, Army Medical University, Chongqing 400037, ChinaDepartment of Plastic and Cosmetic Surgery, Xinqiao Hospital, Army Medical University, Chongqing 400037, ChinaDepartment of Plastic and Cosmetic Surgery, Xinqiao Hospital, Army Medical University, Chongqing 400037, ChinaDepartment of Plastic and Cosmetic Surgery, Xinqiao Hospital, Army Medical University, Chongqing 400037, ChinaCorresponding authors. Department of Plastic and Cosmetic Surgery, Xinqiao Hospital, Army Medical University, Xinqiao Road, Shapingba District, Chongqing 400037, China.; Department of Plastic and Cosmetic Surgery, Xinqiao Hospital, Army Medical University, Chongqing 400037, ChinaCorresponding authors. Department of Plastic and Cosmetic Surgery, Xinqiao Hospital, Army Medical University, Xinqiao Road, Shapingba District, Chongqing 400037, China.; Department of Plastic and Cosmetic Surgery, Xinqiao Hospital, Army Medical University, Chongqing 400037, ChinaPolyacrylamide hydrogel (PAAG) was once considered a safe, reliable, and compatible injected filler and was widely used in breast augmentation, rhinoplasty, and other cosmetic surgeries. However, numerous complications, such as implant migration, have been observed after PAAG injections. Herein, we report a rare case of distant implant migration after PAAG injection for breast augmentation in which the material became displaced along the abdominal wall to the perineum and pelvic extraperitoneal space. After a well-prepared preoperative evaluation involving magnetic resonance imaging (MRI) and computed tomography (CT) examinations and three-dimensional hologram, debridement surgery was performed to remove the injected material. After the operation, the patient was followed up for two years and was not scheduled for a second operation. Postoperative complications of breast augmentation after PAAG injection, especially gel migration, still affect thousands of patients. Once material migration occurs, surgical removal becomes difficult. Early diagnosis and treatment are recommended.http://www.sciencedirect.com/science/article/pii/S2096691122000048Polyacrylamide hydrogelSurgical complicationMaterial migrationBreast augmentation
spellingShingle Rongshuai Yan
Yujie Lan
Zeyuan Lei
Yao Chen
Dongli Fan
Yiming Zhang
Shaoliang Wang
Polyacrylamide gel migration after injection for breast augmentation: A case report
Chinese Journal of Plastic and Reconstructive Surgery
Polyacrylamide hydrogel
Surgical complication
Material migration
Breast augmentation
title Polyacrylamide gel migration after injection for breast augmentation: A case report
title_full Polyacrylamide gel migration after injection for breast augmentation: A case report
title_fullStr Polyacrylamide gel migration after injection for breast augmentation: A case report
title_full_unstemmed Polyacrylamide gel migration after injection for breast augmentation: A case report
title_short Polyacrylamide gel migration after injection for breast augmentation: A case report
title_sort polyacrylamide gel migration after injection for breast augmentation a case report
topic Polyacrylamide hydrogel
Surgical complication
Material migration
Breast augmentation
url http://www.sciencedirect.com/science/article/pii/S2096691122000048
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