Complications of polyacrylamide hydrogel injection for breast augmentation: A case report and literature review

Polyacrylamide hydrogel (PAAG) was developed in the 1980s as an injectable filler for breast augmentation and tissue contour improvement, but its potential risk for oncogenesis and the frequent occurrence of chronic complications after injections led to the prohibition of its further use as an injec...

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Main Authors: Inhoe Ku, Ji-Ung Park
Format: Article
Language:English
Published: Korean Society for Aesthetic Plastic Surgery 2019-07-01
Series:Archives of Aesthetic Plastic Surgery
Subjects:
Online Access:http://e-aaps.org/upload/pdf/aaps-2019-01753.pdf
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author Inhoe Ku
Ji-Ung Park
author_facet Inhoe Ku
Ji-Ung Park
author_sort Inhoe Ku
collection DOAJ
description Polyacrylamide hydrogel (PAAG) was developed in the 1980s as an injectable filler for breast augmentation and tissue contour improvement, but its potential risk for oncogenesis and the frequent occurrence of chronic complications after injections led to the prohibition of its further use as an injectable material. Although breast augmentation with PAAG injections was mostly performed in China and Eastern Europe, the migration of patients and long-term complications of the procedure made it a global concern. Herein, we describe the case of a 49-year-old woman who immigrated to Korea after undergoing breast augmentation via PAAG injection in China, and complained of persistent mastodynia and retraction of both breasts. Surgical treatment was undertaken, along with removal of the PAAG and total capsulectomy of the fibrous capsule containing the gel through an inframammary fold incision. We share our experience of diagnosing and treating this case, and present a literature review.
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spelling doaj.art-ca7cb2bc77b44150ab70a8756f84ab202022-12-21T20:33:44ZengKorean Society for Aesthetic Plastic SurgeryArchives of Aesthetic Plastic Surgery2234-08312288-93372019-07-0125311912310.14730/aaps.2019.01753677Complications of polyacrylamide hydrogel injection for breast augmentation: A case report and literature reviewInhoe Ku0Ji-Ung Park1 Department of Plastic and Reconstructive Surgery, Seoul National University Hospital, Seoul, Korea Department of Plastic and Reconstructive Surgery, Seoul National University Boramae Hospital, Seoul National University College of Medicine, Seoul, KoreaPolyacrylamide hydrogel (PAAG) was developed in the 1980s as an injectable filler for breast augmentation and tissue contour improvement, but its potential risk for oncogenesis and the frequent occurrence of chronic complications after injections led to the prohibition of its further use as an injectable material. Although breast augmentation with PAAG injections was mostly performed in China and Eastern Europe, the migration of patients and long-term complications of the procedure made it a global concern. Herein, we describe the case of a 49-year-old woman who immigrated to Korea after undergoing breast augmentation via PAAG injection in China, and complained of persistent mastodynia and retraction of both breasts. Surgical treatment was undertaken, along with removal of the PAAG and total capsulectomy of the fibrous capsule containing the gel through an inframammary fold incision. We share our experience of diagnosing and treating this case, and present a literature review.http://e-aaps.org/upload/pdf/aaps-2019-01753.pdfaugmentation mammaplastycomplicationspolyacrylamide gels
spellingShingle Inhoe Ku
Ji-Ung Park
Complications of polyacrylamide hydrogel injection for breast augmentation: A case report and literature review
Archives of Aesthetic Plastic Surgery
augmentation mammaplasty
complications
polyacrylamide gels
title Complications of polyacrylamide hydrogel injection for breast augmentation: A case report and literature review
title_full Complications of polyacrylamide hydrogel injection for breast augmentation: A case report and literature review
title_fullStr Complications of polyacrylamide hydrogel injection for breast augmentation: A case report and literature review
title_full_unstemmed Complications of polyacrylamide hydrogel injection for breast augmentation: A case report and literature review
title_short Complications of polyacrylamide hydrogel injection for breast augmentation: A case report and literature review
title_sort complications of polyacrylamide hydrogel injection for breast augmentation a case report and literature review
topic augmentation mammaplasty
complications
polyacrylamide gels
url http://e-aaps.org/upload/pdf/aaps-2019-01753.pdf
work_keys_str_mv AT inhoeku complicationsofpolyacrylamidehydrogelinjectionforbreastaugmentationacasereportandliteraturereview
AT jiungpark complicationsofpolyacrylamidehydrogelinjectionforbreastaugmentationacasereportandliteraturereview