Arch Aesthetic Plast Surg.  2019 Jul;25(3):119-123. 10.14730/aaps.2019.01753.

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

• Ku I
• Park JU

• KMID: 2454391
• DOI: http://doi.org/10.14730/aaps.2019.01753

Abstract

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.

Keyword

Augmentation mammaplasty; Complications; Polyacrylamide gels

MeSH Terms

Breast*
Carcinogenesis
China
Europe, Eastern
Female
Humans
Hydrogel*
Korea
Mastodynia
Middle Aged
Pregnancy-Associated alpha 2-Macroglobulins
Hydrogel
Pregnancy-Associated alpha 2-Macroglobulins