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

• 作者: Rongshuai Yan Yujie Lan Zeyuan Lei Yao Chen Dongli Fan Yiming Zhang Shaoliang Wang
• 来源期刊: 中国整形与重建外科（英文）
• 年，卷（期）: 2022,（1）
• 所属期刊栏目: Case Report
• 页码范围: 20-24
• 页数: 5页
• 语种: 中文

摘要

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 complica-tions, 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 com-plications 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.