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CC BY-NC-ND 4.0 · Indian J Plast Surg 2023; 56(02): 178-181
DOI: 10.1055/s-0042-1756134
Case Report

Distal Hand Migration of Polyacrylamide Gel after Breast Augmentation: A Case Report and Review of the Literature

Piotr Gierej
1   Department of Plastic Surgery, Prof. W. Orłowski Memorial Hospital, Centre of Postgraduate Medical Education, Czerniakowska, Warsaw, Poland
2   Department of Breast Cancer and Reconstructive Surgery, Maria Sklodowska-Curie National Research Institute of Oncology, Warszawa, Poland
,
Marcin Radziszewski 
3   Faculty of Medicine, Medical University of Warsaw, Warsaw, Poland
,
Piotr Miłoński
4   Department of Radiology, Prof. W. Orłowski Memorial Hospital, Centre of Postgraduate Medical Education, Czerniakowska, Warsaw, Poland
,
Bartłomiej Noszczyk
1   Department of Plastic Surgery, Prof. W. Orłowski Memorial Hospital, Centre of Postgraduate Medical Education, Czerniakowska, Warsaw, Poland
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Abstract

Breast augmentation is one of the most popular cosmetic surgery procedures in the world and it requires a comprehensive study of the methods performed. As less-invasive techniques are sought, tissue fillers have found its purpose in these procedures. However, it has been revealed that some of them may be associated with serious complications. One of them is the Aquafilling/Los Deline gel. A case report of a female patient who developed unprecedented sequelae after Aquafilling injection—distant migration of the gel in the hand—was presented in this study. The patient underwent total gel removal from the left forearm, arm, and both breasts as well as wound debridement and irrigation. We discovered a canal connecting the left breast to the left forearm, created by a polyacrylamide hydrogel dislocation. It was thoroughly revised using an endoscope. Despite the advantages of tissue fillers such as simplicity of use and less invasiveness, certain complications can occur after injection. Although a few of them have been banned due to these sequelae, new ones continue to appear. Every new product should be examined very carefully before it is introduced to the market.

Keywords

breast augmentation - complications - aquafilling

Authors' Contributions

Piotr Gierej: study design, data interpretation, and writing of the manuscript. Marcin Radziszewski: collection of data, data analysis, and writing of the manuscript. Piotr Miłoński: collection of data and data interpretation. Bartłomiej Noszczyk: study design and writing of the manuscript.




Publication History

Article published online:
26 October 2022

© 2022. Association of Plastic Surgeons of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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