Breastfeeding difficulty after polyacrylamide hydrogel (PAAG) mediated breast augmentation

Ibrahim, Rami Mossad; Lauritzen, Elisabeth; Krammer, Caspar Weel

doi:10.1016/j.ijscr.2018.04.025

Cited by 4 publications

(3 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A chronic cavity formed once the PAAG reached the vulva and was maintained for prolonged periods. The drainage in this case did not resemble the drainage that is typically reported in the literature, which is thick, yellow, granular, and colloid with small transparent particles[5,6]. This may be the reason that inflammatory cells infiltrated the area and broke down the original structure.…”

Section: Discussioncontrasting

confidence: 50%

Repeated lumps and infections: A case report on breast augmentation complications

Zhang

et al. 2019

WJCC

View full text Add to dashboard Cite

BACKGROUNDPolyacrylamide hydrogel (PAAG) injections were once common in breast augmentation and have been prohibited for augmentation mammaplasty in China since a large number of patients who underwent breast augmentation with PAAG injections have continued to seek medical advice as a result of related complications. Among all these complications, distant migration is relatively rare.CASE SUMMARYA 49-year-old female presented at the hospital with a one-year history of a vulvar lump. The sonography of the lump showed several subcutaneous fluid-filled regions from the left vulva to the pubic symphysis, which suggested possible fat liquefaction. An enhanced magnetic resonance imaging (MRI) revealed a cystic area, which was considered a benign lesion. Intraoperative observations showed that the mass did not have an obvious capsule, the subcutaneous tissue presented as a cavity, and some yellow material came out of this cavity. A culture of the drainage did not show bacterial contamination. Histopathology revealed a foreign body granuloma. After resection and closed drainage, lumps were successively observed in the left lower abdomen and the bilateral hypochondriac region with infections. Sonography found that the hypoechoic areas in the bilateral hypochondriac region seemed continuous with deep in the breasts. The patient reported that she had undergone surgery with PAAG injections 20 years ago after she was repeatedly asked about her past history. Finally, a diagnosis of distant migration of PAAG was made.CONCLUSIONPAAG gel can migrate after long periods of time. A diagnosis should not be limited to the area where the symptom develops.

show abstract

Section: Discussioncontrasting

confidence: 50%

Repeated lumps and infections: A case report on breast augmentation complications

Zhang

et al. 2019

WJCC

View full text Add to dashboard Cite

show abstract

“…A variety of late adverse effects following PAAG injection for breast augmentation has been described, and more recently breastfeeding complications have been reported among several women. So far, 4 cases of lactation-associated galactocele formation and 1 case of lactational mastitis with skin fistula related to PAAG-injected breast augmentation have been reported [11][12][13][14][15]. Based on these reports, Wang et al analysed the rising filler-associated complications occurring during breastfeeding, and they found that 58 of 102 women receiving PAAG injection for augmentation mammoplasty developed infection during lactation [16].…”

Section: Introductionmentioning

confidence: 99%

Complication after Aquafilling® gel-mediated augmentation mammoplasty—galactocele formation in a lactating woman: a case report and review of literature

Loesch¹,

Eniste²,

Dedes³

et al. 2021

Eur J Plast Surg

View full text Add to dashboard Cite

Augmentation mammoplasty using hydrogel fillers such as polyacrylamide gel (PAAG) or Aquafilling® has been performed commonly in some countries as an alternative to breast augmentation with saline or silicone implants. However, the safety of this procedure remains controversial, and many complications associated with the use of large-volume hydrogel injection have been reported in recent years. We present the case of a 33-year-old woman with a history of bilateral Aquafilling® injection augmentation mammoplasty who presented with an enlarged left breast while breastfeeding. Based on the clinical presentation and ultrasound findings, the patient underwent surgical incision as abscess formation caused by infection of the filler material could not be ruled out with certainty. Surgery revealed a galactocele with drainage of large amounts of milky fluid. Remaining filler material was removed as thoroughly as possible, and vacuum assisted wound dressing was performed. Galactocele formation in lactating women is a known complication after injection of hydrogel. Hence, it is important to be familiar with this uncommon but possibly severe complication in order to make an accurate diagnosis and initiate adequate treatment. To that end, it is recommended that patients who underwent Aquafilling® injection for breast augmentation should avoid lactation and that women intending to breastfeed should not undergo augmentation mammoplasty with injection of Aquafilling®.Level of Evidence: Level V, risk / prognostic study

show abstract

“…The properties of these biomaterials, such as their biocompatibility, high oxygen permeability, wound moisture retention and absorbability, all help to increase patient compliance [ 22 , 25 ]. The smooth nature of hydrogels allow them to be easily removed from the skin without causing any irritation or additional damage [ 22 , 26 , 27 ]. However, the practical applications of hydrogels as bandages are still currently limited, due to their poor mechanical strength and stability [ 3 , 28 ].…”

Section: Introductionmentioning

confidence: 99%

Polyacrylamide Hydrogel Containing Calendula Extract as a Wound Healing Bandage: In Vivo Test

Ferreira

Bandeira

Gomes

et al. 2023

IJMS

View full text Add to dashboard Cite

Hydrogel is a biomaterial widely used in several areas of industry due to its great biocompatibility and adaptability to biological tissues. In Brazil, the Calendula plant is approved by the Ministry of Health as a medicinal herb. It was chosen to be incorporated in the hydrogel formulation because of its anti-inflammatory, antiseptic and healing effects. This study synthesized polyacrylamide hydrogel containing calendula extract and evaluated its efficiency as a bandage for wound healing. The hydrogels were prepared using free radical polymerization and characterized by Scanning Electron Microscopy, swelling analysis and mechanical properties by texturometer. The morphology of the matrices showed large pores and foliaceous structure. In vivo testing, as well as the evaluation of acute dermal toxicity, was conducted using male Wistar rats. The tests indicated efficient collagen fiber production, improved skin repair and no signs of dermal toxicity. Thus, the hydrogel presents compatible properties for the controlled release of calendula extract used as a bandage to promote cicatrization.

show abstract

Breastfeeding difficulty after polyacrylamide hydrogel (PAAG) mediated breast augmentation

Cited by 4 publications

References 18 publications

Repeated lumps and infections: A case report on breast augmentation complications

Repeated lumps and infections: A case report on breast augmentation complications

Complication after Aquafilling® gel-mediated augmentation mammoplasty—galactocele formation in a lactating woman: a case report and review of literature

Polyacrylamide Hydrogel Containing Calendula Extract as a Wound Healing Bandage: In Vivo Test

Contact Info

Product

Resources

About