2022
DOI: 10.1093/asjof/ojac051
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Management of a Large Quantity of Permanent Gluteal Copolyamide Fillers (Aqualift/Activegel): Literature Review and Algorithm

Abstract: Background Buttock augmentation is a commonly performed aesthetic surgery. Several methods have been described, but only the use of implants or autologous fat are consensually deemed safe and effective. Synthetic fillers in gluteal augmentation have been described despite potential severe long-term complications, both medical and aesthetic. Objectives The aim of this study is to report a series of two consecutive cases who un… Show more

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Cited by 5 publications
(3 citation statements)
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References 19 publications
(13 reference statements)
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“…According to the suggested algorithm by Elahi et al, aspiration techniques can lead to satisfactory results; however, infectious cases should always be treated with a direct approach. 6 This case report is an excellent example of an exceptional long-term complication of Aquafilling filler, which shows the migration of the product all the way from the buttock to the lower leg, causing communicating abscesses and inflammation. Not to mention, the oncogenicity as well as toxicity of polyacrylamide, the core material of Aquafilling filler, remains uncertain.…”
Section: Discussionmentioning
confidence: 84%
See 1 more Smart Citation
“…According to the suggested algorithm by Elahi et al, aspiration techniques can lead to satisfactory results; however, infectious cases should always be treated with a direct approach. 6 This case report is an excellent example of an exceptional long-term complication of Aquafilling filler, which shows the migration of the product all the way from the buttock to the lower leg, causing communicating abscesses and inflammation. Not to mention, the oncogenicity as well as toxicity of polyacrylamide, the core material of Aquafilling filler, remains uncertain.…”
Section: Discussionmentioning
confidence: 84%
“…According to the suggested algorithm by Elahi et al, aspiration techniques can lead to satisfactory results; however, infectious cases should always be treated with a direct approach. 6 …”
Section: Discussionmentioning
confidence: 99%
“…Aktuell wird in der Literatur mehrheitlich eine operative Therapie mit Entfernung des Fillermaterials, einem Débridement des umliegenden Gewebes und einer Lavagierung in zwei bis vier Sitzungen, in Kombination mit einer intravenösen antibiotischen Therapie beschrieben [1,2,5,[13][14][15][16][17]. In bislang nur zwei Fallberichten wurde eine SWOP-Technik, wie von uns durchgeführt, vorgestellt [18,19]. Die Reoperationsraten bei konservativem chirurgischen Vorgehen wird mit 88.89 %, bei radikaler Exzision mit 22.73 % angegeben [20].…”
Section: Introductionunclassified