Recurrent complications of PAAG implants during lactation

Bourke, Anita G.; Jose, Chaitra

doi:10.1136/bcr-2017-219688

Cited by 2 publications

(3 citation statements)

References 13 publications

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“…Studies have shown that polyacrylamide is harmless to the body, but the acrylamide monomer released from polyacrylamide contains toxins [ 17 ]. The toxicity of acrylamide mainly includes neurotoxicity, reproductive toxicity, genetic toxicity, immunotoxicity, and potential carcinogenicity [ 18 , 19 , 20 ]. Residues of acrylamide monomer are inevitably present during production processes of cross-linking.…”

Section: Discussionmentioning

confidence: 99%

Breast Augmentation with Autologous Fat Grafting Immediately after Removal of Polyacrylamide Hydrogel and Fibrotic Capsule in 162 Patients

Gao

Zhai

et al. 2022

Breast Care

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Objective In this study we investigated the feasibility and efficacy of immediate breast augmentation with autologous fat grafting after removal of polyacrylamide hydrogel(PAAG) and fibrotic capsule. Methods A retrospective study was conducted on 162 female patients who underwent removal of breast filler polyacrylamide hydrogel(PAAG) and the fibrotic capsule which produced after injection of PAAG via areola Omega-shaped incision. Then autologous fat grafting was immediately performed evenly and radially around the areola via the same incision into different layers (subcutaneous,submammary tissue,pectoralis major intramuscular and inferior pectoralis major space) except the empty cavity.The cavity left by removal of PAAG and fibrous capsule was closed with negative pressure drainage tube and slight external pressure. Results All patients recovered well without severe complications. The average score of postoperative satisfaction with physical well-being:chest was 99.83 (total score:100) compared with the average satisfaction score of 71.69 (total score:100) preoperatively by means of BREAST-QTM evaluation(P<0.01).All patients were satisfied with their postoperative breast shape. Conclusions Removing as much as possible is critical for patients who underwent the PAAG injection.Our experience in immediate breast augmentation with autologous fat grafting after removal of PAAG and fibrotic capsule proved useful and effective to maintain the balance between removing the PAAG as much as possible and retaining soft tissue to reshape breasts.

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Section: Discussionmentioning

confidence: 99%

Breast Augmentation with Autologous Fat Grafting Immediately after Removal of Polyacrylamide Hydrogel and Fibrotic Capsule in 162 Patients

Gao

Zhai

et al. 2022

Breast Care

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“…One report describes a woman with PAAG implants who suffered repeated infections during lactation, ultimately requiring surgical drainage. 4 She was instructed to stop breastfeeding. 4 No studies review the association between hyperlactation, incompletely drained galactocele, and subsequent implant infection.…”

mentioning

confidence: 99%

“…4 She was instructed to stop breastfeeding. 4 No studies review the association between hyperlactation, incompletely drained galactocele, and subsequent implant infection. Further, no reports document maintenance of lactation during resolution of these complications.…”

mentioning

confidence: 99%

Management of Infected Galactocele and Breast Implant with Uninterrupted Breastfeeding

Kornfeld

Johnson

Soares

et al. 2021

Plastic and Reconstructive Surgery - Global Open

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Summary: Infected breast implants during lactation present a rare but challenging clinical scenario that may result in early cessation of breastfeeding and unnecessary morbidity to mother and infant. We present the case of a 39-year-old African American primigravid woman with a history of bilateral retropectoral textured implants placed three years prior. Five days after delivering a healthy, full-term infant via cesarean section, she sought evaluation for nipple pain and trauma. She was instructed to use a nipple shield and pump every 2–3 hours in addition to breastfeeding, which resulted in iatrogenic hyperlactation. One week postpartum, the patient was started on antibiotics for presumed mastitis. Ultrasound demonstrated a complex fluid collection at the 12 o’clock periareolar position, as well as peri-implant fluid. She subsequently underwent aspirations of a periareolar complex galactocele and aspirations of peri-implant fluid. She continued on antibiotics without improvement. The patient proceeded to implant removal and definitive drainage of the galactocele at four months postpartum. Throughout her course, the patient provided her infant with exclusive breastmilk, including breastfeeding in the perioperative area of the operating room. This case demonstrates an example of safe surgical removal of infected breast implants and management of an infected galactocele without interruption of breastfeeding.

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Recurrent complications of PAAG implants during lactation

Cited by 2 publications

References 13 publications

Breast Augmentation with Autologous Fat Grafting Immediately after Removal of Polyacrylamide Hydrogel and Fibrotic Capsule in 162 Patients

Breast Augmentation with Autologous Fat Grafting Immediately after Removal of Polyacrylamide Hydrogel and Fibrotic Capsule in 162 Patients

Management of Infected Galactocele and Breast Implant with Uninterrupted Breastfeeding

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