Remote migration of breast filler to the inguinal area: a case report

Choi, Jung Shin; Kim, Ye Sol; Oh, Deuk Young

doi:10.14730/aaps.2021.00206

Cited by 3 publications

(5 citation statements)

References 13 publications

(15 reference statements)

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“…One patient (case 1) showed invasive ductal carcinoma, but the relationship with the filler injection is unclear. Common complications reported in other studies, such as migration, masses, and infection, were not found in our cases, and studies also vary in terms of the interval until symptom onset, which was 13.2 years in our study, but less than 10 years in others [3,5,7,8].…”

Section: Discussioncontrasting

confidence: 48%

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Complications and management of breast augmentation using two different types of fillers: a case series

Choi

Song

Kang

2023

Arch Aesthetic Plast Surg

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An advantage of breast augmentation with injectable fillers is that the desired size can be determined and achieved under local anesthesia with a short recovery time. However, a high complication rate is a critical disadvantage. Some fillers are challenging to remove, resulting in breast deformity and scarring. Five patients who underwent surgery to manage a foreign body in the breasts in 2021 were enrolled in this study. Two had copolyamide filler injections, while the other three had polyacrylamide hydrogel filler injections. A physical examination was performed, and preoperative and intraoperative photographs were obtained. Two patients underwent subcutaneous mastectomy because most of the filler had infiltrated into the normal breast tissue. In contrast, the other patients underwent filler removal and debridement because most of the filler had remained separate from the normal breast tissue. All patients who had a subcutaneous mastectomy and one who underwent only filler removal underwent immediate breast reconstruction with cohesive gel implants. The other patients rejected immediate reconstruction, and only filler removal was performed. All patients recovered without complications. We propose an algorithm for diagnosis and treatment based on our cases, which we hope can help clinicians manage the complications of filler injections for breast augmentation.

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Section: Discussioncontrasting

confidence: 48%

“…It was banned in China in 2006; however, more than 30 million women have received PAAG injections for breast augmentation. Many patients with PAAG injections present with complications, such as inflammation, infection, lumps, deformities, a foreign body sensation, systemic toxicity, and immune system changes [4,5].…”

Section: Introductionmentioning

confidence: 99%

Complications and management of breast augmentation using two different types of fillers: a case series

Choi

Song

Kang

2023

Arch Aesthetic Plast Surg

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“…[5] Although injection is easy and has long-term clinical effects, many cases of complications such as infection and toxicity due to penetration into the surrounding tissue have been reported. [14,15,16] In our case, the injected filler was unknown. However, the injection of AQUAfilling was the most suspicious because many complications of AQUAfilling have been reported recently and the patient underwent the procedure in Korea.…”

Section: Discussionmentioning

confidence: 75%

Section: Discussionmentioning

confidence: 99%

Breast filler granuloma mistaken for implant rupture: A case report

et al. 2023

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Rationale: Breast augmentation is usually performed by inserting implants into the breasts. However, injectable fillers are sometimes used for the convenience of both patients and surgeons. If foreign substances, such as biomaterials, are injected into the body, complications such as inflammation, granuloma, and tissue necrosis can occur owing to foreign body reactions. Patient concerns: A 39-year-old female patient visited our hospital complaining of tenderness, redness, and swelling in both breasts. The patient had undergone bilateral breast augmentation using implants 4 years prior to current consult. Diagnoses: On magnetic resonance imaging (MRI), cystic lesions and fluid collections were observed, with findings suggesting implant rupture; hence, surgery was planned to remove both implants. Interventions: Intraoperatively, the implant was malpositioned in the upper lateral portion without rupture. Capsular contracture findings were also not prominent. A large amount of inflammatory granuloma was observed and removed in the prepectoral plane, and the implants were immediately inserted into a new subpectoral plane. Outcomes: The volume of the new implant was 175 mL, which was smaller than the previous one, as per the patient preference. Cytology of the fluid from the previous implant pocket showed no evidence of malignancy, and the granuloma was identified as inflammatory tissue caused by a foreign body reaction on biopsy. The excessive protrusion of both breasts was corrected after surgery, and the patient was satisfied with the aesthetic outcomes without any complications up to 3 months after surgery. Lessons: The use of injectable fillers for breast augmentation carries the risk of misdiagnosis, and, therefore, surgeons should always exercise caution.

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“…Unlike silicone implants, subcutaneously injected fillers have no barrier to contain the shape and stop migration. 1 There are case reports of filler material migrating to the inguinal area, 2 axilla, chest wall, abdominal wall, and peritoneum. 3 There has been one reported case of early migration of breast filler to the mediastinum—the material used as a breast filler was liquid silicone oil, and was discovered in the mediastinum 10 days after injection into bilateral breasts.…”

Section: Discussionmentioning

confidence: 99%