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Delayed inflammatory reaction to bio-alcamid polyacrylamide gel used for soft-tissue augmentation
Brenda Chrastil-LaTowsky1, Naissan O Wesley, Jennifer L MacGregor
1SkinCare Physicians, 1244 Boylston St, Ste 103, Chestnut Hill, MA 02467, USA. blatowsky@yahoo.com
Background:
Given the recent boom of the cosmetic industry, there is a wealth of new products available to patients and physicians, including soft-tissue fillers. Bio-Alcamid polyacrylamide gel (Polymekon, Milan, Italy) is a filler that has potential to cause adverse reactions.
Observations:
Two patients who had previously been treated with Bio-Alcamid outside of the United States presented with different manifestations of inflammatory responses to the product. These reactions were challenging to treat.
Conclusions:
Despite claims of safety, Bio-Alcamid and possibly other soft-tissue fillers available worldwide have the potential to cause adverse reactions. Physicians should be aware of the various presentations and treatment options for these reactions.

