Breastfeeding difficulty after polyacrylamide hydrogel (PAAG) mediated breast augmentation

Area of Science:

• Plastic Surgery
• Reconstructive Surgery
• Biomaterials Science

Background:

• Polyacrylamide hydrogel (PAAG) was a common material for minimally invasive breast augmentation.
• Increasing reports of complications associated with PAAG breast augmentation are emerging.
• This case highlights delayed infection and breastfeeding complications following PAAG augmentation.

Purpose of the Study:

• To report a case of delayed complications after PAAG breast augmentation.
• To emphasize the increasing prevalence of PAAG-related adverse events.
• To discuss the management of such complications.

Main Methods:

• A case study of a 36-year-old female with PAAG breast augmentation 15 years prior.
• Clinical evaluation, mammography, ultrasound, and MRI were used for diagnosis.
• Management involved aspiration, followed by modified radical debridement to remove PAAG.

Main Results:

• The patient presented with breastfeeding difficulty and a skin defect.
• Imaging revealed inhomogeneous gelatinous material (PAAG) diffused into breast tissue and muscle.
• Surgical removal of PAAG led to complete remission of infection and complications.

Conclusions:

• Complications from PAAG breast augmentation, including late infections and breastfeeding difficulties, are on the rise.
• PAAG can cause irreversible breast damage and necessitate complex surgical intervention.
• Effective management strategies are crucial for addressing long-term PAAG-related issues.