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Published in: Aesthetic Plastic Surgery 5/2018

01-10-2018 | Original Article

Complication of AQUAfilling® Gel Injection for Breast Augmentation: Case Report of One Case and Review of Literature

Authors: Bok Ki Jung, In Sik Yun, Young Seok Kim, Tai Suk Roh

Published in: Aesthetic Plastic Surgery | Issue 5/2018

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Abstract

Introduction

Augmentation mammoplasty is one of the most popular aesthetic operations in the world. In Korea, one of the fillers used for breast augmentation is AQUAfilling® gel (Biomedica. spol, s,r,o, Czech Republic). AQUAfilling® gel is a hydrophilic gel composed of 98% sodium chloride solution (0.9%) and 2% cation copolyamide.

Methods

This is a case report describing a patient that suffered complications after AQUAfilling® gel injection for breast augmentation.

Results

A 32-year-old female patient was referred to our plastic surgery department with a chief complaint of repeated wound dehiscence and fluid discharge involving both breasts. She was treated via surgical intervention for removal of necrotic infected tissue and filler, as well as massive irrigation three times. After the third surgery, there were no complications, including infection or dehiscence, during a 1-year follow-up period.

Conclusions

Although AQUAfilling® gel is easy to inject and is natural looking, once a complication occurs, treatment is difficult. Also, there are concerns regarding toxicity of the gel material and its influence on surrounding tissues. Hence, sufficient evidences of long-term safety must be accumulated and proved, until which time the aesthetic use of the unapproved filler must be restricted.

Level of Evidence V

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.​springer.​com/​00266.
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Metadata
Title
Complication of AQUAfilling® Gel Injection for Breast Augmentation: Case Report of One Case and Review of Literature
Authors
Bok Ki Jung
In Sik Yun
Young Seok Kim
Tai Suk Roh
Publication date
01-10-2018
Publisher
Springer US
Published in
Aesthetic Plastic Surgery / Issue 5/2018
Print ISSN: 0364-216X
Electronic ISSN: 1432-5241
DOI
https://doi.org/10.1007/s00266-018-1107-0

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