Complications after polyacrylamide hydrogel injection for facial soft-tissue augmentation in China: twenty-four cases and their surgical management.

Abstract:

BACKGROUND:Polyacrylamide hydrogel has been used for soft-tissue augmentation for more than 10 years. Although it is considered a nontoxic, nonimmunogenic material, complications after polyacrylamide hydrogel injections during facial soft-tissue augmentation have been reported. METHODS:Between 2003 and 2009, 24 patients underwent surgical management of complications after facial soft-tissue augmentation. Histories, preoperative imaging, and photographs of operations were recorded. RESULTS:Complications included hematomas, infection, nodule formation, and migration. Ultimately, 23 of 24 cases underwent surgery to remove the gel; the remaining case underwent surgical drainage to remove it. CONCLUSIONS:As more complications have been reported, especially ones that are difficult to treat, the safety of polyacrylamide hydrogel needs to be reconsidered. The authors' experiences provide methods to remove polyacrylamide hydrogel if complications occur. CLINICAL QUESTION/LEVEL OF EVIDENCE:Therapeutic, V.

journal_name

Plast Reconstr Surg

authors

Shen H,Lv Y,Xu JH,Hong XY,Zeng BW,Xiao W,Zheng LJ

doi

10.1097/PRS.0b013e3182589b7d

subject

Has Abstract

pub_date

2012-08-01 00:00:00

pages

340e-348e

issue

2

eissn

0032-1052

issn

1529-4242

pii

00006534-201208000-00034

journal_volume

130

pub_type

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