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

IF 0.2 Q4 SURGERY
Woo Jung Choi, W. Song, S. Kang
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引用次数: 3

Abstract

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.
两种不同填充物隆乳的并发症及处理:一系列病例
用注射填充物隆胸的一个优点是可以在局部麻醉下确定和实现所需的尺寸,恢复时间短。然而,高并发症率是一个关键的缺点。一些填充物很难去除,导致乳房畸形和疤痕。在2021年接受手术治疗乳房异物的5名患者参加了这项研究。其中两人注射了共酰胺填充剂,而另外三人注射了聚丙烯酰胺水凝胶填充剂。进行了体格检查,并获得了术前和术中照片。两名患者接受了皮下乳房切除术,因为大部分填充物已渗入正常乳房组织。相比之下,其他患者接受填充物去除和清创,因为大多数填充物仍然与正常乳腺组织分开。所有接受皮下乳房切除术的患者和只接受填充物移除的患者都立即接受了内聚凝胶植入物的乳房重建。其他患者拒绝立即重建,只进行了填充物去除。所有患者均康复,无并发症。我们根据我们的病例提出了一个诊断和治疗的算法,我们希望能帮助临床医生控制填充剂注射隆胸的并发症。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
自引率
33.30%
发文量
35
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