Removal of polyacrylamide hydrogel injections from breast: a retrospective analysis
10.3760/cma.j.issn.1671-0290.2018.04.007
- VernacularTitle:乳房聚丙烯酰胺水凝胶注射物清除术的回顾性分析
- Author:
Danning ZHENG
1
;
Li YU
;
Bo ZHANG
;
Jian WANG
;
Jia ZHOU
Author Information
1. 200011,上海交通大学医学院附属第九人民医院整复外科
- Keywords:
Breast implants;
Polyacrylamide gel;
Injections;
Magnetic resonance imaging;
Surgical procedures
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2018;24(4):241-244
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the features of magnetic resonance imaging (MRI) and removal procedures of the polyacrylamide hydrogel (PAAG) injections from the breast.Methods From January 2015 to December 2016,113 continuous cases of breast PAAG implants were involved into this study.Features of MRI,characteristics of PAAG and tissue changes around PAAG were recorded and analyzed.Results The PAAG was demonstrated high T2 signals on MRI that was consistent with the surgical findings.In total of 226 breasts,the PAAG injected implants were removed with peri-areolar incision approach,and PAAG in free state was squeezed and capsular or infiltrated tissues were dissected.In 15 breasts,capsules were thin with no infiltrated tissue.In other 211 breasts,a lot of PAAG infiltrated tissues were observed and these infiltrated tissues included gland,fat tissue,pectoralis major muscle,pectoralis minor muscle or intercostal muscles.Conclusions In these cases,PAAG has been injected into breasts for 7 to 20 years.For such long period,PAAG infiltrated tissues present a lot of difficulties and more complicated to remove.Dissection is the strategy we recommend.
