Clinical Experience with Treatment of Aquafilling Filler-Associated Complications: A Retrospective Study of 146 Cases
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ORIGINAL ARTICLE
BREAST SURGERY
Clinical Experience with Treatment of Aquafilling FillerAssociated Complications: A Retrospective Study of 146 Cases Sik Namgoong1 • Hong-Kyu Kim2 • Yongjae Hwang1 • Seung-Ho Shin3,4 • Hi-Jin You1 • Deok-Woo Kim1 • Aeree Kim5 • Seung Pil Jung3 • Eul-Sik Yoon1
Received: 3 April 2020 / Accepted: 15 July 2020 Ó Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery 2020
Abstract Background Aquafilling filler is used for breast and buttock augmentation, which are the most commonly performed cosmetic surgery procedures. However, complications after using Aquafilling filler for breast augmentation have been reported, and there are concerns regarding its use in large areas, such as the buttocks. We provide our experience with complications after breast augmentation and buttock augmentation using Aquafilling filler. Methods This observational cohort study analyzed the data of 399 patients treated for filler-related complications at our institutes from September 2015 to November 2019. Of Sik Namgoong and Hong-Kyu Kim contributed equally to this work and should be considered as co-first authors.
Electronic supplementary material The online version of this article (https://doi.org/10.1007/s00266-020-01889-7) contains supplementary material, which is available to authorized users. & Seung Pil Jung [email protected] & Eul-Sik Yoon [email protected] 1
Department of Plastic and Reconstructive Surgery, Korea University College of Medicine, Inchon-ro 73, Seongbuk-gu, Seoul 02841, Republic of Korea
2
Department of Surgery, Seoul National University College of Medicine, Seoul, Republic of Korea
3
Department of Surgery, Korea University Anam Hospital, Korea University College of Medicine, Inchon-ro 73, Seongbuk-gu, Seoul 02841, Republic of Korea
4
Shinyu Clinic, Seoul, Republic of Korea
5
Department of Pathology, Korea University College of Medicine, Seoul, Republic of Korea
these patients, 146 underwent surgery to remove Aquafilling filler from the breast or buttock. Results The mean time between Aquafilling filler use and complication onset was 38.5 ± 10.2 months. The average amount of filler material removed from one side of the breast or buttock was 285.5 ± 95.8 mL (range 150–750 mL). The most common complications were induration and masses (83.6%), followed by pain (52.1%), firmness (24.7%), asymmetry (10.3%), migration (8.2%), mastitis (6.8%), dimpling (6.2%), fever (3.4%), and sepsis (n = 1). After treatment, there was no recurrence of infection, and the patient satisfaction level based on the visual analogue scale was 8.0 ± 0.9. Conclusions Although Aquafilling filler is easily injectable and has long-term clinical effects, complications can occur. Furthermore, there are concerns regarding its toxicity and influence on the surrounding tissues. Hence, further research studies on Aquafilling filler and evidence regarding its long-term safety are needed. Level of Evidence IV This journal requires that authors assign
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