[Premovement of polyacrylamide hydrogel (PAAH) from breast through submammary fold incision].
OBJECTIVE
To investigate the bad effect of breast augmentation with PAAH injection and the technique to remove PAAH from breast effectively and safely.


METHODS
43 cases (86 sides) underwent operation to remove the PAAH from breast through submammary incision, followed by dressing with pressure for 3 days. The patients received colored doppler ultrasonography and immunologic test before and 3 months after operation.


RESULTS
Postoperative ultrasonography showed residual PAAH in breast in one case. Among the 20 cases who had preoperative breast pain, the pain relieved completely in 10 cases and improved in the other 10 cases. All the patients had some abnormal results in immunologic test which improved 3 months after operation.


CONCLUSIONS
Breast augmentation with PAAH injection can result in breast pain and other complications. It may also have bad effect on the immune system. PAAH should be removed as soon as possible. The technique through submammary incision to remove PAAH is one of the safe and reliable methods.
Li
Zheng-Yong
ZY
Department of Plastic Surgery and Burn, West China Hospital, Sichuan University, Chengdu 610041, China. lizhengyong123@hotmail.com
Cen
Ying
Y
Xu
Xue-Wen
XW
Gu
Ming-Jing
MJ
Gong
Xiao-Yuan
XY
Wu
Dong-Mei
DM
D000328:Adult; D001940:Breast / Q000601:surgery*; D019928:Breast Implantation / Q000009:adverse effects; D018427:Breast Implants / Q000009:adverse effects*; D020878:Device Removal / Q000379:methods*; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000009:adverse effects; D055815:Young Adult