title: [Correction of secondary breast deformities after removement of injected polyacrylamide hydrophilic gel].
abstract: OBJECTIVE
  To investigate the correction of secondary breast deformities after removement of injected polyacrylamide hydrophilic gel (PAHG).
  
  
  METHODS
  From March 2003 to March 2008, 100 patients with bilateral breast augmentation with injected PAHG underwent operation to remove the PAHG. The age of patients ranged from 35 to 50 years. Ultrasound and MRI were performed before operation to show the distribution of PAHG and the muscle infiltration around the PAHG. According to the PAHG distribution, muscle infiltration, skin elasticity, infection and PAHG residue, the patients were treated respectively with breast implants at the same stage or at the second stage, or without implants.
  
  
  RESULTS
  The patients were followed up for 3 months to 3 years. The percentage of satisfactory, median satisfactory and dissatisfactory was 90%, 9%, and 1%. In the median satisfactory group, 3 breasts in 3 cases showed slight capsular contracture (Baker II), 8 implants in 6 cases were palpable on the lower pole of the breasts. The middle-aged patient in dissatisfactory group was not satisfied with the high-projected implants shape which were chosen by herself and placed at the second stage. Then implants were removed. There was no complication of implant hernia, infection, wound disruption, or asymmetry.
  
  
  CONCLUSIONS
  The secondary breast deformities could be corrected by breast augmentation with implants. Both breast appearance and the psychological affection can be improved.
authors.affiliation: Department of Plastic Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Science, Beijing 100032, China.
authors.forename: Lin
authors.initials: L
authors.lastname: Zhu
authors.forename: Qun
authors.initials: Q
authors.lastname: Qiao
authors.forename: Xiao-Jun
authors.initials: XJ
authors.lastname: Wang
authors.forename: Wei-Wei
authors.initials: WW
authors.lastname: Li
authors.forename: Ang
authors.initials: A
authors.lastname: Zeng
authors.forename: Zhi
authors.initials: Z
authors.lastname: Wang
authors.forename: Ya-Ning
authors.initials: YN
authors.lastname: Cui
authors.forename: Zhi-Fei
authors.initials: ZF
authors.lastname: Liu
mesh_terms: D000180:Acrylic Resins / Q000009:adverse effects*; D000328:Adult; D019928:Breast Implantation / Q000009:adverse effects / Q000379:methods*; D018427:Breast Implants / Q000009:adverse effects*; D020878:Device Removal; D005260:Female; D006801:Humans; D042361:Mammary Glands, Human / Q000002:abnormalities*; D008875:Middle Aged
chemical_list: D000180:Acrylic Resins; C016680:polyacrylamide gels