Wünscher Sarah Victoria, Cambiaso-Daniel Janos, Gualdi Alessandro, Rappl Thomas
Division of Plastic, Aesthetic and Reconstructive Surgery, Department of Surgery, Medical University of Graz, Graz, Austria.
Milano Face Institute, Milan, Italy.
Indian J Plast Surg. 2023 Apr 21;56(3):267-269. doi: 10.1055/s-0043-1767729. eCollection 2023 Jun.
The interest in gluteal augmentation using minimally invasive techniques has been increasing rapidly. Despite the fact that Aquafilling filler was described as biocompatible with human tissues, the number of associated complications has been rising. We present an exceptional case of a 35-year-old female patient, who suffered major long-term complications in association with Aquafilling filler injections in the gluteal region. The patient was referred to our center with signs of recurrent inflammation and severe pain focusing on the left lower extremity. A computed tomography (CT) scan showed multiple, communicating abscess formations all the way from the gluteal region to the lower leg. Therefore, an operative debridement was accomplished in the operating theater. Finally, this report emphasizes the severity of possible long-term complications when using Aquafilling filler especially in larger areas. Furthermore, the oncogenicity as well as toxicity of polyacrylamide, the core material of Aquafilling filler, remains uncertain, which is why further research is urgently required.
使用微创技术进行臀部增大术的关注度一直在迅速上升。尽管水填充填充剂被描述为与人体组织具有生物相容性，但相关并发症的数量却一直在增加。我们报告了一例特殊病例，一名35岁女性患者，在臀部区域注射水填充填充剂后出现了严重的长期并发症。该患者因反复炎症迹象和聚焦于左下肢的剧痛被转诊至我们中心。计算机断层扫描（CT）显示从臀部区域到小腿有多发性、相互连通的脓肿形成。因此，在手术室进行了手术清创。最后，本报告强调了使用水填充填充剂尤其是在较大区域时可能出现的长期并发症的严重性。此外，水填充填充剂的核心材料聚丙烯酰胺的致癌性和毒性仍不确定，这就是迫切需要进一步研究的原因。
