Fast Anna, Radtke Christine
Department of Plastic, Reconstructive and Aesthetic Surgery, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria.
Life (Basel). 2024 Aug 22;14(8):1048. doi: 10.3390/life14081048.
(1) Background: Aquafilling, a filler initially designed for contouring the face, was developed in 2005 by the company Biomedica, Czech Republic. It is composed of 98% hydrophilic gel and 2% copolyamide. Since 2008 the use was expanded for augmentation of the breast and gluteal region. It is suitable as a nonsurgical method for patients who want discreet augmentation and would like to avoid undergoing an operation. This method promises long-term results lasting up to 10 years. However, according to the literature Aquafilling gel can cause long-term complications; (2) Methods: This case report presents a male patient who experienced severe complications following Aquafilling injections for breast augmentation after ten years of treatment; (3) Results: A 51-year-old male patient presented to our emergency room with complaints of pain, firmness, major pre-pectoral swelling and asymmetry in his breasts. Due to the severity of the clinical appearance and the patient's discomfort, surgical intervention was deemed necessary. After undergoing three operations the patient was treated successfully and could be discharged for outpatient controls. The patient still did not show any signs of complications, three months after the event; (4) Conclusions: Although the patient has made a rapid recovery, as a result of the surgical procedure, we would recommend treating the breast region with small incisions and drainage in the future. This would have a better aesthetic result. Still there is no antidote available for the treatment of Aquafilling gel. It can only be removed by surgical debridement or irrigation and drainage.
(1) 背景：水填充剂最初是为面部轮廓塑形设计的，2005年由捷克共和国的生物医学公司研发。它由98%的亲水性凝胶和2%的共聚酰胺组成。自2008年起，其用途扩展至隆胸和丰臀领域。对于希望进行隐秘增大且避免手术的患者而言，它是一种合适的非手术方法。该方法有望带来长达10年的长期效果。然而，根据文献记载，水填充凝胶可能引发长期并发症；(2) 方法：本病例报告介绍了一名男性患者，在接受水填充隆胸治疗十年后出现了严重并发症；(3) 结果：一名51岁男性患者因乳房疼痛、坚硬、胸前区严重肿胀及不对称前来我院急诊室就诊。鉴于临床表现的严重性及患者的不适，认为有必要进行手术干预。经过三次手术后，患者成功治愈并可出院接受门诊复查。事件发生三个月后，患者仍未出现任何并发症迹象；(4) 结论：尽管患者恢复迅速，但鉴于手术过程，我们建议未来采用小切口和引流的方式治疗乳房区域。这样会有更好的美学效果。目前仍没有治疗水填充凝胶的解毒剂。只能通过手术清创或冲洗引流来清除。
