Long term complications following polyacrylamide hydrogel breast augmentation: a case report and review of the literature





Interfall gel, Breast augmentation, Complications


Complications from Polyacrylamide hydrogel breast augmentation (PHBA) are a rare cause for presentation in Australia. I reviewed the literature and analysed our institutional experience in order to familiarise clinicians with this rare procedure. I present the case of a 44 year-old female with a three-year history of intermittent right lateral breast pain. She had a background of breast augmentation with Interfall Gel in China in 2000. She was tender over the lateral aspect of her breast which was exacerbated by physical activity. An magnetic resonance imaging (MRI) revealed areas of extravasation bilaterally with no suspicious lesions and the specialist opinion was for close observation in six months. Although a rare presentation, Australia’s population has many emigrates from Asian nations and further presentations are to be expected. The literature clearly supports the importance of careful monitoring of these patients, due to the potential for severe complications such as infection, sepsis, breast auto-inflation, significant tenderness and possibly increased risk of breast malignancy. MRI is also crucial in evaluating these cases, namely to rule out malignancy and for pre-operative planning in severe cases. However, the majority of presentations are suitable for careful monitoring.

Author Biography

Justin J. Weller, Department of Vascular Surgery, Gold Coast Health Service, Queensland

Vascular Surgery Registrar


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Case Reports