T. Votruba1,2, K. Procházková1,3, B. Lipový4, P. Kurial1, J. Fau1, P. Vodička1, V. Mařík1
1 Department of Plastic Surgery, Hospital České Budějovice, Czech Republic 2 Third Faculty of Medicine, Charles University, Prague, Czech Republic 3 Faculty of Health and Social Sciences, University of South Bohemia, České Budějovice, Czech Republic 4 Department of Burns Medicine, Third Faculty of Medicine, Charles University and University Hospital Královské Vinohrady, Prague, Czech Republic
Summary
Although complications from gel injection breast augmentation were documented over 20 years ago, they are still encountered today. This case report involves a 46-year-old patient who first had breast implants in 2004, with replacements in 2019. In April 2022, the implants were swapped for smaller ones. In December 2022, the patient underwent a gel injection boost augmentation. We first saw the patient in June 2023 when she was admitted to our emergency room in septic condition. Initial treatment included lavage and drainage, followed by intensive care unit admission. Once stabilized, a significant amount of gel was removed from the breast tissue. However, the procedure had to be repeated months later and hemostatic net sutures were added for 2 days. No more relapses occurred following this treatment. We strongly advise against using gel injections for breast augmentation, as they can lead to severe complications and unsatisfactory cosmetic outcomes.
Key words
gel injections – breast augmentation – soft tissue fillers – Los Deline – PAAG – copolyamide – hemostatic net
Votruba T, Procházková K, Lipový B et al. Case report of severe complications after gel injection breast augmentation – treatment and use of hemostatic net for effective management. Acta Chir Plast 2025; 67(3): 210–213.