Acute Inflammatory Reaction Following Removal of Hydrophilic Polyacrylamide Gel

Hydrophilic polyacrylamide gel (PAAG), although not approved for use in the United States, has been used throughout the world as a permanent filler for aesthetic applications since the 1980s. Numerous articles and case reports have been published highlighting complications arising from its use. In this case report, we present a 54-year-old woman who presented for surgical consultation, requesting removal of previously injected polyacrylamide gel with subsequent silicone implant breast augmentation who experienced an acute reaction following attempted removal of the gel. This report reviews the current use, complications, and management of complications in patient’s previously injected with PAAG