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Monday, March 8, 2021

WHY I DO NOT PERFORM BREAST AUGMENTATION WITH FILLERS?

 WHY I DO NOT PERFORM BREAST AUGMENTATION WITH FILLERS?

I personally receive many enquiries requesting breast fillers daily. Touted as a risk-free alternative to breast augmentation with implants; they are actively promoted by many aesthetic clinics to patients as safe, reversible, having no downtime and cheaper to boot. Furthermore, filler breast injections require no hospitalization or surgery. Boobs can be discreetly enlarged in 30 minutes or less with instant gratification.

Hence, the big questions – why I do not perform filler injections for breast enhancement?

The use of fillers for breast augmentation has been performed since the dawn of time. Early attempts at augmentation involved injection of substances such as liquid paraffin or oil into the breast tissues. Other more bizarre materials such as ivory or glass balls and rubber have been tried. Then came the era of the injection of liquid silicone, polyacrylamide hydrogel and hyaluronic acid.

Virtually all of these injectable substances have been associated with high rates of unacceptable and often irreversible complications.

During the 1940s and 1950s, a half-century after the paraffin saga, history repeated itself again with silicone injections. Some of the complications were even worse, because industrial grade silicone was injected and contaminants were purposely added to the silicone injections, to cause sclerosis of the silicone, to hopefully restrict its migration.

During the past 20 years, a newer class of injectable material emerged: Polyacrylamide Hydrogel. This material was originally introduced under the name of Royamid in the late 1980s. It was subsequently marketed under the name of Interfall and Formacryl. In 1997, it was approved by the State Drug Administration in China (the Chinese equivalent of the FDA). Most preparations marketed today are manufactured by Contura International (Denmark), under the brand name Aquamid which was popular in Malaysia.

Numerous reports subsequently appeared, demonstrating that numerous complications can occur after these filler injections. These can develop from several months to three years after injection. They include the following: migration, breast lumps, pain, infection, granulomas and permanent disfigurement. Migration of Polyacrylamide fillers appears to be due, in part, to a leak of the viscous injected material from the pocket, through the injection tract.

The filler thus has been rebranded as Outline, Bioformacryl, Argiform, Amazing Gel, Ao Mei Ding and Bio-Alkamid and pushed to various guillable medical professionals around the world again leaving a trail of often uncorrectable complications.



Migration of filler material from breasts to abdomen (tummy).

https://www.dailymail.co.uk/femail/article-3980808/Toxic-breast-injections-slide-Chinese-woman-s-stomach.html

https://medicalxpress.com/news/2006-06-amazing-gel-woes-enormous.html

Realizing that Polyacrlyamide Hydrogel has been banned in several countries, manufacturers decided to capitalize on the ‘apparent’ safety of cross-linked hyaluronic acid which has been used in smaller amounts on the face to translate to breast enhancement. Marketed by Q-Med as Macrolane since 2008, colloquially referred to as the "30-minute boob job”. A recent study showed that Macrolane complications may appear months after treatment, as local infections, product dislocation, and breast lump onset. Ultrasound and MRI help to diagnose the nature of the complication. Patients must be warned that it can be impossible to totally remove Macrolane, once implanted.

https://www.dailymail.co.uk/femail/article-1163295/My-30-minute-scalpel-free-boob-jab-turned-year-long-nightmare.html

https://link.springer.com/article/10.1007/s00238-011-0576-z



MRI showing accumulation of filler material that failed to resorb causing infection.

In Sweden there have been a number of cases of erection problems and pain associated with erection when Macrolane injections were used to increase penile size, prompting a mandatory investigation into the safety of the product. Macrolane has thus been discontinued.

https://www.surgery.org/consumers/plastic-surgery-news-briefs/lunchtime-boob-jobs-banned-uk-1036624

But many knock-off versions appeared in the market legally (example Charmost hyaluronic acid Ultra D breast fillers and 100s of other brands) under various trade names all touting “safe” hyaluronic acid that is cross-linked and is non-permanent and offer instant breast enhancement. Many doctors like to perform these injections as the profit margins are high and the procedure is easy to learn and perform.

Aquafilling was developed in 2005 and its use for breast augmentation has gained speed in several countries claiming that it lasts from 5 to 8 years but costs a fraction of a formal breast augmentation surgery or breast fat grafting. Its declared composition is 98% water and 2% polyamide. Various studies and case reports revealed the extent of complications/adverse effects of Aquafilling but the product and various generic brands of hyaluronic acid fillers for breast enlargement are still available in the market and is widely popular in Malaysia.

https://www.thestar.com.my/metro/metro-news/2019/11/16/hazards-of-breast-injections-with-fillers

https://pubmed.ncbi.nlm.nih.gov/32936330/

https://personalinjurylawyers.pl/i-was-told-this-was-safe-serious-concerns-over-aquafilling-bodyline-los-deline/



Granulomas forming after filler substance injection. Easy to perform, hard to remove.

I have seen and treated many of these patients presenting even years after filler injection. Some cases even warranted mastectomies (complete removal of breast tissues) and reconstruction for treatment of the complication.



Infected fillers removed surgically.



Fillers injected in high volumes often do not fully disintegrate as claimed by manufacturers.

The only lesson history has taught us so far in the use of fillers for breast augmentation is this – we have not learnt anything from history and hence history has repeated itself and is repeating itself.



I urge all patients seeking breast augmentation to not take short-cuts and opt for breast fillers no matter how tempting it may appear from an economic point of view (these fillers are still not cheap and costs start from RM12,000 and up to RM45,000) and also in seeking to avoid undergoing surgery at any costs (which contrary to popular belief is safer than breast fillers).

 

#breastfillers #dontdoit #breastfillerscomplications #aquafilling #macrolane #nonsurgicalbreastenlargement #breastaugmentationfiller #fillergranulomas #fillerinfections #breastaugmentation #fatgrafting #breastfatgrafting #breastimplants #hybridbreastaugmentation #motivaimplants #motivaimplantsmalaysia #lifesilimplants #bliteimplants #aumentodemama #drleesengkhoo #skincheckmalaysia88 #gemclinic

 

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If you have had complications after breast fillers treatment or would like to learn about safe breast enhancement, please Whatsapp +6014 2006558 or call 03-5621 1909. Alternatively, you may email contact@skincheckmalaysia.com

 

Sincerely yours,

 

Dr Lee Seng Khoo

 

 

 

 

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