2. Department of Pathology, Baheya Foundation for Early Detection and Treatment of Breast Cancer, Giza, Egypt.
3. Radiodiagnosis Department, National Cancer Institute, Cairo University, Cairo, Egypt.
4. Radiodiagnosis Department, Baheya Foundation for Early Detection and Treatment of Breast Cancer, Giza, Egypt.
Non-invasive procedure of breast augmentation is frequently demanded worldwide. Although several types of breast fillers are commercially available, none of them proved to be completely safe, with some reported long-term complications. The aim of this article is to report features of breast deformities in two patients, induced by two types of breast fillers; Polyacrylamide hydrogel (PAAG) and fat grafting. Despite PAAG has been prohibited in many countries, it is still being in use with undesirable complications. Both cases presented with painful breast masses and deformities. Although complications appeared long time after fat grafting, it developed more faster with PAAG injection. Sonomamographic examination followed by pathologic confirmation of the injected material were done. We consider that identification of breast augmentation complications is still a challenge to both pathologists and radiologists. However, proper history taken from the patient as well as the awareness of the microscopic features of different breast filler materials help in minimizing unnecessary further investigations and interventions.
Keywords: Breast augmentation, fat grafting, polyacrylamide hydrogel