Work

Extensive thoracoabdominal and pelvic soft-tissue abscesses approximately 10 years after breast Aquafilling injection: a case report

Year: 2026

Type: article

Abstract: Polyamide hydrogel fillers, including Aquafilling, were previously used for breast augmentation but have since been associated with severe delayed complications. We describe the case of a 51-year-old woman who developed sepsis with marked hypotension and extensive thoracoabdominal and pelvic soft-tissue abscesses approximately 10 years after bilateral breast Aquafilling injection. Imaging showed widespread migrated filler-related fluid collections involving the chest wall, axillae, abdominal wall, and pelvic regions. Emergent incision and drainage, followed by staged debridement, led to clinical improvement and near-complete radiologic resolution before discharge. No recurrent infection was observed 9 months postoperatively. This case indicates that migrated polyamide hydrogel filler may remain a long-standing nidus for culture-negative infection approximately 10 years after injection. Prompt staged surgical source control should be considered when extensive filler-related abscesses are suspected.

Source: Archives of Aesthetic Plastic Surgery

DOI: 10.14730/aaps.2026.01655

Authors: Tae Hun Lee, Kyung-Won Minn

Institution: Bundang Jesaeng Hospital

Language: English

Topic: Breast Implant and Reconstruction

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $60