Management Of Complications Associated With The Use Of Polyacrylamide (PAAG) As An Injectable Facial Soft Tissue Filler

Purpose:To describe the treatment recommendations and strategies to avoid the complications associated with PAAG injection in facial augmentation based on our clinical experience.Methods:The authors' experiences with Polyacrylamide complications are discussed in conjunction with the identification and management based on reported cases in our hospital.Results:. Due to the fact that PAAG is a non degradable material, it should be considered that the complications of this filler is not easily corrected and depends on the complication and location involved. The reported complications are gel migration (dislocation), deformity and nodule formation, and a recommendation for identification and management of these adverse events is reviewed leaving the patient with an acceptable final result.Discussion:Although most injectable fillers are usually considered to be safe, adverse reactions do occur and the cosmetic surgeon must be aware of the properties and indications of the various fillers available. Acquaintance with each family of soft-tissue augmentation products, potential complications, and their management will optimize their usage. Prompt recognition of complications and appropriate management provide the best opportunity for an acceptable aesthetic outcome.