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Objective In this study we investigated the feasibility and efficacy of immediate breast augmentation with autologous fat grafting after removal of polyacrylamide hydrogel(PAAG) and fibrotic capsule. Methods A retrospective study was conducted on 162 female patients who underwent removal ofbreast filler polyacrylamide hydrogel(PAAG) and the fibrotic capsule which produced after injection of PAAG via areola Omega-shaped incision. Then autologous fat grafting was immediately performed evenly and radially around the areola via the same incision into different layers (subcutaneous,submammary tissue,pectoralis major intramuscular and inferior pectoralis major space) except the empty cavity.The cavity left by removal of PAAG and fibrous capsule was closed with negative pressure drainage tube and slight external pressure.Results All patients recovered well without severe complications. The average score of postoperative satisfaction with physical well-being:chest was 99.83 (total score:100) compared with the average satisfaction score of 71.69 (total score:100) preoperatively by means of BREAST-QTM evaluation(P&lt;0.01).All patients were satisfied with their postoperative breast shape. Conclusions Removing as much as possible is critical for patients who underwent the PAAG injection.Our experience in immediate breast augmentation with autologous fat grafting after removal of PAAG and fibrotic capsule proved useful and effective to maintain the balance between removing the PAAG as much as possible and retaining soft tissue to reshape breasts.

Breast Augmentation with Autologous Fat Grafting Immediately after Removal of Polyacrylamide Hydrogel and Fibrotic Capsule in 162 Patients