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Ứng dụng phẫu thuật nội soi đa khoang trong xử trí biến chứng sau tiêm chất làm đầy nâng ngực
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Abstract
Objective: To report our experience with endoscopic multilevel surgery for managing complications after breast augmentation with injectable fillers, highlighting its advantages of minimal invasiveness, precision, improved aesthetics, and reduced recurrence.
Patients and Methods: A retrospective case series of patients who developed complications after breast filler injection and were treated with endoscopic surgery through different approaches (periareolar, inframammary, and transaxillary), following a “multilevel endoscopic” strategy. The distribution of filler was mapped preoperatively using clinical examination, ultrasound, and magnetic resonance imaging (MRI). Outcomes were assessed in both the short and long term, with a minimum follow-up of 6 to 24 months.
Results: Four female patients, aged 18–33 years, had previously undergone unlicensed breast filler injections with various products (polyacrylamide hydrogel [PAAG], copolyamide/Aquafilling, unidentified filler, and hyaluronic acid [HA]). Endoscopic surgery provided magnified visualization, enabling near-complete removal of filler material while minimizing tissue trauma. Postoperatively, all patients experienced rapid recovery, significant pain relief, small and concealed scars, and good cosmetic outcomes. No recurrence was observed during follow-up (6–18 months). The patient injected with HA was successfully managed with ultrasound-guided hyaluronidase injection without the need for surgery.
Conclusion: Multilevel endoscopic surgery is a safe, effective, and aesthetic approach for treating complications of breast filler injections. Preoperative imaging (US/MRI) combined with an individualized choice of surgical access is crucial for optimal outcomes. Based on current literature review, this may represent the first clinical report describing the application of multilevel endoscopy in managing breast filler–related complications.
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Keywords
endoscopic surgery, breast augmentation, filler, complications
References
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