Background: Macrolane™ is a hyaluronic gel acid for breast augmentation, claimed to be reabsorbable and biocompatible. Despite these producer’s assertions Macrolane™ may last more than 2 years after its placement, causing complications as product migration and lumps. Objective:In this study High Frequency Ultrasound (HFUS) is compared to Magnetic Resonance Imaging (MRI) in Macrolane™ complications diagnostics, with costs analysis. Complication treatment is discussed. Methods: Five female patients, aged 27 to 45, sought medical advice for non tender breast deformity and lumpiness after Macrolane™ breast enhancement performed 2 to 24 months before. All patients underwent HFUS and MRI. Results: Both techniques identified the filler’s site and quantity. HFUS has lesser costs and better patient acceptance, MRI consent better product visualization with respect with regional anatomy. Three patients required Macrolane™ removal, two refused any treatment. Conclusions: HFUS and MRI are useful diagnostic tools after Macrolane™ consenting differential diagnosis with other breast lumps. Complete surgical removal of Macrolane™ may be difficult to achieve.
Imaging Evaluation and Management of Complications after Macrolane™ Breast Enhancement / Grippaudo, Francesca Romana; DI GIROLAMO, Marco; M., Mattei. - In: BREAST RESEARCH. - ELETTRONICO. - 1:1(2014), pp. 1-6.
Imaging Evaluation and Management of Complications after Macrolane™ Breast Enhancement
GRIPPAUDO, Francesca Romana;DI GIROLAMO, Marco;
2014
Abstract
Background: Macrolane™ is a hyaluronic gel acid for breast augmentation, claimed to be reabsorbable and biocompatible. Despite these producer’s assertions Macrolane™ may last more than 2 years after its placement, causing complications as product migration and lumps. Objective:In this study High Frequency Ultrasound (HFUS) is compared to Magnetic Resonance Imaging (MRI) in Macrolane™ complications diagnostics, with costs analysis. Complication treatment is discussed. Methods: Five female patients, aged 27 to 45, sought medical advice for non tender breast deformity and lumpiness after Macrolane™ breast enhancement performed 2 to 24 months before. All patients underwent HFUS and MRI. Results: Both techniques identified the filler’s site and quantity. HFUS has lesser costs and better patient acceptance, MRI consent better product visualization with respect with regional anatomy. Three patients required Macrolane™ removal, two refused any treatment. Conclusions: HFUS and MRI are useful diagnostic tools after Macrolane™ consenting differential diagnosis with other breast lumps. Complete surgical removal of Macrolane™ may be difficult to achieve.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.