The role of breast imaging in macrolane injection—A review and report of three cases |
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Authors: | Mohamed Rubnawaz Hanief Benjamin William Lamb Ilayaraj Rajendran Lucy Wilding Rajiv Vashisht Farhad Aref |
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Affiliation: | aWest Middlesex University Hospital NHS Trust, Dept of Breast and General Surgery, Twickenham Road, Isleworth, Middlesex TW7 6AF, UK;bImperial College, London University, UK |
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Abstract: | The demand for minimally invasive cosmetic procedures is increasing. Injectable hyaluronic acid is an effective and well tolerated procedure that can be used for breast augmentation and provides predictable long-lasting results if administered appropriately in the correct tissue plane. Concerns already exist regarding the effect of Macrolane™ on breast cancer screening, and we raise a new concern about the need for imaging for its safe administration. We present three cases referred to our centre in the last 2 years with complications associated with Macrolane™ injection, possibly from injection into an incorrect tissue plane. Complications included breast pain, haematoma, cellulitis and abscess formation. We suggest that such aesthetic procedures should be carried out under ultrasound guidance to ensure administration into the correct site, potentially avoiding such complications. |
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Keywords: | Breast augmentation Macrolane Ultrasound scan |
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