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CC BY 4.0 · Indian J Plast Surg 2025; 58(03): 222-225
DOI: 10.1055/s-0045-1801866
Case Report

Aquafilling Filler for Buttock Augmentation Cause Severe Long-Term Complications: A Case Report

Camilla Soendergaard Kristiansen 
1   Department of Plastic Surgery and Burns Treatment, Rigshospitalet, Copenhagen, Denmark
,
Christian Lyngsaa Lang
1   Department of Plastic Surgery and Burns Treatment, Rigshospitalet, Copenhagen, Denmark
,
Ann Haerskjold
2   Department of Dermatology, Bispebjerg Hospital, Copenhagen, Denmark
,
Claus Zachariae
3   Department of Dermatology, Gentofte Hospital, Gentofte, Denmark
4   Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
,
Anders Klit
1   Department of Plastic Surgery and Burns Treatment, Rigshospitalet, Copenhagen, Denmark
4   Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
› Author Affiliations
Funding None.
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Abstract

Filler injections for buttock augmentation are becoming more popular as a cosmetic procedure, which leads to an expected increase in the number of complications emphasizing the importance of reporting cases with both well-known, severe, and previously undiscovered complications, as well as their possible treatment strategies.

We present an 18-year-old woman who suffered severe long-term complications following Aquafilling injections for buttock augmentation, including filler migration, infection leading to septic shock, and nonparathyroid hypercalcemia, which has the potential to cause renal insufficiency. To date, we have not found any reports describing the association between nonparathyroid hypercalcemia and Aquafilling. Additionally, we outline a treatment regimen involving a minimally invasive approach, which includes daily irrigation, manual compression, and passive evacuation. At follow-up, the patient returned to her everyday life with no lasting sequelae, except for a solid mass medially on the right thigh.

Keywords

filler injections - Aquafilling - complications

Authors' Contributions

C.S.K. contributed to writing the manuscript, while C.L.L., A.H., C.Z., and A.K. were involved in treating the patient and provided critical review and edits to the manuscript.


Ethical Approval

This report complies with the ethical principles outlined in the Declaration of Helsinki.


Patients' Consent

Informed consent was obtained from the patient for the publication of this case report.




Publication History

Article published online:
17 January 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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