{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T16:52:08Z","timestamp":1791564728432,"version":"4.3.4"},"reference-count":0,"publisher":"S. Karger AG","license":[{"start":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:00:00Z","timestamp":1791417600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:00:00Z","timestamp":1791417600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Med Princ Pract"],"abstract":"<jats:p>Objectives: The study aims to evaluate and present clinical outcomes and complications associated with breast augmentation using injectable fillers and autologous fat transfer. Methods: This is a retrospective case series of patients who presented with complications following breast augmentation via injectable fillers or autologous fat grafting between September 2015 and November 2019 at a private clinic in Kuwait. Results: Amongst the 10 patients, 8 had complications from injectable fillers; co-polyamide (n=4), hyaluronic acid (n=1), collagen (n=1), unknown materials (n=3) and 2 from autologous fat transfer. Common complications included mastalgia (90%), palpable masses (80%), cyst formation (80%), filler migration (30%), and infection (20%). Imaging revealed multiple cystic lesions, filler deposition, and inflammatory changes, with several cases categorized as Breast Imaging Reporting and Data System-4 (BIRADS-4), which required biopsy. Surgical interventions, including mastectomy and drainage, were required in 40% of cases, while others were managed conservatively with imaging follow-up and\/or aspiration. Conclusion: Injectable fillers for breast augmentation, particularly unregulated substances, are associated with a high risk of serious complications requiring invasive management. This study emphasizes the need for strict regulation, increased public awareness, and reliance on FDA-approved methods such as silicone implants or autologous fat grafting.<\/jats:p>","DOI":"10.1159\/mpp\/adpag032","type":"journal-article","created":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T11:49:50Z","timestamp":1791460190000},"source":"Crossref","is-referenced-by-count":0,"title":["Complications following Breast Augmentation using Injectable Fillers in Kuwait"],"prefix":"10.1159","author":[{"given":"Mervat","family":"Al-Saleh","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ebtesam","family":"Al-Bader","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"AlYouha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fatemah","family":"AlOtaibi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Al-Hassani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carol","family":"Dsouza","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"127","published-online":{"date-parts":[[2026,10,8]]},"container-title":["Medical Principles and Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/karger.com\/article-pdf\/doi\/10.1159\/mpp\/adpag032","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T16:02:25Z","timestamp":1791561745000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/mpp\/adpag032"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,8]]},"references-count":0,"URL":"https:\/\/doi.org\/10.1159\/mpp\/adpag032","archive":["Portico"],"relation":{},"ISSN":["1011-7571","1423-0151"],"issn-type":[{"value":"1011-7571","type":"print"},{"value":"1423-0151","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,8]]}}}