Polyacrylamide Gel (PAAG / Amazingel) Breast Filler Removal in Perth

Published by

ranlisurgeon

on

September 18, 2025

Learn about PAAG (Amazingel) breast filler complications and safe removal options in Perth with breast surgeon Dr Ran Li

What Are Polyacrylamide Gel (PAAG / Amazingel) Breast Fillers?

Polyacrylamide hydrogel (PAAG), also known as Amazingel, is a synthetic filler that was injected into breast tissue as an alternative to implants. Although promoted as a permanent and safe option, it has been linked to serious complications.

In China, the product was approved in 1999 but banned in 2006 due to safety concerns. While never approved in Australia, some women underwent the procedure overseas and are now seeking PAAG breast filler removal in Perth.

Common Complications of PAAG Breast Fillers

Women with PAAG injections may experience:

Breast pain, lumps, and hardness
Infection (sometimes years later)
Breast distortion or asymmetry
Migration of filler into the armpit or chest wall
Tissue degeneration and scarring
Difficulty breastfeeding
Interference with breast cancer detection and treatment
Potential increased risk of malignancy

Can PAAG Breast Fillers Be Removed?

Yes, but removal can be complex because PAAG integrates into breast tissue. Surgical options include:

Excision of gel and affected tissue
Mastectomy with reconstruction (in severe cases)
Staged surgery – filler removal first, followed by reconstruction

Surgery and Recovery

Larger incisions may be required compared to implant removal
Recovery usually takes a few weeks
Breast reconstruction (implants, fat transfer, or flaps) can restore shape
All removed tissue is sent for pathology to check for hidden disease

Why See a Breast Surgeon in Perth?

Safe and effective PAAG breast filler removal requires a surgeon with expertise in both breast disease and reconstruction. As a breast surgeon in Perth, I regularly see patients with Amazingel complications and tailor surgery to each individual.