Introduction:

Biopolymers are macromolecules whose use as fillers for aesthetic purposes has been increasing in recent years. This has generated an increase in complications due to iatrogenic alogenosis that is difficult to treat.

Objective:

To describe the intraoperative findings in patients with iatrogenic alogenosis who underwent surgery at the Department of Plastic Surgery of the Hermanos Ameijeiras Hospital.

Methods:

A descriptive, prospective, longitudinal, single-center study was conducted with 15 female patients who received surgical treatment for removal of modeling substances from January 2017 to December 2019.

Results:

The predominant age range was between 19 and 29 years old with 66.6% and between 30 and 40 years old with 33.3%. The surgical procedure was performed under general anesthesia in 33.3% of the patients; of them 20% were in the breast region, 40% buttocks and 40% genitalia and pubis. Local anesthesia was used in 66.6%, distributed in 20% in the frontal and glabellar region, 30% in the eyelids and 50% in the lips. 100% showed similar intraoperative findings.

Conclusions:

Regardless of the product injected, the anatomic region and the clinical expression of the disease, the transoperative findings are the same. Both in the most injected areas which were the gluteal, genital and pubic region and in the less frequently injected areas which corresponded to the frontal and glabellar areas, the extraction of the product resulted in multiple nodules in the form of small pearls and caverns.