Complex Lip Reconstruction Following Polyacrylamide Hydrogel Filler-Induced Granuloma and Abscesses: A Case Report

Permanent polyacrylamide hydrogel (PAAG) filler is associated with late-onset granulomatous inflammation, abscesses, and extensive scarring in lip augmentation cases. Scarring after granuloma and abscess management presents significant aesthetic and functional challenges. We report a challenging lip reconstruction in a patient with a history of multiple prior operations that addressed complications of PAAG.