Is Silicone Safe to Be Injected in the Nasal Fold?

asked 3 years ago by ely in bronx
Latest answer by Gaetano Zanelli, MD
Question viewed 2,847 times
Tags: nasolabial folds, safety

7 answers to Is Silicone Safe to Be Injected in the Nasal Fold?

It depends on the physician, and the product.

Dear Ely, I read the responses of the other physicians, and I respectfully disagree with most of them. I have been personally using Silikon-1000 for cosmetic facial enhancement since my Fellowship in Advanced Facial Plastic and Reconstructive Surgery without significant incident. The vast majority of my patients are thrilled with their results, and complications are few. My mentor who trained me to perform the micro-droplet injection technique has a 45 year favorable experience with... more

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon

I do not inject silicone into the nasolabial folds

I have performed more than 1,000 microdroplet silicone injection procedures during the last 8 years with Silikon-1000. This medical grade silicone oil is FDA approved for intraocular injection and thus its use for any other purpose is considered off-label. I use Silikon-1000 in a microdroplet injection technique to rebuild the volume of the face in HIV patients who have lost facial fat due to their disease and treatment. Even in these patients, however, I will not use silicone in the... more

Gaetano Zanelli, MD
San Francisco Dermatologic Surgeon

Silicone is Safe and Ideal for Filling Nasolabial Folds

I have been using liquid injectable silicone (Silikon-1000 and Adato-Sil 5000) “off-label” as a filler for several years, and my mentor and father, has been using it for over 40 years. I have read the answers from other physicians and disagree with many things said. I believe liquid injectable silicone to be safe and incredibly effective when used appropriately, and great for natural-looking results. We use it for acne scarring, aging grooves and wrinkles on the face which... more

Channing R. Barnett, MD
New York Dermatologist

www.barnettdermatology.com

Free silicone injections

Thanks for your questions - Injecting free silicone is an off label use of the silicone product. Most plastic surgeons would agree that these can be associated with long term problems including inflammation, hardness and pain. I would not recommend free silicone injections for my patients. I hope this helps.

Steven H. Williams, MD
San Francisco Plastic Surgeon

Silicone injections can be disastrous

Silicone is theoretically inert. In other words, the body is not supposed to react to the polydimethylsiloxane. However, we have since found that in countless cases, the silicone can induce a very unique and virulent inflammatory response that can literally deform the soft tissue. This is seen typically in the face, but is not uncommon in the breast, buttocks, and trunk. Polydimethylsiloxane has a very unpredictable safety profile and should not be used as a facial filler. In many cases, it... more

Raffy Karamanoukian, MD
Los Angeles Plastic Surgeon

I would not recommend silicone on nasolabial folds

Pure silicone in droplet form can shift and cause granulomatous reactions. I have seen cases where it has literally caused abcesses and eaten through the skin. It is not approved by the FDA and I would definitely not recommend it. There are other safe fillers that can be injected and even one permanent one if the patient desires. In short, stay away from direct silicone injections.

Lane Smith, MD
Las Vegas Plastic Surgeon

Silicone is unsafe if not encased

There is no silicone approved by the FDA for this use. Silicone is sometimes used off-label to fill the eyeball, and after surgery it is used by some to be injected under the skin. Long terms effects of this are unknown. Silicone is known to migrate if not encased. That is why breast implants were developed over silicone injections into the breast. There are many good alternatives to silicone injections, such as Juvederm, Restylane, or Radiesse. Be safe, not sorry.

Keith Denkler, MD
Marin Plastic Surgeon

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