Liposuction: Q&A
Ask a QuestionLiposuction to Remove Silicone Granuloma on the Face?
I recently developed Silicone granuloma's on my face after injections to fill acne scars in 2004.
A plastic surgeon wants to perform liposuction. Has there been successful treatment with removing the granulomas with this technique?
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10 Doctor Answers |
Asked by
dsk80
in NYNY
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Liposuction to remove facial Silicone granuloma
I'm sorry that someone thought that filling facial defects with silicone would be a good idea. Unfortunately, injecting silicone will always result in granuloma formation. And the only way to completely remove them is by excision. Liposuction would not guarantee full removal of the material if it could be aspirated.
A more aggressive approach but cosmetically more appealing, depending on the location of the granuloma, would be to use a facelift incision and remove it this way. This...
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Treatment of granulomas
I’m not sure if results with this treatment have been reported, but be concerned at least theoretically, that the granlomas are walled off with collagen that your body produces. This “cements” the silicone in place and liposuction may not readily remove these granulomas. If there are significant collagen attachments that need to be “sucked” free to allow the granuloma to be removed, it is possible that there may be depressions in the skin, similar or worse...
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Removing silicone granulomas with liposuction
True silicone granulomas would be very difficult to remove using liposuction. It could work but it is not the standard of care and may likely not treat the problem.
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I doubt this would work.
If you have a silicone granuloma then the silicone was probably injected into the skin. Liposuction will not remove this, especially since there is likely an inflammation around the silicone.
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Treatment of silicone granulomas on your face.
I would need to see a photo to comment on your concern. If your physician adhered to the micro-droplet injection technique, the amount of Silikon-1000 required to treat acne scarring is minute. A typical treatment to both cheeks with Silikon-1000 for acne scarring may require only 1/5 of a teaspoon (1cc) or less, so I don't see the usefulness of facial liposuction. If you can, you should show your concern to the physician that injected your scars.
Silicone bumps occur infrequently, and are...
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Liposuction would not be a solution in my proactice
Liposuction would not be my first choice. Liposuction would remove normal and abnormal tissue equally and there is no guarantee that a silicone granuloma would even come through a fine liposuction cannula. Direct excision of individual granulomas would be my recommendation. In our Santa Rosa plastic surgery practice, liposuction is limited to removing fat and we do not recommend it for removing silicone.
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Liposuction for Silicone granuloma on the face
Since the 1940's, silicone injections have cursed multiple generation of both patients and plastic surgeons who have to deal with unmet expectations and challenging complications. (If you are interested, read the later work of Dr. Thomas Reese then in New York).
It takes a few years for the same silly silicone injection procedure to be re-discovered, be used on thousands, for the same complications to resurface again and for it to be abandoned for a few more years yet again, only seemingly...
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Cortisone injections may be a much better option for silicone granulomas
Silicone granulomas respond to intralesional kenalog injections better than any other treatment except direct excisions. Try the injections first for a series of 5-8 sessions 2 weeks apart before going to excisions.
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Silicone granulomas
Treating silicone granulomas are difficult at best. Trying to liposuction these particles that can invade multiple layers of tissue is unlikely to be successful. You probably need direct excision of the granuloma.
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Silicone granulomas
Silicone granulomas need to be surgical excised although liquid silicone might be partially suctions if truly free foating. This is a difficult problem and I would suspect that your granulomas are quite superficial if the silicone was used for acne scars. This would make liiposuction much more risky and probably less effective.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.
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