Reconstructive Surgery Impossible After Siliconoma Removal?

I currently have silicone granulomas that resulted from Silicone injections to the legs 15 years ago. Many doctors told me that the only solution for siliconoma is to surgically remove all the affected zone without the possibility of having a reconstructive plastic surgery. Is this true? Thanks.

Doctor Answers (3)

Reconstruction after granulomas removal

+1
Hello viudecitanegra, thank you for your question.
As for your question, I can answer that was unfortunate the fact you have this substance injected into your legs.
Biopolymers (liquid silicone, Poly Acrylamide Gel, PMMA, Macrolane, etc), ALWAYS should be removed, because you present at any time iatrogenic allogenosis and probably A.S.I.A. syndrome. There is no problem in reconstruct the area after granulomas removal, we perform this resection first and two or three months later the reconstruction.
I developed the technique of resection of biopolymers in buttocks and lower back through video – endoscopy, a surgery made with minnimal incissions. Other techniques such as liposuction , VASER, LASER or are absolutely ineffective in treating this type of situation.
Our plastic surgery center specializes in the treatment of Biopolymers injections (permanent fillers: liquid silione, Polyacrylamide Gel, PMMA, Biogel, Macrolane, Metacryletc.) to the face, buttocks and other soft tissue and its complications. We see patients that came worldwide who have complications arising from Biopolymers injections to soft tissues. The Biopolymers cause a severe inflammatory reaction that can cause permanent damage to the tissues known as Iatrogenic Allogenosis and an autoimmune syndrome (A.S.I.A. Syndrome). In our plastic surgery center, I developed the technique of resection of biopolymersin face, buttocks and lower back through video – endoscopy, a surgery made with minnimal incissions to treat patients with permanent deformities secundary to Biopolymers injections. Other techniques such as liposuction, VASER or LASER are absolutely ineffective in treating this type of situation.

I hope it has been helpful.

Spanish translation provided by doctor:

Hola viudecitanegra, gracias por su pregunta.

En cuanto a tu pregunta, puedo responderte que fue poco afortunado el hecho de haberte hecho inyectar esta sustancia en tus muslos.
Los biopolimeros SIEMPRE deben ser retirados pues presentarás en algún momento alogenosis iatrogénica y probablemente Sindrome de A.S.I.A.
No hay ningún problema en realizar una cirugía reconstructiva después de retirar los granulomas, generalmente realizamos la reseccion de los granuomas y un tiempo despues (dos a tres meses) realizamos la reconstrucción.
Nuestro Centro de Cirugía Plástica se especializa en el tratamiento de biopolimeros (rellenos permanentes: silicona liquida, poli acrilamida gel, PMMA, Biogel, Macrolane, Metacryl, etc.), inyectados en el rostro, glúteos y otros tejidos blandos y sus complicaciones. Recibimos pacientes de todo el mundo que presentan complicaciones originadas por la inyeccion de biopolímeros. Los biopolímeros causan una reaccion inflamatoria severa que puede causar daño permanente a los tejidos conocida como Alogenosis Iatrogénica y un síndrome de auto inmunidad (Síndrome de A.S.I.A.). En nuestro Centro de Cirugía Plástica, desarrollé una técnica de retirada de biopolímeros en el rostro, los glúteos y la esplada baja a través de video-endoscopia, una cirugía realizada a través de incisiones mínimas para tratar pacientes con deformidades permanentes secundarias a inyecciones de Biopolímeros. Otras técnicas como liposucción, LASER o VASER son absolutamente ineficientes en el tratamiento de esta situación.
Espero le haya sido útil.


Colombia Plastic Surgeon

Silicone granuloma and removal

+1

Silicone injections have become quite commonplace, especially since volume fillers have become more prevalent. Patients are often in search of permanent fillers that do not have to be replaced, but rarely understand that these fillers come with longterm complications, including inflammation, a rejection reaction, and fibrosis.  Our office specializes in silicone removal for patients who have undergone these fillers in the face and body. We have seen quite a few patients regain their livelihood once the fillers are removed.

Raffy Karamanoukian MD FACS

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
5.0 out of 5 stars 47 reviews

Silicone removal

+1

Removing free silicone injections that have resulted in granulomas or very firm areas is very difficult.  It is impossible to tell you what possible options for reconstruction are available to you without formally examining you.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 17 reviews

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