Silikon 1000 overcorrection. Will steroid permanently flatten lump?

Hello Fozzie3000, and thank you for your question regarding overcorrection with Silicone 1000 and the use of steroids to flatten the raised area.

Steroid injections, such as Kenalog, can help reduce scar tissue or inflammation around the silicone-injected area, potentially making the lump appear less prominent. However, it’s important to understand that steroids will not dissolve or remove the silicone itself. Silicone is a permanent filler, and its presence in the tissue can still cause ongoing issues such as lumpiness, migration, or additional scar tissue over time.

If the raised area is primarily due to inflammation or reactive tissue around the silicone, steroid injections may offer a temporary or partial improvement. However, there is a possibility that the lump could return or that additional scar tissue may form, particularly with repeated injections.

For permanent correction, the only definitive option is surgical removal of the silicone and the surrounding scar tissue. This can be a complex procedure, as silicone tends to integrate into the tissue, making complete removal challenging. It is critical to seek out an experienced, board-certified plastic surgeon who specializes in the removal of permanent fillers to minimize risks and achieve the best possible outcome.

While steroids may offer a temporary solution for managing scar tissue, they cannot address the root cause, which is the silicone itself. I recommend consulting with a plastic surgeon to evaluate your options for permanent correction if the lump continues to be a concern. Please call my office if you need silicone removed from your nose.

I hope this provides clarity on your situation and helps guide your next steps.

Sincerely,
J. Timothy Katzen, MD

Generally speaking, raised areas from Silikon 1000 overcorrection, may be reduced after dilute triamcinolone acetonide injections. Sometimes posting before and after photos are helpful to address your concern for a more conclusive answer. I hope this helps. Sincerely, Dr. Joseph