Is Silicone Microdroplet Technique on the nose safe in the hands of a highly experienced and qualified plastic surgeon?

Question

5 years ago I had rhinoplasty. In two follow-up visits, the surgeon used the microdroplet technique to inject liquid silicone into one side of my nose. Since I have been fine for about 5 years, what are the chances of having a problem with the microdroplet nose injections over the course of my lifetime? (note I am 43 years old) If I do have a problem with the silicone drops in my nose, can they be neutralized and/or removed or is this something that could become life threatening?

Raffy Karamanoukian, MD, FACS · Answer

Silicone has the potential to cause longterm problems. Karamanoukian Grading for soft tissue reaction can delineate the degree of tissue rejection to the filler. Best, Dr. KaramanoukianRealself100 Surgeon

Jason Emer, MD · Answer

Silicone is safe if used appropriately in the right patients and over time.  I suggest seeing someone who does this regularly and uses only the FDA approved Alcon Silicone which is pure and clean.  Best, Dr. Emer.

Eric M. Joseph, MD · Answer

Microdroplet silicone injections have been performed safely for well over forty years, and in our experience, silicone is particularly well suited for improving nasal appearances after rhinoplasty surgery. Silicone is not associated with any disease processes.Hope this reassurance helps you.Dr. Joseph

Robert Kotler, MD, FACS · Answer

Yes. It is very safe. Using microdroplets with tiny needles with multiple areas of injection make the acceptance by the body very routine.  The product does not migrate because it is thick and not apt to spread in the tissues.  Further, after the first placement, within six weeks, nature builds an invisible and not palpable wall around it to stabilize its position.  Nasal liquid silicone injections are safe as proven by over 60 years of use.  The product has remained on the FDA list as approved and its safety has never been questioned.  Obviously, the experience and skill of the injector is important.  Technique, when properly done, should yield no particular problems.  It is rare to even have bruising and swelling afterwards.  The well-trained and experienced injector knows where the major blood vessels are located and knows to avoid those areas.  As it turns out, the areas where the blood vessels are, are very low on the nose, in the groove between the nose and the cheek and those are areas that generally do not require filling.

Is Silicone Microdroplet Technique on the nose safe in the hands of a highly experienced and qualified plastic surgeon?

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