Can other fillers such as Sculptra be used over same area of the face where Silicon 1000 was used previously?

Doctor Answers 7

Sculptra and silicone injections

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Sculptra can complement other fillers including silicone. I would just make sure there are no inflammatory problems with the existing silicone. 

Dr. Karamanoukian 
Los Angeles

Los Angeles Plastic Surgeon
4.8 out of 5 stars 95 reviews

Can multiple fillers be used in the same area?

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If the silicone is not causing any issues there is no reason why you cannot inject other fillers like Sculptra in the same area. I tend to try and not combine permanent fillers and would rather use a filler that could be reversed if a complication would occur.  Best, Dr. Emer. and 

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 207 reviews


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Yes, but you definitely want to see an injector with the skill and expertise to deliver excellent results. I would suggest that you book a consultation with a board certified plastic surgeon in your area (link below) to discuss. Best, Dr. Nazarian

Sheila S. Nazarian, MD
Beverly Hills Plastic Surgeon
4.8 out of 5 stars 56 reviews

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Caution Is Suggested When Considering Fillers & Volumizing Fillers In Areas Previously Treated With Permanent Fillers

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Permanent fillers, particularly silicone, which has fallen into disfavor owing to its many potential and permanent side effects, as well as bioalcamid and artecoll (artefill) carry with them the risk of certain long-term or even permanent complications, which include the early or late development (even many years later) of nodules and granulomas at the treatment sites--problems very difficult to manage.

Since late developing complications--even up to a couple of decades afterward--are certainly well-described possibilities, many physicians, myself included, are reluctant to inject any of the newer and much safer, natural fillers and volumizers into the same areas previously treated with permanent fillers, primarily out of concern that this may trigger the onset of just such delayed reactions--essentially out of a consideration for "Let sleeping dogs lie." And this should serve as a word of caution to other readers who are first considering having permanent fillers injected into their faces.

This question also segues me to a word about Sculptra, a product that I stopped using more than a half dozen years ago. Sculptra treatments tend to be expensive, generally require a series of at least three treatment sessions spaced at several week intervals to realize benefits, and characteristically do not provide any immediate improvement. Volumization takes place over time as a result of stimulating new, native collagen and elastic fiber production (neocollagenesis, neoelastogenesis). Results last about two years.

Other injectable volumizing fillers, on the other hand, such as Voluma XC, give immediate results (usually result in a "Wow!" effect) after just one treatment. Results, likewise, may last up to two years, and use of these volumizers also promotes neocollagenesis and neoelastogenesis.

Nelson Lee Novick, MD
New York Dermatologic Surgeon
4.9 out of 5 stars 33 reviews

Sculptra injections

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You can definitely have Sculptra injections over areas which were previously treated with Silicon.  Most physicians no longer use Silicon because of all the medical problems associated with the treatment.  Sculptra is entirely safe and we have beautiful results with it in producing new collagen and rejuvenating the face.  Best., Dr. Green

Can other fillers such as Sculptra be used over same area of the face where Silicon 1000 was used previously?

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Yes but you need to see a true expert injector whom has had experience with these types of cases....... 

Sculptra vs Silicon 1000

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Sculptra, which is FDA approved for aesthetic facial volume addition, encourages gradual collagen formation through a series of deep tissue injections.  Silicon 1000, which is not FDA approved for aesthetic use, has been used by a small percentage of injectors as a filler in a technique similar to many FDA approved fillers (Restylane, Juvederm, Radiesse, etc.).  Even proponents of Silicon 1000 would generally not advocate its use as a volumizer, because of the tendency of Silicone to shift, form granulomas, and other aesthetic nightmares. In short, Sculptra and Silicon 1000 aren't comparable at all.

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon
4.9 out of 5 stars 103 reviews

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.