Can silikon 1000 be removed from nose and lips?

Hello,

Thank you for your question regarding the removal of Silikon 1000 from the nose and lips. It's important to note that injecting silicone into the face, including the nose and lips, is not recommended. The USDA website provides specific warnings about the risks associated with these types of injections.

The redness and itching you are experiencing are likely a reaction to the silicone, which is considered a foreign body by the immune system. This can lead to inflammation, swelling, and itching. Over time, silicone injections can cause extensive scar tissue and fibrosis, potentially resulting in complications such as granulomas and infections, which may lead to abscess formation.

Furthermore, silicone injected into the nose can spread to other areas of the face, such as the cheeks and upper lip, exacerbating the risk of complications. Therefore, it is advisable to seek removal of the silicone to prevent further issues.

There are plastic surgeons who specialize in the removal of silicone from the nose, so I recommend consulting with someone who has performed removal of silicone from the nose and lips.

I wish you the best of luck in addressing this issue and avoiding potential complications.

Sincerely,

J. Timothy Katzen, MD, FASMBS, FICS
Plastic and Aesthetic Surgeon

Silicone biopolymers can cause severe longterm complications including inflammation and nodule formulation. Although results are longer-lasting that Juvederm or Restylane, long-acting fillers should be avoided.  
Bellafill, Artefill, and PMMA are known to cause granulomas and permanent nodules with swelling. This is not the case for everyone. Silicone biopolymers can also cause similar chronic inflammatory conditions. 
In my practice, I specialize in the removal of Bellafill and Artefill injections, in addition to silicone biopolymers, from the face and body. Initially, treatments are non-surgical with corticosteroids and immune modulators. If unable to be corrected, we can also perform surgery in some cases. 
Silicone biopolymers can also be removed from the body if there are signs of migration or inflammation. All of these filler-types should be removed as early as possible. 
Lastly, our office is conducting ongoing studies of plasma-assisted corticosteroid application, which allows for diffusion of the treatment medication in superficial tissue without causing atrophy. 
Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Microdroplet silicone nasal injections are typically placed in the nasal SMAS (superficial musculoaponerotic system), which is the soft tissue layer between the skin and underlying nasal framework. When injected in the nose, silicone may be irremovable, depending on your examination.

If you feel your lips are too large after silicone injections, lip reduction surgery may be considered. This involves a scar on the inside of your lips after removal of both silicone and its dense attachment to the lip tissue. 

If you have a lip bump, or a local area of nasal swelling, dilute triamcinolone acetonide (steroid) injections may be considered. Hope this helps. Dr Joseph