Why is There So Much Controversy over Silikon 1000 for Lips?

All Plastic surgeons over a certain age have become used to a filler entering the market with great fanfare; popular magazines are filled with smiling women whose lips and wrinkles were lifted with the new magical filler "X". Just as happy Plastic surgeons, who were "the first" to subject their patients to filler "X," get free marketing by accompany some of their less inhibited and exhibitionist patients on TV talk show where they are lobbed easy questions by adoring hosts and their office phones ring off the hook for months. Then come one or two reports warning of problems with filler "X". No. That cannot be. We are assured by the "experts" - all of which are receiving money from Filler "X" manufacturer. It MUST HAVE been used improperly. Then, a series of patients comes out showing graphically why filler "X" actually has really regrettable hard to reverse long-term tissue changes. Filler "X" fades into the background but a few months later, People Magazine spots a certain Hollywood starlet who is truthfully more famous for either wardrobe malfunctions, what cult she belongs to or her boyfriend(s) may be or the fact that her chest keeps going up in size than the quality of her acting. The starlet "happens" to be leaving a certain doctor's office (just at the time her publicist told TMZ, Inquirer, Star and People) smiling and blowing air kisses with much fuller lips. Don't you know, God's gift to Plastic surgery inside, whose touch "transforms" women has just used filler "ZZ" on my lips - she purrs, while batting her eye lashes longingly at the flashing cameras. Next thing you know, the genius inside is on Oprah demonstrating several willing patients who had the magical filler ZZ while his colleagues across the country fall over themselves trying on everyone who asks. For now, filler "ZZ" is the winner.  Until, that is a year to three years later when the first bad report comes out and then - the cycle repeats itself.

All experienced Plastic surgeons over 60 years of age had seen or used "medical grade" silicone injection for tissue augmentation. At first it was fabulous, great, the best there ever was. Then came the scarring, the migration, the hard tissue, the drainage. Except for the ignorant and criminal, Plastic surgeons stopped using it for over 20 years. Until it came back again as Silicon 1000 and "micro droplet techniques". For the past 5 or so years, the usual filler buzz is on and the casualty count is rising.

Personally, I do not use permanent fillers, especially in the lip or under the lower lid because while a good result there is nice, a poor result is forever and cannot be reversed. You will be deformed.

By the way - forgive the following lines. Your photograph shows drooping upper eyelids on both sides with sleepy, tired eyes. It appears. You do not appear to have a transverse upper lid crease of the upper lid. This most commonly was caused by a dis insertion of the muscle lifting the upper lids and would be associated with difficulty seeing through the upper visual field and having to use the Forehead muscles to lift the brows as well as pushing your jaw up to rotate the head. You would get a fantastic and younger looking result from getting this fixed.

Good Luck.

Dr. P. Aldea

I have had to remove about half of the upper lip in a patient who had silicone injections in the lip that evolved into what looked like a bunch of hard grapes.  She was impatient with the idea of temporary fillers and finally found a doctor who would use silicone.  Any wonder why most doctors don't do this??