Please! I am desperate looking for a solution for my mother who had some silicone injections in the forehead about 4 years ago. Now she is having swelling and inflamation also in the cheeks. We are controling the inflamation with oral cortisone and allergic medicines but that can be dangerous in the long term. We already know removal is complicated, what we need is to know what would be the best healthier treatment if the removal is not recomended by you. We are in the NY area.Thank you!
Facial Silicone Granuloma (Forehead and Cheeks Area)? (photo)
Doctor Answers 2
Silicone granulomas in forehead
Silicone injections in various parts of the body has been done quite frequently all over the country. The difficulty with silicone injections begins with the quality of the silicone itself. I have seen many cases where industrial grade silicone has been injected inside the human body. This can be a tremendous disaster. Problems can include infections, granulomas, cellulitis, and persistent skin infections, disfigurement and skin dimpling. It is very easy to have silicone injected, but very difficult to have it removed. The removal can frequently be very complex and involved lengthy surgery. Multiple operation is not uncommon. It is not uncommon to expect scars in locations that would otherwise be undesirable. If you do have silicone, or are having problem with silicone that was injected by a non-healthcare provider then you should certainly seek medical attention. Some solutions include IV antibiotics, oral antibiotics and surgery after the inflammation has subsided. Removing the silicone is not just a cosmetic issue but also an issue of better health. Depending on the type of silicone injected concerns with autoimmune diseases and infections are foremost. Taking medications such as ibuprofen or cortisone is only a temporary measure. The real solution is surgery. Not all plastic surgeons are willing to operate on patients who have had silicone injected in their body. Many of these cases are not covered by insurance because they were performed for cosmetic reasons. My recommendation to anyone that has had silicone injections and wishes to have it removed, is to seek a board certified plastic surgeon who is likely willing to do more than 1 operation as well as willing to do some of these operations in a hospital setting. I have had patients visit me for removal of silicone and the discussion to proceed is never an easy one.
Liquid silicone and granulomas
Best, Raffy Karamanoukian MD FACS