64, Transgender - Silicone injections in my face - is it safe to get fillers to lift and eliminate the look of nodules? (Photo)

Permanent silicone injections, especially from decades ago, can cause long-term changes in the skin and underlying tissues, including fibrosis, granulomas, and nodules. Injecting dermal fillers into or around areas containing silicone can be risky, as it may trigger inflammation, worsen irregularities, or cause an unpredictable aesthetic outcome.

Potential Options:

Hyaluronic Acid Fillers (e.g., Juvederm, Restylane): These are reversible and may be cautiously placed in unaffected areas to restore some volume and lift. However, injections directly into silicone-affected tissue should be avoided to reduce the risk of complications.

Biostimulatory Fillers (e.g., Sculptra, Radiesse): These can stimulate collagen production but should be used with extreme caution, as they may exacerbate granulomas or nodules in silicone-treated regions.

Non-Invasive Skin Tightening: Energy-based treatments like ultrasound (Ultherapy) or radiofrequency can sometimes improve skin laxity without injecting into silicone-affected tissue, though results may be modest.

Summary:
While limited use of reversible fillers in unaffected areas may be possible, there are increased risks due to prior silicone injections. Any filler treatment should be approached conservatively, avoiding direct injection into silicone-affected tissue to prevent inflammation and worsening of nodules.