Is Silicone Safe to Be Injected in the Nasal Fold?

Question

Eric M. Joseph, MD · Answer

Dear Ely,
I read the responses of the other physicians, and I respectfully disagree with most of them.
I have been personally using Silikon-1000 for cosmetic facial enhancement since my Fellowship in Advanced Facial Plastic and Reconstructive Surgery without significant incident. The vast majority of my patients are thrilled with their results, and complications are few. My mentor who trained me to perform the micro-droplet injection technique has a 45 year favorable experience with liquid silicone injections.
I counsel my patients that several treatments are typically necessary to achieve a desired result, and that he most common problem is overcorrection and the development of nodules or bumps at the sights of injection. In my hands this occurs in 3% of patients, and these are usually small and easily treated with  dilute triamcinolone (steroid) injections or light electrosurgery. 
I have not seen migration, pain, or recurrent inflammation in any of my patients. 
Silikon-1000 is a permanent filler, so your results, good or bad, are permanent. You should find a board-certified dermatologist or facial plastic surgeon experienced with the micro-droplet technique. You should also see many before and after photos demonstrating beautiful results before you pick your doctor.
I hope this helps, and best regards.

Steven H. Williams, MD · Answer

Thanks for your questions - 
Injecting free silicone is an off label use of the silicone product.  Most plastic surgeons would agree that these can be associated with long term problems including inflammation, hardness and pain.
I would not recommend free silicone injections for my patients.
I hope this helps.

Raffy Karamanoukian, MD, FACS · Answer

Silicone is theoretically inert. In other words, the body is not supposed to react to the polydimethylsiloxane. However, we have since found that in countless cases, the silicone can induce a very unique and virulent inflammatory response that can literally deform the soft tissue. This is seen typically in the face, but is not uncommon in the breast, buttocks, and trunk.

	Polydimethylsiloxane has a very unpredictable safety profile and should not be used as a facial filler. In many cases, it works fine, but in others, the results are debilitating and disastrous.

	Correcting silicone injections is difficult and time consuming. I have focused a great deal of attention on correcting silicone deformities of the face and body. These deformities are typically iatrogenic and can invariably deform the body and lead to serious health problems.

Lane Smith, MD · Answer

Pure silicone in droplet form can shift and cause granulomatous reactions. I have seen cases where it has literally caused abcesses and eaten through the skin. It is not approved by the FDA and I would definitely not recommend it. There are other safe fillers that can be injected and even one permanent one if the patient desires. In short, stay away from direct silicone injections.

Robert Kotler, MD, FACS · Answer

I assume you mean the fold between the nose and the cheek.  I do not consider that a safe location.  That is where the major blood vessels and some nerves are located.  But, remember, that area is rarely in need of filling.  Should there be a perceived need because of some depression or groove or irregularity, usually after an accident, then perhaps surgery would be a more appropriate option.

Is Silicone Safe to Be Injected in the Nasal Fold?

Answers (8)

Answer: I would not recommend silicone on nasolabial folds

Answer: I would not recommend silicone on nasolabial folds

Answer: I do not consider that a safe location.

Answer: I do not consider that a safe location.

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Everything you need to know about Silicone Injections

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Is Silicone Safe to Be Injected in the Nasal Fold?

Answers (8)

Answer: I would not recommend silicone on nasolabial folds

Answer: I would not recommend silicone on nasolabial folds

Answer: I do not consider that a safe location.

Answer: I do not consider that a safe location.

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Recommended reading

Everything you need to know about Silicone Injections

Our mission is to create a world where every investment in modern beauty is Worth It.