What Can I Do About Cheek Lumps from Silicone Injections?

I had silicone injections to my cheeks an now i have 3 small lumps on the side of my cheek that are very obvious?? Is there anything i can do to minimize them? I really want them gone.

Doctor Answers 5

What Can I Do About Lumps from Silicone Injections in Cheeks?

Regarding: "What Can I Do About Lumps from Silicone Injections?
I had silicone injections to my cheeks an now i have 3 small lumps on the side of my cheek that are very obvious?? Is there anything i can do to minimize them? I really want them gone

One of the most tragic aspects of human existence is our inherent inability to learn from past mistakes which results in REPEATEDLY making the same costly mistakes. How many times did people vote in dictators which then cost the lives of millions only to repeat these choices? How many abused women senselessly choose the same abusive relationships or an alcoholic chooses to repeat his mistakes?

This happens in Medicine as well. To understand the sadness of Silicone as a soft tissue filler you either must be in your 60's or 70's as a surgeon or to be a keen student of Plastic Surgery history and appreciate the irony. Silicone has been tried as a filler in the mid and late 40's and failed. High grade versions of silicone were tried in the 50's and failed. Medical grade silicone was tried in the 60's and by the 70's it was found to be disastrous. But not until thousands of patients ended with "collagen overproduction" (in Plain English HEAVY SCARRING) in addition to collection of silicone "siliconomas'). And yet - it has been re-introduced one more time about 15 years ago in "micro droplet" form used mostly by dermatologists.

I would advise you to see the ?doctor who injected it and ask him/her what would smooth these lumps and what his/her back up plan would be if plan A does not work.  In reality, you MAY need these lumps to be removed. This means permanent scars, potential depressions to say nothing about additional costs.

Get several opinions before having anything done. As bad as things are now, they CAN get worse.

Dr. Peter Aldea

Memphis Plastic Surgeon
4.9 out of 5 stars 108 reviews

There is something to do for bumps after silicone

Liquid Injectable silicone injected with the microdroplet technique is a wonderful soft-tissue filler. The vast majority of lumps and bumps are the result of collagen overproduction rather than collections of silicone or active foreign body reactions. Diluted cortisone can be injected into the areas to gently reduce their size. A light touch is needed as is an abundance of patience. 

Barry Resnik, MD
Miami Dermatologist
5.0 out of 5 stars 2 reviews

Silicone in cheeks

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.

Raj S. Ambay, MD
Tampa Plastic Surgeon
4.3 out of 5 stars 34 reviews

Treating complications from lip and facial silicone

Injected silicone can sometimes be removed from the face, but this requires experience and a conservative approach. I have successfully treated many patients with facial silicone and believe that long term results can be acheived. 

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
4.8 out of 5 stars 94 reviews

Silicone injection lumps

Removing free silicone can be very difficult and that is one of the problems with permanent soft tissue fillers.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.