What are the chances of having a reaction to silikon 1000 years later?

Silicone biopolymers can cause severe longterm complications including inflammation and nodule formulation. Although results are longer-lasting that Juvederm or Restylane, long-acting fillers should be avoided.  
Bellafill, Artefill, and PMMA are known to cause granulomas and permanent nodules with swelling. This is not the case for everyone. Silicone biopolymers can also cause similar chronic inflammatory conditions. 
In my practice, I specialize in the removal of Bellafill and Artefill injections, in addition to silicone biopolymers, from the face and body. Initially, treatments are non-surgical with corticosteroids and immune modulators. If unable to be corrected, we can also perform surgery in some cases. 
Silicone biopolymers can also be removed from the body if there are signs of migration or inflammation. All of these filler-types should be removed as early as possible. 
Lastly, our office is conducting ongoing studies of plasma-assisted corticosteroid application, which allows for diffusion of the treatment medication in superficial tissue without causing atrophy. 
Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Hello Jaybabyoverhere, and thank you for your question regarding Silikon 1000 and the potential for long-term reactions. I strongly caution against using permanent fillers like Silikon 1000, especially in the nose. The permanence of the product significantly increases the likelihood of long-term complications. Your body cannot metabolize or remove silicone, and even if it seems fine initially, reactions can occur years or even decades later. This is because your immune system may recognize silicone as a foreign material over time, leading to inflammation, scar tissue, nodules, or chronic swelling.

Another concern with Silikon 1000 is migration. Silicone can move from the original injection site, causing deformities or issues in adjacent areas. Additionally, delayed complications such as tissue necrosis, infections, or systemic issues like ASIA syndrome (Autoimmune Syndrome Induced by Adjuvants) are real risks. While there is confusion about the differences between industrial and medical-grade silicone, even medical-grade products like Silikon 1000 have been associated with catastrophic outcomes, as seen in high-profile cases such as Carol Bryan’s.

In comparison, revision rhinoplasty, though invasive, is a far safer option for addressing concerns like supraalar pinching. While surgery comes with risks like infection, scarring, or the possibility of not achieving your desired result, these risks are generally temporary and manageable when performed by an experienced, board-certified plastic surgeon. Silikon 1000 complications, on the other hand, can be permanent and extremely challenging to correct. If issues arise from silicone, removal often involves invasive surgical procedures, such as excising the filler and surrounding tissue, which can lead to scarring or disfigurement.

Given the potential for devastating long-term consequences, I urge you to avoid permanent fillers like Silikon 1000 and instead consult with a board certified plastic surgeon to explore safer alternatives, such as revision rhinoplasty. While I understand the appeal of a less invasive option, the risks associated with permanent fillers far outweigh any temporary convenience. I hope this helps clarify the potential dangers and guides you toward a safer and more reliable solution.

Sincerely,
J. Timothy Katzen, MD

Microdroplet Silikon1000 nasal injections have few problems if used properly - especially in the nose. Liquid injectable silicone injections for permanent nonsurgical rhinoplastic treatments have over a 50 year track record of safety, precision and permanence. Thank you. Dr Joseph