Is Silikon 1000 safe to use in rhinoplasty?

Hello Teresa F, and thank you for your question regarding the use of Silikon 1000 in rhinoplasty.

While Silikon 1000 has been used in certain medical applications, it is not considered safe for use in rhinoplasty. The concerns raised by facial plastic surgeons about this product—such as infection, inflammation, granulomas, and migration—are not just theoretical. These complications are well-documented and can occur even years or decades after the injection.

One of the most significant issues with Silikon 1000 is its permanence. Unlike temporary fillers that are metabolized or can be dissolved, silicone remains in the tissue indefinitely. Over time, the body may react to it as a foreign substance, causing chronic inflammation, granuloma formation, or even delayed hypersensitivity reactions. These reactions can lead to visible deformities, discomfort, and an unpredictable aesthetic outcome.

Additionally, migration of silicone is a major risk. In the nose, where precise structure and balance are crucial, even a small migration can result in asymmetry, lumps, or uneven contours. The high mobility of facial tissues makes the risk of migration particularly problematic.

If complications occur, the only way to address them is through surgical removal, which can be invasive and may permanently alter the structure of the nose. Silicone removal often involves excising both the filler and any scar tissue it has caused, which may lead to scarring, loss of tissue, or further deformity.

While Silikon 1000 might initially appear to yield good results, the long-term risks make it an unsafe choice for rhinoplasty. If you are considering nonsurgical options, safer alternatives such as hyaluronic acid fillers (like Juvederm or Restylane) are temporary, reversible, and far less risky. If you are seeking a more permanent solution, consulting with a board-certified plastic surgeon for a revision rhinoplasty would be a more predictable and reliable option.

I hope this information helps you make an informed decision. The risks associated with Silikon 1000 in rhinoplasty far outweigh any potential benefits, and I urge you to consider safer alternatives for your aesthetic goals.

Sincerely,
J. Timothy Katzen, MD

Silicone fillers can cause longterm reaction of the soft tissue. Treatment may be difficult if the inflammatory reaction is chronic an fibrous. Best, Dr. KaramanoukianRealself100 Surgeon

Silikon1000 is not used during rhinoplasty, but rather it may be useful as a filler for permanent nonsurgical revision rhinoplastic treatments - if small irregularities or indentations arise during one's postoperative healing process. Microdroplet silicone nasal injections have been safely performed for well over 50 years. The technique was taught to me by my rhinoplasty teacher over 20 years ago, and we use it regularly. Thank you. Dr Joseph

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ReI frequently perform this procedure and my filler of choice is Silikon 1000.  Although it is not approved by the FDA as a dermal filler, I have used it for a dozen years with great success and without a problem.  As you can read elsewhere, it is a permanent solution to this problem.

In my opinion it should not be used at the time of a surgical rhinoplasty. It can be used before rhinoplasty but most often after rhinoplasty where there may be some minor defect that would be best addressed by permanent filler rather than repeat surgery or temporary filler.