Silicone 1000 granulomas on face - how can this be treated?

Thank you for your question. I have been using silicone oil injections for the last 25 years. Silicone granulomas are very uncommon with silicone 1000, however they do occur. They are easily treated with a Kenalog Injection from an experienced dermatologist or plastic surgeon. I see that you are in the New York area. David Orentriech is an experienced dermatologist who has a lot of experience with silicone injections. I would give his office a call.

Hi Helpplease23!

I'm sorry to hear about the complications you're experiencing following your silicone injections. Silicone granulomas can indeed be challenging, but there's help! I am a board-certified plastic and reconstructive surgeon in New York with a specialized focus on silicone and biopolymer removal of the face and body. Over the years, I have dedicated my practice to safely addressing complications arising from these materials. Recognizing the unique challenges they pose, I developed a meticulous surgical excision process. This approach is designed to ensure the most removal possible while minimizing risks and optimizing patient outcomes. I would be happy to discuss this further and arrange the appropriate imaging to develop the best surgical plan for you. Please keep in mind, insurance can cover these procedures. Please give us a call (516) 279-2616 to schedule a complimentary virtual or in-office appointment.

Best,
Jeremy Nikfarjam, MD PC
Board Certified Plastic & Reconstructive Surgeon

Silicone biopolymers are commonly used in the face and body. They may sometimes cause noticeable symptoms that we gauge using the Karamanoukian Soft Tissue Reaction Grading Scale from I to V. The severity of your complications dictates the interventions needed, ranging from itching and burning to severe necrosis of the soft tissue. Nerve pain and symptomatic swelling is also possible. Insurance may cover your surgery, but that is a discussion that requires you to contact and appeal to your insurance carrier. Options for removal are complex and depend on whether you have the material in your face or body. We reverse BBL with silicone commonly and remove silicone from the lips very commonly. Diffuse silicone in the face is not likely to respond to removal. Filler migration, swelling, and granulomas can cause significant discomfort and cosmetic ramifications. Our office specializes in the use of enzymes and filler reversal techniques without hyaluronidase to help improve the results of botched cosmetic fillers, whether caused by Juvederm, Restylane, or foreign fillers. We can also test for the material to determine the likelihood of silicone granulomas and silicone reaction.

Best,
Dr. Karamanoukian
Realself100 Surgeon