Is it impossible to remove silikon 1000 from cheeks?

Hello Laura2585, and thank you for your question about removing Silikon 1000 from your cheeks.

First off, I'm sorry if this is not the answer you want to hear. Now to address your question, it is possible to remove Silikon 1000 from the cheeks, but it requires surgical intervention. Silikon 1000 is a permanent filler, and once injected, it integrates into your tissue and cannot be metabolized or dissolved. Over time, it often triggers an immune response, leading to scar tissue formation, nodules, or a swollen, uneven appearance, as you’re describing. The swelling or "fullness" you’re experiencing is likely caused by a combination of the silicone and the surrounding scar tissue. Unfortunately, silicone can also migrate, which makes removal more challenging.

An MRI is a critical first step in the removal process. It provides detailed imaging that shows exactly where the silicone is located, how much scar tissue has formed around it, and whether it has migrated to other areas. This information is essential for planning the surgical approach and ensuring as much silicone as possible is safely removed.

There are three primary techniques for removing silicone from the cheeks:

Facelift incision: This is often the preferred method for cheeks, as it provides excellent visibility and access. The surgeon lifts the skin, allowing them to carefully remove the silicone and the surrounding scar tissue. The scars from a facelift incision are typically well-concealed along natural contours or hairlines. Additionally, this approach offers the benefit of facial rejuvenation, tightening the skin while addressing the silicone.

Direct incision: This involves making an incision directly over the area containing the silicone. While it allows for targeted removal, it often leaves visible scars, making it less desirable for prominent facial areas like the cheeks.

Intraoral approach: This method involves accessing the silicone through an incision inside the mouth. While it avoids external scars, it provides limited visibility and control, making it less suitable for cases where the silicone has migrated or is deeply embedded.

The complexity of the removal process depends on how much silicone was injected, how it has interacted with your tissue, and whether it has migrated. While it may not always be possible to remove 100% of the silicone, an experienced surgeon can significantly reduce the amount and improve the appearance of your face.

I recommend consulting with a board-certified plastic surgeon who specializes in silicone removal. They can review your MRI results, evaluate your condition, and determine the best approach to address the swelling and improve your facial symmetry. I hope this helps clarify the possibilities and steps for removing Silikon 1000 from your cheeks.

Sincerely,
J. Timothy Katzen, MD

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

Hi Laura. Silicone can either be removed surgically or treated with dilute kenalog combined with 5FU. I find that this combination works better than kenalog alone and the risk of atrophy is minimal.In our practice, we create contouring and improve facial volume with well-placed fillers (Voluma, Radiesse, Bellafill) and Sculptra, fat transfer to the face, or surgical implants.I suggest getting a formal evaluation with a cosmetic dermatologist and facial sculpting expert to discuss your options and your aesthetic goals. Best, Dr. Emer