Silikon 1000, cost and side effects. 19 years old with an extremely fast metabolism.

no good doctor would use silicone on such a young person without HIV. I suggest bellafill, sculptra or radiesse if you want more long term or use your own fat/PRP.  revnua and other allofill are options as well.  Best, Dr. Emer.

Hello Darbyschnee, and thank you for your question regarding Silikon 1000 as a permanent filler option for your lips.

At just 19 years old, I urge you to reconsider the idea of using a permanent filler like Silikon 1000. While it may seem appealing as a solution to the fast metabolism of hyaluronic acid (HA) fillers like Juvederm, the long-term consequences of Silikon 1000 are significant and often devastating. I see complications from permanent fillers daily in my practice, and removal is complex, often disfiguring, and emotionally and physically taxing.

Here are some key risks and long-term consequences to consider:

Migration: Silicone can shift from the injection site, causing lumps, deformities, and asymmetry. This is especially problematic in mobile areas like the lips.

Scar Tissue and Hard Nodules: Silicone often triggers the body’s immune response, leading to the formation of dense scar tissue and hard lumps (nodules). These can grow larger or become more visible over time.

Infection, Necrosis, and Inflammation: Silicone particles can block blood vessels or cause chronic inflammation, leading to tissue death (necrosis) and further complications.

Systemic Risks: Silicone is a known trigger for conditions like ASIA syndrome (Autoimmune Syndrome Induced by Adjuvants), which can cause chronic fatigue, joint pain, and systemic inflammation.

Removal of Silikon 1000 Is Invasive
If complications arise, removing silicone from the lips requires surgical excision, which involves physically cutting out the affected tissue. This often means removing a portion of the lip itself, leading to permanent changes in the lip’s size, shape, and appearance.

If silicone is injected into other parts of the face, removal is even more invasive. It may require a facelift incision, where the skin of the face is peeled back to access and remove the silicone. These surgeries can be complex and leave visible scars or permanent facial contour changes.

Instead of pursuing permanent fillers, I recommend discussing alternative options with your provider. While HA fillers metabolize faster for you, other solutions like fat grafting or more frequent touch-ups with HA fillers may be safer and more manageable in the long run. Fat grafting, for example, uses your body’s own tissue, and while some of the fat may reabsorb, it provides a more natural, long-lasting result.

I strongly advise against permanent fillers like Silikon 1000. The potential complications far outweigh the short-term convenience of not needing frequent injections. Please consult with an experienced, board-certified plastic surgeon or dermatologist who can guide you toward safer, more sustainable options. Your health, safety, and long-term satisfaction should always come first.

Sincerely,
J. Timothy Katzen, MD

Silicone liquid may cause longterm problems. Our office treats these complications regularly. However, we advise patients against the injection of a filler that may cause longterm problems. Best, Dr. KaramanoukianRealself100 Surgeon