Reconstructive Surgery Impossible After Siliconoma Removal?

Question

I currently have silicone granulomas that resulted from Silicone injections to the legs 15 years ago. Many doctors told me that the only solution for siliconoma is to surgically remove all the affected zone without the possibility of having a reconstructive plastic surgery. Is this true? Thanks.

J. Timothy Katzen, MD, FACS · Answer

Hi there and thank you for your question regarding if reconstruction of the breast is possible after silicone injections removal. I have performed about a handful of silicone removals from the thighs. I have also reconstructed the indentations of silicone removal (after at least 4 months from removal).  I see that your question is from 2016 so I'm hoping you already had your silicone injections removed. If not, please do so as soon as possible. I hope this answer helps.

Sincerely, Dr. Katzen. (“Verified” Plastic Surgeon, President of the American Society of Bariatric Plastic Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery, and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery and RealSelf Hall of Fame.)

Raffy Karamanoukian, MD, FACS · Answer

Silicone injections have become quite commonplace,
especially since volume fillers have become more prevalent. Patients are often
in search of permanent fillers that do not have to be replaced, but rarely
understand that these fillers come with longterm complications, including
inflammation, a rejection reaction, and fibrosis.  Our office specializes in silicone removal
for patients who have undergone these fillers in the face and body. We have
seen quite a few patients regain their livelihood once the fillers are removed.Raffy Karamanoukian MD FACS

Carlos Alberto Ríos García, MD · Answer

Hello viudecitanegra,
thank you for your question.

As for your
question, I can answer that was unfortunate the fact you have this substance
injected into your legs.

Biopolymers
(liquid silicone, Poly Acrylamide Gel, PMMA, Macrolane, etc), ALWAYS should be
removed, because you present at any time iatrogenic allogenosis and probably A.S.I.A.
syndrome. There is no problem in reconstruct the area after granulomas removal,
we perform this resection first and two or three months later the
reconstruction.

I developed
the technique of resection of biopolymers in buttocks and lower back through
video – endoscopy, a surgery made with minnimal incissions. Other techniques
such as liposuction , VASER, LASER or are absolutely ineffective in treating
this type of situation. Our plastic surgery center
specializes in the treatment of Biopolymers injections (permanent fillers:
liquid silione, Polyacrylamide Gel, PMMA, Biogel, Macrolane, Metacryletc.) to
the face, buttocks and other soft tissue and its complications. We see patients
that came worldwide who have complications arising from Biopolymers injections
to soft tissues. The Biopolymers cause a severe inflammatory reaction that can
cause permanent damage to the tissues known as Iatrogenic Allogenosis and an
autoimmune syndrome (A.S.I.A. Syndrome). In our plastic surgery center, I
developed the technique of resection of biopolymersin face, buttocks and lower back
through video – endoscopy, a surgery made with minnimal incissions to treat
patients with permanent deformities secundary to Biopolymers injections. Other
techniques such as liposuction, VASER or LASER are absolutely ineffective in
treating this type of situation.

I hope it has been helpful.

Spanish translation provided by doctor:

Hola viudecitanegra, gracias
por su pregunta.

En cuanto a tu
pregunta, puedo responderte que fue poco afortunado el hecho de haberte hecho
inyectar esta sustancia en tus muslos.

Los biopolimeros
SIEMPRE deben ser retirados pues presentarás en algún momento alogenosis
iatrogénica y probablemente Sindrome de A.S.I.A.

No hay ningún problema
en realizar una cirugía reconstructiva después de retirar los granulomas,
generalmente realizamos la reseccion de los granuomas y un tiempo despues (dos
a tres meses) realizamos la reconstrucción.Nuestro Centro de Cirugía Plástica se
especializa en el tratamiento de biopolimeros (rellenos permanentes: silicona
liquida, poli acrilamida gel, PMMA, Biogel, Macrolane, Metacryl, etc.),
inyectados en el rostro, glúteos y otros tejidos blandos y sus complicaciones.
Recibimos pacientes de todo el mundo que presentan complicaciones originadas
por la inyeccion de biopolímeros. Los biopolímeros causan una reaccion
inflamatoria severa que puede causar daño permanente a los tejidos conocida
como Alogenosis Iatrogénica y un síndrome de auto inmunidad (Síndrome de
A.S.I.A.). En nuestro Centro de Cirugía Plástica, desarrollé una técnica de
retirada de biopolímeros en el rostro, los glúteos y la esplada baja a través
de video-endoscopia, una cirugía realizada a través de incisiones mínimas para
tratar pacientes con deformidades permanentes secundarias a inyecciones de
Biopolímeros. Otras técnicas como liposucción, LASER o VASER son absolutamente
ineficientes en el tratamiento de esta situación.

Espero le haya sido
útil.

Steven Wallach, MD · Answer

Removing free silicone injections that have resulted in granulomas or very firm areas is very difficult.  It is impossible to tell you what possible options for reconstruction are available to you without formally examining you.

Reconstructive Surgery Impossible After Siliconoma Removal?

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Answer: Silicone removal

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Reconstructive Surgery Impossible After Siliconoma Removal?

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Answer: Silicone removal

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