Safety of Nasal Liquid Silicone Injections

Question

On a recent rhinoplasty follow-up visit I was injected with liquid silicone to improve the results. The doctor gave me the shot "matter of fact" and didn't mention any dangers. I didn't know there was danger so I went ahead and got the shot. NOW I AM FREAKING OUT. I read that the silicone CANNOT BE REMOVED EVER and that there are links to pneumonitis, migration of the silicone, granuloma, nodules, and even facial necrosis. I am scared out of my mind. Please tell me how dangerous this is.

Eric M. Joseph, MD · Answer

When used properly, Silikon-1000 provides safe, permanent, natural looking nasal enhancement after Rhinoplasty Surgery. I use silicone in 10-20% of my own rhinoplasty cases to convert a good result into an excellent result.

	Nodules or bumps may occur infrequently (<2% in my hands), and almost never occur in your nasal skin. Silikon-1000 works incredibly well for improving nasal irregularities provided the serial puncture, micro-droplet technique is employed.

	If you're happy with your appearance after your silikon-1000 injection, don't be concerned. You'll be reassured with time.

	I attached a link with more information for you.

	All the best from NJ

Raffy Karamanoukian, MD, FACS · Answer

Silicone can cause a secondary inflammatory reaction depending on the type of silicone injected. I would consult with an experienced silicone complication expert for long term follow-up, as needed. Surgery90210

Carlos Alberto Ríos García, MD · Answer

Regards, 
Liquid silicone is unsafe, please do not use it ever. The autoimmune response could be triggered by this substance, if you look around on the Internet, you will find patients that have a lot of problems with this product. The inical medical use was only for retine problems.  
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). The risk of having autoimmune diseases and deformities in your face due to tissue damage is very high, then the use of any substance that is permanent is not advised. It also could migrate at the inicial injection suddenly, via retrograde arterial flow, at blood stream to organs and even to the lungs; that would be a catastrofic event. About, that it cant be removed ever is not true, in many cases it can be removed, but never 100%, so you should see an specialist as soon as possible. In my medical center I developed the technique of resection of biopolymers in face, lips, buttocks and lower back through video endoscopy, a surgery performed with minnimal incissions to treat patients with permanent deformities, secundary to biopolymers injections.
Please remember to be aware, do not let any permanenrt filler to be injected into your face, breast, buttocks, calfs, genitalia, etc. 
I hope the information was usefull, have a nice day! Dr Carlos Alberto Ríos.

D.J. Verret, MD · Answer

To start with, the injection of silicone as a facial filler is an off label use of the product. This means that there is no scientific evidence that has been reviewed by the US FDA demonstrating that the procedure is safe and effective. Having said that, it is widely reported that people use silicone for facial augmentation with excellent long term results. There is no scientific evidence of any of the long term complications that you report with liquid silicone. While it is permanent, when performed by an experienced injector, it won't need removal and can address patient concerns after rhinoplasty.

Safety of Nasal Liquid Silicone Injections

Answers (4)

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