What are the long term risks of silikon 1000 micro droplets?

Hello Practical840070, and thank you for your question regarding the long-term risks of silicone 1000 microdroplet injections.

Permanent fillers, including silicone 1000, carry significant long-term risks that may develop even years after treatment. While microdroplet techniques are designed to minimize complications, no amount of permanent filler is risk-free. Unlike temporary fillers, such as hyaluronic acid (HA), permanent fillers cannot be dissolved and must be surgically removed if complications arise.

Some of the most common complications include:

Migration: Silicone can shift from the original injection site, causing deformities or asymmetry. This is particularly concerning since it can migrate to critical areas, such as blood vessels or vital structures.

Scar Tissue Formation: Silicone often triggers the body’s immune response, leading to the formation of fibrotic tissue. Over time, this can result in nodules, lumps, or severe hardening of the treated area.

Necrosis and Organ Failure: Silicone particles can embolize, blocking blood flow and causing tissue death (necrosis). In severe cases, migration into vital organs can lead to systemic complications, including organ failure.

ASIA Syndrome (Autoimmune Syndrome Induced by Adjuvants): Silicone is a known trigger for this condition, which occurs when the immune system overreacts to the filler material. Symptoms may include chronic fatigue, joint pain, swelling, and systemic inflammation, leading to a significant decline in quality of life.

I specialize in the removal of permanent fillers and perform this procedure 5 to 7 times a week. Removal can be complex, involving risks of scarring, residual deformities, and damage to surrounding tissues. Despite this, removal is often necessary to prevent or address serious complications.

While you have not experienced complications yet, it’s essential to monitor the treated areas closely. Symptoms like swelling, pain, redness, lumps, or changes in appearance should be evaluated immediately by a board-certified plastic surgeon or dermatologist experienced in permanent filler complications. If concerns arise, surgical removal of the silicone may be your safest option.

I hope this helps clarify the risks and gives you the information you need to make informed decisions about your next steps.

Sincerely,
J. Timothy Katzen, MD

The late, great, Dr Jay Barnett was a pioneer with microdroplet silicone oil injections for acne scarring. He would often lecture about his technique to other physicians, and show patients' photographs before, immediately after, and 40 years later. He demonstrated that microdroplet Silikon 1000 injections do not lead to migration or long-term problems. Since your last procedure was eight months ago, you are not going to see a problem with this in the future. In our experience, people with acne scarring will require 1-3 treatments to achieve maximal improvement. Silikon 1000 is completely safe, and a lovely alternative for many people who suffer from broad-based and depressed acne scars.

I'm sorry that you were misinformed about the product that you were receiving, however, I wanted to let you know that you should have nothing to worry about at this point. I hope this is helpful, and thank you so much for posting this question! Sincerely, Dr. Joseph

It goes without saying that the word "permanent," especially when it comes to filler injections, can sound very attractive. After all, who doesn't want a permanent result from a cosmetic treatment.
Unfortunately, the potential problem with permanent fillers, like silicone, is precisely because they are permanent and that we have no great ways of getting rid of these fillers (as we can by dissolving HA fillers with hyaluronidase) should there arise an unwanted cosmetic result or an adverse reaction to the treatment. When the results have been satisfactory, as in this case, all well and fine. However, it is important to know that adverse reactions, such as unsightly nodules, etc can occur five, ten or even twenty+ years later, especially if the tissue where it was injected is physically manipulated, such as during dental work or even if additional filler of any kind is added in the same area. So, it would be important to keep this in mind, and let the treating physician or dentist know, if down the road you are contemplating any additional procedures or physically manipulating procedures in the areas of the prior permanent filler injections.
I hope this helps and best of luck.