Is Silikon 1000 nose job safe/necessary?

Question

I’ve read some reviews of surgeons who use Silikon 1000 injections after performing open rhinoplasty in case the desired results weren’t achieved with surgery alone. Is this safe/necessary? Also, if desired results still were not achieved, how would these injections affect a secondary/revision rhinoplasty? Thanks

Jason Emer, MD · Answer

Technically permanent or semi-permanent fillers or fat injections could cause an issue for surgery in the future, so those should be avoided. If any fillers are to be used, they should be hyaluronic acid fillers that can be dissolved if needed. We use facial fillers (like Voluma, Restylane, Juvederm) to improve the symmetry of the nose, but a revision rhinoplasty would be needed to further improve the nostrils or overall shape. I recommend getting a formal evaluation with a cosmetic dermatologist to go over your desired results. Best, Dr. Emer

Eric M. Joseph, MD · Answer

Microdroplet liquid injectable silicone (LIS) has been safely used for permanent nonsurgical rhinoplastic treatments for over 50 years. The great Dr. Webster described his positive 20 year experience with LIS from 1964 - 1984. My rhinoplasty teacher taught me the art of microdroplet Silikon1000 nasal injections over 20 years ago, and we have had an excellent experience, and happy patients! Our use of microdroplet Silikon1000 injections has, in part, led to a very small revision rhinoplasty rate in our patients who decide to undergo primary rhinoplasty with us. There have been no reported cases of necrosis, blindness, infection or biofilm with microdroplet Silikon1000, so its safety is unsurpassed when compared to temporary gel fillers. The negative of LIS is that once it's injected, it cannot be removed from the nose - it's permanent, but when used properly to improve minor indentations or asymmetries that may arise with postoperative healing, that's a good thing.
Silikon1000 treatments do not preclude revision rhinoplasty if that becomes necessary. The plane of dissection in rhinoplasty is deep to the LIS which is deposited in the soft tissue between the skin and nasal skeleton. We have operated on noses injected with LIS without incident.
Insofar as necessity, we recommend microdroplet Silikon1000 treatments in around 20% of our rhinoplasty patients to improve results without additional and often unnecessary surgery. There is NO rhinoplasty specialist who can admit to producing "perfect" rhinoplasties. The necessity of LIS in our rhinoplasty practice is to help us achieve the best results possible, and happy-happy patients. Thank you for this terrific question. Dr Joseph

Robert Kotler, MD, FACS · Answer

Silikon-1000 nose jobs have proven themselves safe and effective for over 50 years.  The product itself was approved by the FDA in the early 1960s.  By the 1970s it was adopted for other uses.  Its safety has never been questioned by the FDA.

Regarding it being necessary, necessary is not the appropriate word because necessary applies to situations where something must be done.  It is necessary to have an appendectomy if your appendix is about to burst.  Silikon-1000 is more a matter of want than need.  It is elective.  It is an excellent way of correcting certain imperfections of the nose without surgery.  Since it is safe and precise and has a long history of success, it is a good bet.

Is Silikon 1000 nose job safe/necessary?

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