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Ultrasonic Treatment of Silicone Injection Complications

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Ultrasound-Assisted Liposuction

Abstract

The injection of liquid and gel silicone for soft tissue augmentation first became popular in the 1950s for contour enhancement of the face, breasts, and body. Although the US Food and Drug Administration has never approved silicone in any form for injection to augment body tissues, there has continued to be a market for illicitly performed silicone injections. Complications from these injections can include the development of siliconomas and silicone toxicosis which presents as diffuse swelling with subcutaneous nodules and can be accompanied by debilitating pain, infection, or overlying skin breakdown. There is no cure for silicone toxicosis of the gluteal region; however there are techniques that can result in improved quality of life for patients affected by this condition. Ultrasound-assisted liposuction (UAL) allows for reduction of the toxin load and limits the inflammatory effects of the foreign body reaction. Combining UAL with traditional liposuction and fat grafting is an ideal option for patients with frequent pain and contour deformities who have persistent concerns over their appearance. Using this technique results in significant improvements in subjective pain and quality of life scores, while avoiding extensive surgical resections and maintaining favorable aesthetic results.

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References

  1. Anastassov GE, Schulhof S, Lumerman H. Complications after facial contour augmentation with injectable silicone. Diagnosis and treatment. Report of a severe case. Int J Oral Maxillofac Surg. 2008;37(10):955–60.

    Article  CAS  Google Scholar 

  2. Lai CS, Lin TM, Lee SS, Yang CC, Lin SD. Surgical treatment of facial siliconoma involving the temporal area. Plast Reconstr Surg. 2005;115(2):553–8.

    Article  Google Scholar 

  3. Bravo BS, de Balassiano LK, de Bastos JT, da Rocha CR, Costa MB, de Freire Cassia F, et al. Siliconoma: report of two cases. Aesthet Plast Surg. 2016;40(2):288–92.

    Article  Google Scholar 

  4. Chasan PE. The history of injectable silicone fluids for soft-tissue augmentation. Plast Reconstr Surg. 2007;120(7):2034–40; discussion 41–3.

    Article  CAS  Google Scholar 

  5. Allevato MA, Pastorale EP, Zamboni M, Kerdel F, Woscoff A. Complications following industrial liquid silicone injection. Int J Dermatol. 1996;35(3):193–5.

    Article  CAS  Google Scholar 

  6. Nasseri E. Gluteal augmentation with liquid silicone of unknown purity causes granulomas in an adult female: case report and review of the literature. J Cutan Med Surg. 2016;20(1):72–9.

    Article  CAS  Google Scholar 

  7. Salgado CJ, Sinha VR, Desai U. Liposuction and lipofilling for treatment of symptomatic silicone toxicosis of the gluteal region. Aesthet Surg J. 2014;34(4):571–7.

    Article  Google Scholar 

  8. Cheung YC, Chen SC, Lo YF. Enhanced MRI and MRI-guided interventional procedures in women with asymptomatic silicone-injected breasts. ScientificWorldJournal. 2012;2012:549801.

    Article  Google Scholar 

  9. Wosnitzer B, Mirtcheva R. Silicone granulomas following free silicone gluteal augmentation. Radiol Case Rep. 2011;6(1):491.

    Article  Google Scholar 

  10. Loustau HD, Mayer HF, Catterino L. Dermolipectomy of the thighs and buttocks to solve a massive silicone oil injection. Aesthet Plast Surg. 2009;33(4):657–60.

    Article  Google Scholar 

  11. Wilson E, Rapues J, Jin H, Raymond HF. The use and correlates of illicit silicone or “fillers” in a population-based sample of transwomen, San Francisco, 2013. J Sex Med. 2014;11(7):1717–24.

    Article  Google Scholar 

  12. Styperek A, Bayers S, Beer M, Beer K. Nonmedical-grade injections of permanent fillers: medical and medicolegal considerations. J Clin Aesthet Dermatol. 2013;6(4):22–9.

    PubMed  PubMed Central  Google Scholar 

  13. Mello DF, Goncalves KC, Fraga MF, Perin LF, Helene A Jr. Local complications after industrial liquid silicone injection: case series. Rev Col Bras Cir. 2013;40(1):37–42.

    Article  Google Scholar 

  14. Lin DJ, Wong TT, Ciavarra GA, Kazam JK. Adventures and misadventures in plastic surgery and soft-tissue implants. Radiographics. 2017;37(7):2145–63.

    Article  Google Scholar 

  15. Bassetto F, Abatangelo S, Masetto L, Vindigni V. Ultrasound-assisted liposuction as a safe and effective method for the removal of siliconomas. Aesthet Plast Surg. 2012;36(1):220–2.

    Article  Google Scholar 

  16. Novo RC, Mundra LS, Miller N, Salgado CJ. Liposuction and lipofilling for treatment of symptomatic silicone toxicosis of the gluteal region. In: Liposuction: principles and practice. 2nd ed. Berlin: Springer; 2016. p. 543–50.

    Chapter  Google Scholar 

  17. Gold HL, Wang I, Meehan S, Sanchez M, Smith GP. Gluteal silicone injections leading to extensive filler migration with induration and arthralgia. Dermatol Online J. 2014;21:2.

    Google Scholar 

  18. Melnick S, Abaroa-Salvatierra A, Deshmukh M, Patel A. Calcitriol mediated hypercalcaemia with silicone granulomas due to cosmetic injection. BMJ Case Rep. 2016;2016:bcr2016217269.

    Article  Google Scholar 

  19. Singh M, Solomon IH, Calderwood MS, Talbot SG. Silicone-induced granuloma after buttock augmentation. Plast Reconstr Surg Glob Open. 2016;4(2):e624.

    Article  Google Scholar 

  20. Grippaudo FR, Spalvieri C, Rossi A, Onesti MG, Scuderi N. Ultrasound-assisted liposuction for the removal of siliconomas. Scand J Plast Reconstr Surg Hand Surg. 2004;38(1):21–6.

    Article  Google Scholar 

  21. Zandi I. Failure to remove soft tissue injected with liquid silicone with use of suction and honesty in scientific medical reports. Plast Reconstr Surg. 2000;105(4):1555–6; discussion 7–8.

    Article  CAS  Google Scholar 

  22. Klein JA, Jeske DR. Estimated maximal safe dosages of tumescent lidocaine. Anesth Analg. 2016;122(5):1350–9.

    Article  CAS  Google Scholar 

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Carruthers, K.H., Patete, C.L., Salgado, C.J. (2020). Ultrasonic Treatment of Silicone Injection Complications. In: Garcia Jr., O. (eds) Ultrasound-Assisted Liposuction. Springer, Cham. https://doi.org/10.1007/978-3-030-26875-6_11

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  • DOI: https://doi.org/10.1007/978-3-030-26875-6_11

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-26874-9

  • Online ISBN: 978-3-030-26875-6

  • eBook Packages: MedicineMedicine (R0)

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