Silicone fluid, attractive and dangerous: Collective review and summary of experience

Piechotta, F. U.

doi:10.1007/bf01577874

Cited by 21 publications

(2 citation statements)

References 79 publications

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“…Also, patients can develop complications such as foreign body reactions, nodule formation, ulcerations, chronic cellulitis, and distant migration of the material. 8-10 Rapaport et al 5 has indicated that the typical side effects seen in the past were attributable to the following: ( a ) contaminated materials, ( b ) poorly trained physicians, ( c ) injection of too much volume, and ( d ) too superficially located injection. Although silicone is believed to be chemically inert, this substance is biologically not inactive.…”

Section: Discussionmentioning

confidence: 99%

Rare Complication of Silicone Fluid Injection Presenting as Multiple Calcification and Skin Defect in Both Legs

Lee

Choi

2015

The International Journal of Lower Extremity Wounds

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In the past, many materials have been injected for soft tissue augmentation including paraffin (mineral oil) and other non-biocompatible products. Liquid silicone as one of these materials has a long and notorious history as an injectable material for soft tissue augmentation. However, complications, including cellulitis, ulcerations, migration, and nodule formation, have also been reported with silicone injections. This article aims to demonstrate the diagnosis and treatment of multiple calcification and skin defect after silicone fluid injection for soft tissue augmentation. A 65-year-old female presented with skin defect and calcifications had been steadily increasing in size over a 3-month period. Examination confirmed pain, swelling, induration, and 5 × 5 cm sized skin defect with marginal and adjacent calcification in the left lateral malleolar area. She had been injected silicone fluid for soft tissue of lower extremity augmentation and contouring 30 years ago. Serial surgical debridement of this entire zone of calcification and ulceration was undertaken. The defect was closed by a split thickness skin graft. She was satisfied with the aesthetic appearance of the lateral malleolar area, relieving the symptoms of cellulitis.

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Section: Discussionmentioning

confidence: 99%

Rare Complication of Silicone Fluid Injection Presenting as Multiple Calcification and Skin Defect in Both Legs

Lee

Choi

2015

The International Journal of Lower Extremity Wounds

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show abstract

“…These complications have been described elsewhere. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16] Surgical treatment of facial deformity caused by the silicone nodules is seldom reported. Because the frontal nerve courses through the temporal area, surgeons usually hesitate to remove the siliconoma present in this area for fear of injury to the nerve.…”

mentioning

confidence: 99%