“…In Colombia as elsewhere, injection of silicone or other fillers is seen as desirable because it creates an immediate contouring effect (Wallace, 2007). The self-administration of industrial-grade silicone, however, can cause body disfigurement, skin damage, fever, cough, apnea, allergic reactions, respiratory emergencies, and severe autoimmune and connective tissue disorders (Garcia Becerra, 2009; Wallace & Rasmussen, 2010; Wallace, 2007). Studies suggest that transgender individuals tend to be uninformed about the longer term and life-threatening effects of such treatments (Pitts, Couch, Mulcare, Croy, & Mitchell, 2009; Winter & Doussantousse, 2009).…”