Illicit Cosmetic Silicone Injection

Leonardi, Nicholas R.; Compoginis, John M.; Luce, Edward A.

doi:10.1097/sap.0000000000000756

Cited by 30 publications

(21 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In other cases, it can lead to major disrepair and prolonged healing. Leonardi et al [20] proposed a surgical treatment algorithm based on a literature review of treatment options and their own experience. Clinicians should be aware that it is not possible to take away silicone deposits.…”

Section: Discussionmentioning

confidence: 99%

Illicit massive silicone injections always induce chronic and definitive silicone blood diffusion with dermatologic complications

et al. 2019

View full text Add to dashboard Cite

Male-to-female transgender (MtF TG) individuals often report using illegal subcutaneous silicone injections for body feminisation. It leads to silicone dissemination and various dermatologic complications.We report the long-term complications of these feminisation procedures with blood smear examination and dermatologic examination.Between July 2015 and December 2015, 77 MtF TG consulting at Bichat Hospital (Paris, France) were included in this cross-sectional study. Blood smear examinations were performed by a trained haematologist to quantify the presence of silicone vacuoles in monocytes.All patients reported a history of massive amounts of silicone injections (mean 4 L, range 0.5–15 L). Most patients were South American (75/77, 97%). Fifty-nine (59/75, 79%) were HIV-seropositive, mostly with undetectable HIV RNA plasma levels (46/58, 80%). Clinical examinations reported dermatologic complications for all patients: lymphatic or subcutaneous migration of silicone (59%), inflammation (50%), varicose veins (39%), post-inflammatory pigmentation (20%), infection (14%) and abscesses (4%). Blood smear examination showed intracytoplasmic vacuoles containing silicone in monocytes in all patients.We did not chemically prove the silicone nature of the vacuoles. The design of this study does not allow evaluation of short-term complications that should not be minimized.Illicit massive silicone injections always induced chronic and definitive silicone blood diffusion with dermatologic complications. This study highlights the dangers and the inefficiency of clandestine esthetic surgery. There is a need for targeted information campaigns with transgender populations about silicone injections. Otherwise, these practices may persist.

show abstract

Section: Discussionmentioning

confidence: 99%

Illicit massive silicone injections always induce chronic and definitive silicone blood diffusion with dermatologic complications

et al. 2019

View full text Add to dashboard Cite

show abstract

“…(1) They were initially considered for medical use, but unfortunately their use has generated a growing negative impact on healthcare. (2,3) In 2017, The US Food and Drug Administration issued a warning to both patients and physicians against the use of injectable silicone for body contouring procedures. (4) Notwithstanding this caution, liquid silicone or biopolymers, are widely used both in females and males for buttocks and lips augmentation, or to correct facial furrows and wrinkles.…”

Section: Introductionmentioning

confidence: 99%

“…There is also a close association with tourism for cosmetic procedures. (2,3) This practice, and its growing complications have been considered an emerging epidemic. (2) The gradual increase of a wide variety of injectable substances in different areas of the body has shown multiple potential complications.…”

Section: Introductionmentioning

confidence: 99%

“…(2,3) This practice, and its growing complications have been considered an emerging epidemic. (2) The gradual increase of a wide variety of injectable substances in different areas of the body has shown multiple potential complications. Some of the most wellknown complications include migration, inflammation, edema, development of granulomas and infections.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Migration of liquid silicone, an emerging contraindication of neuraxial anesthesia

Zúñiga

Mojica-Manrique

Santos-Gutiérrez

et al. 2021

Colomb. J. Anesthesiol.

View full text Add to dashboard Cite

The illegal use of liquid silicone products or biopolymers in gluteal augmentation procedures is giving rise to multiple complications, with a significant negative health impact, both in the short and long-term. The migration of polymers to the sacral and lumbar region represents a major limitation to conducting neuraxial anesthesia procedures. This silicon migration is unpredictable through the superficial tissue as is widely described in the literature. Caudal, spinal and epidural anesthesia may cross the silicone in the fascia and contaminate the neural axis with substances that are highly capable of causing inflammation, edema and tissue necrosis. In order to improve the safety of neuraxial anesthetic procedures and avoid the potential risk of dissemination and contamination of the neural axis, this complication must be ruled out, or be considered an emerging contraindication for these anesthetic procedures.

show abstract

“…However, many cases of complication development due to the use of silicone for buttock, and similarly breast, enhancement have been reported. Rates of complications are especially high when adulterated silicone and large volumes are used, which often contains oil-based byproducts along with other often poorly-tolerated impurities [ 5 - 8 ]. Of the possible complications, filler migration with resultant granuloma formation is relatively common and thus important to recognize.…”

Section: Introductionmentioning

confidence: 99%

Filler Migration and Granuloma Formation After Gluteal Augmentation with Free-silicone Injections

Leyva¹,

Tran

Cibulas

et al. 2018

Cureus

View full text Add to dashboard Cite

Gluteal augmentation may be performed using a variety of techniques, including implant-based, autologous fat grafting, local flaps, impermanent filler injection, or, as in this case, by way of permanent filler injection with free-silicone. Of these, free-silicone injections carry one of the highest complication rates, specifically regarding migration of the filler material from the native injection site and induction of painful reactive soft tissue changes at the new filler location. A radiologist providing this diagnosis may assist the clinician, who often cannot obtain a history of illicit silicone injection for gluteal augmentation unless the suspicion is raised. Presented here is a case of painful filler migration to the knee with granuloma formation after free-silicone gluteal injection.

show abstract

Illicit Cosmetic Silicone Injection

Cited by 30 publications

References 12 publications

Illicit massive silicone injections always induce chronic and definitive silicone blood diffusion with dermatologic complications

Illicit massive silicone injections always induce chronic and definitive silicone blood diffusion with dermatologic complications

Migration of liquid silicone, an emerging contraindication of neuraxial anesthesia

Filler Migration and Granuloma Formation After Gluteal Augmentation with Free-silicone Injections

Contact Info

Product

Resources

About