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Category: Blog

15 Aug

Buttock liquid silicone injections part 5 – complications

The reaction of liquid silicone can be presented in different ways. For example, we know that not all the patients that have silicone injection have developed significant complications. It seems that when a high amount of silicone is injected, almost all of the patients will develop palpable nodules. The average time of presentation is nine years. It can take decades for some of the complications to manifest. So, just because nothing happens right away, it does not mean that you will not have a problem in the future. You might be lucky to survive a high volume of silicone in your buttocks.Some of the complications could be the following:1. Multiple and painful lumps2. Skin inflammation3. Skin breakdown4. Granuloma5. Recurrent Cellulitis...
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15 Aug

Buttock liquid silicone injections part 6 – granuloma formation

Silicone granuloma (painful nodes) is the most common complication of liquid injectable silicone.  Granuloma is a medical and pathological term used to describe the formation  of a mass of immune cells, inflammatory cells and scar tissue that forms when the immune system attempts to wall off substances that perceives as foreign but is unable to eliminate. When silicone is injected into the buttocks or any other area of the body, a similar response occurs. The reaction of liquid silicone injected to the buttocks vary considerably and depends on the amount and type of silicone injected. There are two general clinical presentations. In the first one, the patient presents painful multicystic lumps on the buttock area. This can occur in the...
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13 Aug

Buttock liquid silicone injections part 4 – history of liquid silicone injection

To understand the complications of silicone injection to the butt for augmentation we need to understand the history of silicone injection in the breast.Dow Coming Corporation created the first medical grade silicone in the early 1960’s. There were three early silicone products: Dow Corning 200 fluid, Dow Corning 360 Medical Fluids and Dow Corning MDX 4-4011.  The misuse of silicone is clearly documented in the docks of Yokohama Japan were the Dow Corning 200 was being stolen and injected into prostitutes who wanted to have bigger breasts to cater United States Service men who prefer women with larger breasts than the Asians. This product was never intended for use for industrial purposes.  Subsequently, Dow Corning 200 was purified and became...
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9 Aug

Buttock liquid silicone injections part 3 – fda approved liquid silicone

Silicone does have a role in the medical field. Silicone is used in surgical dressing, implants, and ointments for scar treatment. In addition, the FDA approved liquid silicone in 1994 for the management of retinal detachment caused by a cytomegalovirus in patients suffering of AIDS.  In 1997, the first commercial formulation using liquid silicone was approved by the FDA under the name of ). Subsequently, in 2001, the FDA approved another commercial formulation called Adatosil 5000 (Baush and Lamb) for the same ophthalmologic indications.If the FDA approved the liquid silicone, it must me safe to use it anywhere? Sign me on! Not so fast. According to Alcon USA, Silikon 1000 and Adatosil are indicated for use as a prolonged retinal...
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9 Aug

Reshaping the body with liposuction

In the , my patients frequently want to reshape or contour the stubborn areas of the inner thighs, outer thighs, and waist. Liposuction is a very good option, if used properly to enhance and balance the waist to hip ratio. The key for successful results is, not only to remove the excessive fat,  but to balance your figure based on your overall proportions.The ratio of an aesthetically beautiful female figure is a waist to hip ratio of about 0.7. In other words, liposuction is, not just the removal of fat from unwanted areas, but also creating the illusion of a more proportionate body. This is very important in gluteal sculpting were aggressive liposuction of the lower back accentuates the take...
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7 Aug

Buttock liquid silicone injections part 2 – mechanism of reaction

Any foreign body or device that is introduced in the body will create an inflammatory reaction. This is the way our immune system protects us from anything that it does not recognize. Liquid silicone is not an exception to this rule. Silicone injection can create inflammatory nidus, sinuses or fistulas, and granulomas that can be extremely painful.When silicone is injected in the buttock, breasts, or any part of the body, a cell called a macrophage interacts with the silicone starting an inflammatory response. This chronic inflammation results in a mass of chronically inflamed tissue with very specific microscopic characteristics. This inflammation, not only occurs locally, but because liquid silicone is known to migrate,it can affect other parts of the body....
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5 Aug

Brazilian buttock lift and laser lipo

Fat is removed for a Brazilian butt augmentation with liposuction. There are different liposuction techniques that can be used to harvest the fat including traditional liposuction. In my practice, I use power-assisted liposuction for this procedure. Power-assisted liposuction is similar to traditional liposuction in that it uses a suction cannulla, but the cannula vibrates back and forth allowing the extraction of viable fat. Now, the power of this liposuction cannula needs to be decreased by half because it will damage the fat for subsequent transfer.In my , I typically wait for about 6 months after a Brazilian Buttlift before revising an area that requires additional contour. Any type of lipo can accomplish this task including laser lipo. Although I am...
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5 Aug

Buttock liquid silicone injections part 1 – understanding liquid silicone.

I am seeing an increasing number of patients that comes to my clinic with concerns about butt injection with fillers including silicone. I have also seen patient with silicone penis injection and silicone breast injections. Silicone is one of those fillers that appear to be increasing in use for the purpose of buttock augmentation. In the next few blogs I will discuss the properties of silicone, it mechanism of action and the impact it has in the body.In order to understand the role of silicone in soft tissue augmentation there are some basic concepts that are important to realize. Silicone oil by definition is any oil composed of polymers with different molecular weight of polydimethylsiloxane.  Silicone with different length of...
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2 Aug

Butt lift and a tummy tuck – timing for surgery

In , I perform butt reshaping very frequently. To answer your question in regard to having multiple procedures done at the same time, including a tummy tuck, you have to understand what involves the postoperative recovery of the fat transfer procedure to the buttock area and what the procedure is about. The fact is that as much fat as possible is needed to reshape the person’s butt and make it proportionate to the body frame. In other words, fat will be taken from the abdomen, flanks, back, and axilla among other areas. Now, after surgery, you can’t sit constantly on the buttock for approximately 10-14 days to make sure the fat is not damaged. If going to the bathroom, the...
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