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Liquid injectable silicone for soft tissue augmentation.

Chad L Prather1, Derek H Jones

  • 1Department of Dermatology, Louisiana State University Health Sciences Center School of Medicine, New Orleans, 70116, USA. cprath@lsuhsc.edu

Dermatologic Therapy
|June 21, 2006
PubMed
Summary
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Modern purified liquid injectable silicone, when used with strict protocols, offers effective soft tissue augmentation for correcting scars and facial lipoatrophy with minimal complications. Its use is supported for long-term results in specific aesthetic and reconstructive applications.

Area of Science:

  • Dermatology
  • Plastic Surgery
  • Biomaterials Science

Background:

  • Liquid injectable silicone is a soft tissue filler with a history of complications, often linked to impurities.
  • Modern purified silicone products, approved by regulatory bodies, offer improved safety profiles.

Purpose of the Study:

  • To review the history and controversy surrounding silicone for soft tissue augmentation.
  • To describe current protocols, indications, and potential complications of using liquid injectable silicone.
  • To advocate for its continued investigation as a valuable treatment modality.

Main Methods:

  • Review of historical data and current literature on liquid injectable silicone.
  • Analysis of indications, patient selection criteria, and treatment protocols.

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  • Discussion of safety measures and anticipated complications.
  • Main Results:

    • Historical complications were likely due to adulterants, not the silicone itself.
    • Approved purified silicone, when used correctly, can achieve effective soft tissue augmentation with minimal adverse events.
    • The agent is effective for long-term correction of scars and facial contour defects, including HIV-associated lipoatrophy.

    Conclusions:

    • Liquid injectable silicone remains a controversial yet important agent for soft tissue augmentation.
    • Strict adherence to protocols ensures safety and efficacy for correcting specific atrophies.
    • Further research is warranted to fully explore its therapeutic potential.