Massive injection of liquid silicone for hemifacial atrophy

Liquid silicone injection for soft-tissue augmentation remains a controversial procedure despite 30 years of clinical use which has demonstrated exceptional results in patients with severe facial atrophies. This article describes a case in which massive silicone injection was used to treat hemifacial atrophy. Over a 9-year period, 11 injections totaling 97 ml of liquid silicone were administered to the patient, representing the largest volume of silicone ever injected into the face. In the 16 years following the first injection, there have been no major complications and the patient has experienced a greatly enhanced body image and improved self-esteem. Although liquid silicone for injection remains under investigation, its use in patients with hemifacial atrophy may produce dramatic results with minimal complications.