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Injectable silicone for facial soft-tissue augmentation.

R C Webster, J M Gaunt, U S Hamdan

    Archives of Otolaryngology--Head & Neck Surgery
    |March 1, 1986
    PubMed
    Summary
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    Medical-grade injectable silicone, used via microdroplet technique, safely augments facial soft tissues. This 20-year study shows silicone induces collagen, enhancing the augmentation effect.

    Area of Science:

    • Dermatology
    • Plastic Surgery
    • Biomaterials

    Background:

    • Facial soft-tissue augmentation is a common cosmetic procedure.
    • Injectable silicone has a history of use in aesthetic medicine.
    • The microdroplet technique is a specific method for silicone injection.

    Purpose of the Study:

    • To evaluate the safety and efficacy of medical-grade injectable silicone for facial soft-tissue augmentation.
    • To present a 20-year experience with the microdroplet technique.
    • To discuss indications and injection techniques for silicone augmentation.

    Main Methods:

    • A retrospective review of 235 patients undergoing facial soft-tissue augmentation.
    • Analysis of 2,811 treatments using the microdroplet technique with medical-grade injectable silicone.

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  • Documentation of indications including furrows, grooves, facial eminences, and depressed scars.

    • Main Results:

    • Medical-grade injectable silicone was safely and efficiently used in 235 patients.
    • The microdroplet technique was applied in 2,811 treatments over 20 years.
    • Augmentation effect exceeded the volume of silicone injected, attributed to induced collagen deposition.

    Conclusions:

    • The microdroplet technique with medical-grade injectable silicone is a safe and effective method for facial soft-tissue augmentation.
    • The procedure leads to significant augmentation, partly due to induced collagenesis.
    • Long-term experience supports silicone's role in facial rejuvenation and scar treatment.