Ultrasonic Treatment of Silicone Injection Complications

The injection of liquid and gel silicone for soft tissue augmentation first became popular in the 1950s for contour enhancement of the face, breasts, and body. Although the US Food and Drug Administration has never approved silicone in any form for injection to augment body tissues, there has continued to be a market for illicitly performed silicone injections. Complications from these injections can include the development of siliconomas and silicone toxicosis which presents as diffuse swelling with subcutaneous nodules and can be accompanied by debilitating pain, infection, or overlying skin breakdown. There is no cure for silicone toxicosis of the gluteal region; however there are techniques that can result in improved quality of life for patients affected by this condition. Ultrasound-assisted liposuction (UAL) allows for reduction of the toxin load and limits the inflammatory effects of the foreign body reaction. Combining UAL with traditional liposuction and fat grafting is an ideal option for patients with frequent pain and contour deformities who have persistent concerns over their appearance. Using this technique results in significant improvements in subjective pain and quality of life scores, while avoiding extensive surgical resections and maintaining favorable aesthetic results.