What are the benefits of silicone as a dermal filler?

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Stuart A. Linder, MD
Plastic Surgery
I believe that silicone use as a derma filler has lost its place in history and is rarely used presently. The main problem with silicone injection is it permanency and difficulty to remove once placed. Most plastic surgeons opt for hyaluronic acids and autologous fat grafting rather than silicone use. Some surgeons do use silicone injection in nasal tip graft surgery to quickly and precisely enhance tip projection. Should the silicone migrate, however, removal can be extremely difficult. 
The advantage of medical-grade silicone as a filler is that it is permanent. When used to smooth lines and remove wrinkles it will not have to be done again. That said, there is a reason it has not been approved for this use by the Food and Drug Administration. Many doctors think as a dermal filler, silicone is unpredictable, its removal after use is difficult, and that the risk of complications is too serious. Those complications can include minor problems like bruising, swelling, and pain, or major problems like skin necrosis, infection, allergic reaction, or the formation of hard nodules.

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Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.