Liposuction and lipofilling for treatment of symptomatic silicone toxicosis of the gluteal region

Christopher Salgado, Varsha R. Sinha, Urmen Desai

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Background: Silicone injection can cause numerous posttreatment complications-including debilitating pain, cellulitis, abscesses, overlying skin compromise, and siliconomas distorting overlying tissues-that can be difficult to manage. Objectives: The authors evaluate liposuction as a treatment for patients experiencing complications from silicone injections to the gluteal region, to both preserve aesthetic appearance and minimize further risk of complication from these procedures. Methods: Eight patients (7 women and 1 man) who presented consecutively to us between 2010 and 2013 with complications from silicone injections to their gluteal region were enrolled in this study. Each patient was evaluated by computed tomography scan and a 0 to 6 visual analog scale for pain. Emergency room (ER) visits, previous hospital admissions, and cellulitis requiring antibiotics in the 12 months prior to treatment were recorded. Patients were treated with ultrasonic and standard liposuction followed by lipotransfer into the gluteal musculature. A Student t test was used for statistical comparison of pre- and postoperative values. Results: Average patient age was 36 years (range, 25-43 years). All patients initially presented with intense pain as assessed by a visual analog scale; by the 12th week postoperatively, the entire cohort experienced remission in pain. At 1 year postoperatively, no patients had infections (vs 75% preoperatively; P = .028), visited the ER (vs 50% preoperatively; P = .058), or were hospitalized (vs an average of 1.5 hospitalizations per patient preoperatively; P = .066). Conclusions: Liposuction with immediate intramuscular fat transfer for buttock augmentation appears to be a safe surgical option that preserves aesthetic appearance for patients with gluteal silicone toxicosis.

Original languageEnglish
Pages (from-to)571-577
Number of pages7
JournalAesthetic Surgery Journal
Volume34
Issue number4
DOIs
StatePublished - Jan 1 2014

Fingerprint

Lipectomy
Buttocks
Silicones
Cellulitis
Therapeutics
Esthetics
Pain
Injections
Hospital Emergency Service
Pain Measurement
Visual Analog Scale
Ultrasonics
Abscess
Hospitalization
Fats
Tomography
Students
Anti-Bacterial Agents
Skin

Keywords

  • body contouring
  • cellulitis
  • gluteal augmentation
  • lipofilling
  • liposuction
  • lipotransfer
  • silicone
  • silicone complications
  • siliconomas
  • ultrasound-assisted liposuction

ASJC Scopus subject areas

  • Surgery
  • Medicine(all)

Cite this

Liposuction and lipofilling for treatment of symptomatic silicone toxicosis of the gluteal region. / Salgado, Christopher; Sinha, Varsha R.; Desai, Urmen.

In: Aesthetic Surgery Journal, Vol. 34, No. 4, 01.01.2014, p. 571-577.

Research output: Contribution to journalArticle

Salgado, Christopher ; Sinha, Varsha R. ; Desai, Urmen. / Liposuction and lipofilling for treatment of symptomatic silicone toxicosis of the gluteal region. In: Aesthetic Surgery Journal. 2014 ; Vol. 34, No. 4. pp. 571-577.
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