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  • It is currently Wed Jun 19, 2013 7:34 am

Silikon 1000 bruising/redness duration ?

section of the forum is dedicated to discussions addressing injectable fillers including Restylane, Perlane, Juvederm, Radiesse, Sculptra, Silicone, Artefill, or other office-based injectable filler, except for the management of acne scarring (See Acne/Acne Scarring Forum).
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Silikon 1000 bruising/redness duration ?

Postby leonardshelby » Fri Sep 30, 2011 7:19 pm

Dr Lam,
Thank you for this site.
I had silicone injected on Wednesday, two days ago, in an atrophic scar under the right corner of my mouth. I went to a very experienced injector.
I get conflicting answers from different people at the clinic. The injector says the redness should be gone in two days, or at the most by Monday (five days). One of the assistants says she's had silicone done many times there at the clinic, and she's always bruised for four days, so she says it's no big deal to be red for a week, as long as the redness isn't getting worse. She said if it gets redder, or hot, or painful, that would be an infection. So far, it's not hot or painful, so I don't think it's an infection.
My fear it that it's an "idiosyncratic inflammatory reaction" that I've read about in other papers about liquid silicone injections.
I can't seem to find any time series of photos on what the bruising/redness is supposed to look like after silicone injection.
I noticed in one of your previous answers, you said that you didn't do silicone for areas under the eye, because the technique required multiple injections causing "crazy bruising".
This was actually very comforting to me. Does the nature of the micro-droplet technique always cause bruising, because it requires multiple injections?
I'm feeling very alone and confused and scared. The clinic I go to is very nice, and they did spend time with me on the phone answering questions. Yet I still feel alone and and scared, like I don't have enough information.
I don't know if my skin is healing ok, or if I have excessive redness that is going to be permanent, or last a long time.
I was hoping I could ask you.
When you do silicone (Silikon 1000) injections into an atrophic scar, does it always get red? Is this just the nature of the micro-droplet technique? For how many days do you expect redness? Is the area under the corner of the mouth more vascular, and thus more prone to redness and bruising?
At what point should I be worried that the redness is taking too long to fade?
Thank you in advance if you have the time to answer my questions. It would mean a lot to me. I'm recovering alone... and one's thoughts can go off in terrible predictions with no one around to calm you down.
leonardshelby
 
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Re: Silikon 1000 bruising/redness duration ?

Postby dr. lam » Sat Oct 01, 2011 7:09 am

first of all, you should stop googling things because you will always find something that will terrify you. what you are describing sounds normal to me but as always i defer to your care provider. redness, bruising, etc. are always possible after any treatment especially injections. i cannot say how long because it can be variable. typically a few days to a week but i have seen redness reaction even last a few weeks to possibly a few months if the skin is irritated not specifically with silicone but with almost any treatment this is possible.
:)
Samuel M. Lam, M.D., F.A.C.S.
Diplomate, American Board of Facial Plastic & Reconstructive Surgery
Diplomate, American Board of Otolaryngology Head & Neck Surgery
Diplomate, American Board of Hair Restoration Surgery
dr. lam
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Joined: Wed Oct 03, 2007 10:51 am
Location: Dallas Texas
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