Hello, DrC here.
For the longest time, I was an opponent to the use of silicone oil because of its known side effects related to the high volumes used for buttocks, breasts, muscles, etc.
During the epidemic of full-blown aids and facial lipoatrophy, several doctors in NY and LA published about the safety and effectiveness of a specific technique that preconized the off-label use of tiny drops (micro-droplets) of medical-grade silicone oil injected independently in small areas and low volume.
I was there, working with facial lipoatrophy patients since the early 2000s and amongst my
PMMA patients, there were many that had been treated with the silicone microdroplet technique in the US; some of them still come to my office occasionally.
My observation of a large number of those patients and the scientific publications backing up the safety of silicone in microdroplets (Derek Jones MD and others) gave me the confidence to offer it for the smooth finish in
Phalloplasty patients, and it proved safe again. There are other publications of safe results for the treatment of acne scars as well.
However, no medical procedure is 100% safe; an extremely low number of patients are intolerant to the product, and I learned about it the hard way: one patient presented a fierce reaction a short time after receiving a couple of sessions of it, and the treatment has been very difficult because (different from
PMMA and
PCL and
HA) the product is not extractable.
One complicated patient is way too many, and I did not want to risk finding another person with the same predisposition. I removed it from my practice.
All of us that received the microdroplets back then is safe and no adverse reactions are expected since our bodies have accepted and encapsulated it with no problem.
The reason for the video published at the beginning of this thread is to help fight those practices that use the silicone oil not only as microdroplets but
especially those that use it in large volumes: the risks skyrocket, and migration and deformity add up to the possibilities of complications.
Last but not least, my awareness pinpoints to the worst of all: the unethical use of silicone oil by practices that falsely offer it as "
PMMA", "growth factors", "super-collagen", personal brands, and other names that give the idea of an ethical product, or no brands at all.
I hope that other practices and physicians endorse the
PhalloBoards No-Silicone-Zone initiative.