My advice avoid silicone.
• The only FDA-approved silicone oil is a highly purified grade used as a temporary retinal tamponade inside the eye. Providers injecting the penis use non-approved, “proprietary” mixtures whose composition, particle size, and sterility are unknown. Why are they using it – because it is cheap for them to buy.
• Unlike
HA, silicone provokes a long-term granulomatous response. Over months to years the injected area can become hard, lumpy, painful, and discolored as scar tissue forms around countless microscopic droplets. These siliconomas may enlarge or migrate unpredictably.
• Liquid silicone can track into surrounding skin,
Dartos fascia, or scrotum, leading to distortion, ulceration, and even
Necrosis. Some men present years later with severe curvature or erectile pain that was not present initially.
• It is Irreversible – Treatment usually means surgically excising the entire affected skin sleeve and resurfacing with skin grafts—major reconstructive surgery with visible scarring.
• Delayed complications are common, not rare – Systematic reviews and single-center case series report complication rates well over 20 %; many require multiple operations to correct deformity or persistent inflammation.
Bottom line: Liquid silicone may seem “permanent,” but the permanence applies to its problems, not just its volume. The potential for painful granulomas, migration, and the need for disfiguring surgery makes silicone a gamble that simply is not worth taking when safer, reversible options are available.
Dr. S