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Ten-year experience using injectable silicone oil for soft tissue augmentation in the Philippines.

BACKGROUND: No ideal, permanent filler is approved by the U.S. Food and Drug Administration. Repeated injections of new temporary fillers make this cosmetic procedure expensive.

OBJECTIVE: To show that silicone oil is effective, safe, economical, and permanent.

MATERIALS AND METHOD: The age, sex, number, indications, sites, adverse reactions, total amounts injected, and clinical cosmetic results of 206 cases were tallied.

RESULTS: Females (82%) outnumbered males (18%). The majority were in the 21- to 30-year age group. Fifty-five percent had acne scars, 42% nasolabial grooves, 13.5% marionette lines, 12.6% glabellar lines, 9.8% postvaricella scars, 9.3% inframalar depressions, 1.8% post-traumatic scars, 1.4% lipodystrophy, 1% lip augmentation, 0.9% sleep lines, and 0.4% contour defect. Fifty-one percent had < or = 0.5 cc, 22% 1 cc, 7% < or = 1.5 cc, 7% < or = 2 cc, and 12% >2 cc. Clinical improvement was graded excellent (76-100%), good (50-75%), fair (26-50%), and poor (< 25%). Seventy-two percent had excellent results, 18% good, 2% fair, and 0.5% poor. Seven percent were lost to follow-up. Two percent (n=5) had transient erythematous papules lasting 2 to 6 weeks, with the exception of two patients.

CONCLUSION: Silicone oil injected with the correct indications and techniques and with microdroplet injections is a safe, economical, and permanent dermal and subcutaneous filler. Rare permanent erythematous papules and transient ecchymoses appear on deep dermal injections.

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