Archive for category Injection Hell
“In recent pictures it looks like Lisa Rinna seems to have gone back to the lip plumpers. Does she look like she’s injecting her lips again to you?”
She publicly underwent lip reduction surgery two years ago to fix her botched trout pout. After some complications Lisa Rinna finally sorted out the problem, but seemed to be sporting slightly fuller lips again as she stepped out in Beverly Hill on Thursday. The self-confessed plastic surgery fan, who filmed the reduction for her reality show, and has admitted to using botox, seemed in great spirits as she wandered around a few days into the new year, showing off her luscious, large lips. Although they’ve ballooned and reduced dramatically over the last few years, they seemed a little larger than she’s had them recently, but looked much more natural. Whatever’s happened to her lips, it’s unlikely that she’s opted for juvéderm treatments which gave her so many problems in the past.
As some of you might remember, Lisa Rinna told of her silicone lip injections of many years ago that in all likelihood trashed her lips. She later went to have some of the scar and inflamed mess removed surgically from her upper lip. The painful progressive growth of her silicone injected lip is not atypical of silicone gel injections. This is amongst the reasons we have warned against them here for years. There are safe lip injection products. Silicone gel is not one of them.
Well now after her little surgical procedure, Lisa’s lips are likely at least a bit misshapen. I’d bet she’s having some small maintenance injection therapy to minimize this disfigurement. So yes: I’d say she’s back on the fillers.
John Di Saia MD
The OC Register Blog posts on the tragic death of Solange Magnano, a former beauty queen in Argentina. The details are scant at present, but reports indicate that she had a procedure that she felt was low risk as a friend said, ‘She only underwent the procedure because she thought it was no big deal.’” A day later she had a pulmonary embolus and passed away.
Reports indicate that the woman was injected with polymethylmethacrylate microspheres (PMMA) with the purpose of enhancing her rear end. PMMA is a particulate substance (like small glass beads.) The US supplier of PMMA is based in San Diego. Artes Medical interestingly enough filed for bankruptcy last year. PMMA was originally approved for use in making facial wrinkles less apparent. Like most soft tissue fillers, it was designed to be used in small amounts in the face for the most part. This patient had injections for buttock enhancement presumably in much larger amounts which is probably where the potential for embolism became realized.
How does embolism happen?
The process of embolism involves a substance finding its way into a blood vessel (usually a vein) and moving within that vessel towards important structures, usually the heart, brain and/or lungs. Certain substances injected into certain places are more likely to do this than others. Lack of skill or training in the injecting makes the process even more likely.
When a thrombus (a blood clot) or a foreign substance such as silicone does so, it frequently lodges itself in a critical spot and stops blood from flowing. When blood stops flowing organs stop working. When important organs stop functioning even for short periods of time, the patient dies.
We have discussed other injection stories like this before. Large scale surgery can also lead to pulmonary emboli however. I am not sure I would even call this case a “plastic surgery death” as we are unsure as to whether the practitioner was a plastic surgeon and we know that this was injection therapy as opposed to “real” surgery. Suffice it to say we have discussed the danger of some injection therapies before and those who frequent this blog know to ask questions before an injection procedure.
You need to educate yourself before having any cosmetic procedure performed and have it done by the most qualified practitioner you can have.
John Di Saia MD
A cross-dressing man was charged with murder of a woman who he gave an illegal butt implant. Morris Garner, who dresses like a woman and calls himself Tracey Lynn Garner, was charged with depraved-heart murder meaning he had a callous disregard for the life of his victim.
Garner, 52, is charged with the death of Karima Gordon, who traveled from Atlanta, Georgia to Morris’ Jackson, Mississippi home to receive the treatment. Mississippi attorney general Jim Hood said that Garner had no training or official license to carry out that type of procedure.
What is this with transgender / cross dressers and silicone injections? Here we have another case of a less-than-trained individual doing a booty injection with a deadly outcome. As we have said before booty enhancement is not a good or reliable procedure and gambling on a less-than-trained injector is frequently gambling with your life.
I do like this “depraved-heart murder” charge. It has long been my opinion that untrained people who put the public at risk with their ignorance need to be held more accountable. If a doctor had done something like this they would thin slice his prick and hang it on a public wall.
A Word to The Wise:
If a funky looking cross dresser says he/she will make your booty bigger in a hotel room, you need to run! Butt injections are not safe or reliable and getting them in a hotel room may just end up with a horror movie ending.
That is putting your butt on the line.
John Di Saia MD
Reader Laura’s Comment:
“A woman who’s going by the name Vanity Wonder has written a book about her experiences as a black market patient getting illegal injections to becoming an assistant to one of the practitioners. Looking at pictures of this woman it looks like she has permanently disfigured her body. What future health issues does this woman have to look forward to especially since she admits to not even knowing what all was injected inside of her? Is there anything that she can do to remove the gel that was injected into her hips and buttocks? I have to wonder what she is going to do when the fad of larger than life backsides goes away.”
In a raw and honest account, Vanity Wonder, 30, a mother-of-two from America’s Midwest, has revealed how she became addicted to silicone shots to increase the size of her behind. Shot Girls sees her detail her own experiences of seeking out and having the injections, and how she became an assistant to a black market practitioner, who treated women as varied as a 17-year-old brought in by her proud mother and even a senior in her seventies with bifocals and false teeth.
We have discussed before the dangers of large volume injections to augment the size of the booty and thighs. People have died engaging in these treatments if you could even call them that.
The practice of injecting these varied and unknown materials into one’s body is foolish because quite frankly we do not know all that might happen later. She can have them surgically removed but it will more likely than not leave her looking quite deformed. The materials might become infected, scarred or be ejected by the body. This can happen with silicone injections as well as any other incompatible material. Embolization (traveling of the material through the veins) is possible although this tends to happen earlier as opposed to later. Embolization as we have seen can be fatal.
But society has changed. Instead of calling these people for what they are (because that would be “hating,”) we give them a pass by branding them “victims” and “addicted.” This person will likely even profit from a book deal. Society used to brand people engaged in foolish behavior and by doing so others were discouraged from following in their tracks. When people profit from foolishness, the potential for someone else to go down that road just increases all the more.
John Di Saia MD
My friend has ridiculous silicone (liquid injected years ago) lips. What can be done to help?
Facial filler injections are much safer today than they have been in the past. The main reason is that the filler agents themselves have improved. This of course assumes that your injector chooses wisely for you. The volume injected is the most common problem these days.
We still read of silicone injections and the mess they can produce. The main reason is that injected silicone tends to become encased in scar and these scar/silicone lumps frequently grow over time. This happens noticeably in old silicone injected in lips frequently. It is a hard problem to address although it can produce a story line for your reality show. Just ask Lisa Rinna.
All kidding aside, the problem is usually addressed by excision (cutting out the silicone) if conceivable. This is not always possible due to the lack of healthy tissue available to reconstruct the lips to make them look normal.
The moral of this story is: “Just say ‘No’ to silicone injections.”
John Di Saia MD
You read a title like this and figure this is some made up story or a joke. It is unfortunately true this time:
Reader Laura’s Comment:
“Here’s another horror story about a non-medical professional injecting silicone into someone. This time someone died. There does seem to be more and more of this happening these days and the story talks about it being the economy being the cause but I can’t imagine ever being poor enough to trust someone like the person involved in this incident. The guy who died had silicon injected into his penis. He was trying to have it enlarged and wound up getting a clot in his blood that killed him. They say that it is not unusual for the silicone to migrate to the bloodstream and form a clot. Is it ever a good idea to inject anything into your penis?”
A fake doctor injected a man’s penis with silicone, killing him, police said Friday. Justin Street visited Kasia Rivera, 34, at her home in New Jersey for the penis enhancement procedure on May 5, prosecutors say. But just a day after attending the so-called ‘pumping-party’ the 22-year-old was dead. Street suffered a clot to the lungs and died. A medical examiner determined he died of a silicone embolism.
We have discussed the risk of silicone injections here many times before. In my opinion, good surgeons do not use silicone as an injectible. It just has too many ways to go wrong. The most deadly apparently happened in this case. Silicone embolism is the movement of silicone gel and/or clot in the blood vessels to a distant site. When such a gel clot finds its way to the heart, lungs or brain, it can make this a fatal injection. The relative ease of this complication is amongst the reasons silicone is not a good choice as an injectible product.
Why a man would allow a penis injection of silicone gel is not immediately obvious to me. The penis being a very vascular (blood vessel rich) organ makes the possibility of embolism quite high. This was a set up for disaster.
It is somewhat surprising that people are more frequently allowing silicone injections and silicone injection deaths are becoming more frequently reported. It is equally surprising that people allow unqualified injectors to treat them, but then again as I have mentioned most qualified injectors do not inject silicone.
John Di Saia MD
We posted previously on Oneal Ron Morris, a transsexual charlatan who has been injecting clients with his own home brew of filler agents resulting in disastrous consequences. A victim of his facial services has surfaced:
The lumpy cheeks, misshapen chin and ballooning upper lip are still visible on Rajee Narinesingh’s face; more than two years after she says she received a backroom cosmetic procedure from a man police say performed numerous, botched, unlicensed procedures. “I had to end up going to surgery, to get me even to this point,” Narinesingh told CBS4′s Gary Nelson Monday, pointing to the disfigurement she still is trying to have reversed. Narinesingh is among multiple alleged victims of Oneal Ron Morris, a transsexual who is alleged to have performed cosmetic procedures in homes and apartments.
Rajee Narinesingh apparently met Oneal Ron Morris via referral in the transsexual community. She likely did not bother to look into Morris’ credentials. Reportedly she allowed Morris to provide a series of facial injections of a concoction of commercially available agents that you could buy at Home Depot. These injections appear to have reacted with her facial tissues resulting in lumps and bumps that will likely only be able to be removed in part in order to prevent further degradation of her appearance.
Despite the fact that filler injections can be offered by non-physicians, patients need to be diligent in choosing their providers. When you go cheap, you are entertaining the potential for significant risk and may obtain results that might not be easily subject to repair. Qualified doctors do not do incredibly cheap work in hotel rooms and apartments.
When you go this route, permanent disfigurement or even death might follow. This isn’t grand standing. It is the truth.
Plastic surgery risk can be minimized, but not when you go to the dark dingy corner of a seedy motel for treatment. You need to go to a skilled professional or not go at all.
John Di Saia MD
This title sounds like a B movie to be doesn’t it? Nope. It actually happened.
Reader Laura’s Question:
“Here’s another horror story about a fake doctor injecting cement, super glue and tire sealant into someone and nearly killing them. The “patient” unsurprisingly contracted an infection, MRSA, and had to go to the hospital for treatment. I’ll never understand how someone can think it’s a good idea to let someone do something like this.”
Transgendered woman Oneal Ron Morris, who by his own picture appears to have undergone the ‘butt-boosting’ procedure himself, is accused of administering the potentially lethal shots to at least one victim. The 30-year-old, who police say is a man but appears to look like a woman, was detained in Florida…Police say the victim was given a series of injections containing cement, mineral oil and Fix-A-Flat tyre inflator and sealant. The incision was sealed with super glue. ‘A short time later, she develops very serious pains, abdomen, throughout her body. She knows something is wrong.’ He said the woman visited two local hospitals, before heading to Tampa General Hospital, where she received treatment.
Cheap plastic surgery commonly increases risk in particular because the unqualified tend to offer it. In this economy there are probably more people looking to cut corners to get their cosmetic desires fulfilled. Still when it comes to booty boosting procedures, there are few if any that are without significant risk. Even if you were willing to spend more money to get this done, you would likely find a paucity of good talent to do it for you. Qualified plastic surgeons tend to be risk adverse.
As we have discussed before, injecting large amounts of fillers into an area like the buttocks is an invitation to disaster. This latest victim is lucky not to have been killed as the injected material was not only not sterile, but composed of much less-than-biological materials.
John Di Saia MD
“Lisa Rinna Lips” is the real topic of this story:
News of the burglary overshadowed Rinna’s earlier revelation that she’s had that famous, artificially enhanced upper lip of hers reduced through cosmetic surgery. The actress, 47, revealed to People magazine she underwent the surgery in August to reduce the pillowy upper lip she had injected with silicone on a whim back in 1986. In the couple’s first segment on TODAY Tuesday, she told Meredith Vieira, “I did it because I no longer wanted my lip to define me. I had never thought that you could do anything about it, and I found out there is something you can do. I had no idea you could reduce it, so I was like, ‘Yes! Let’s do it.’ ”
As Ms Rinna was doing her media rounds for her reality show, the subject of her famous lips of course came up. She apparently described her recent procedure as a lip reduction. This was much more likely a “removal” operation designed to cut out the silicone scar from her silicone injections of years prior. Liquid silicone when injected into soft tissue does not usually stay soft over time. It frequently becomes encased in firm scar at times forming hard lumps which can hurt.
Lip surgery to remove old silicone injected there is the only real way to improve people who have had silicone lip injections. Ms Rinna’s lips were becoming kinda funky. It is difficult to know how much of this was the silicone and how much might have been something else she had used. Surgical excision (in Ms Rinna’s case reduction) is not always feasible. Hers worked out well by report.
The better alternative when first considering lip augmentation is to choose a safer filler and use a moderate amount at most. Silicone injections are best avoided. Hyaluronic acid based fillers (Restylane, Prevelle, etc) are much safer, but do not last too long.
John Di Saia MD
Originally posted 2010-10-06 07:30:49.
In one of the more bizarre DIY plastic surgery stories, an Illinois woman has injected beef fat into her face and died:
The woman, Janet Hardt, injected hot beef fat around her mouth and chin, a practice those close to her say she has done on multiple occasions. Why? The initial reports don’t give any indication as to what prompted this dangerous routine, though one might presume that it was some sort of wrinkle-reduction or anti-aging routine.
The injections caused infections in her face, but those did not contribute to her death. The autopsy reports say that Hardt died of peritonitis, “a severe abdominal inflammation caused by a bacterial infection suffered because of weakened walls in her colon.”
While the practice is hardly recommended, it does illustrate the length to which some people will go to take matters into their own hands. Too bad there are no available images of the woman to illustrate the burns and infection that would make this a poor practice, so that others might get the idea. DIY plastic surgery (as this was likely the woman’s motive) can have disastrous results. The more common example is the injection of liquid silicone which is actually more commonly linked to death.
John Di Saia MD