Posts Tagged Lip Silicone

Reader Question: Silicone Lips Treatment?

Reader Question:

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.”

Best Regards,

John Di Saia MD

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Lisa Rinna Lips – Silicone Removal / Reduction

“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.’ ”
Source: today.msnbc.msn.com/id/39517415/ns/today-entertainment/

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.

Best Regards,

John Di Saia MD

Related:

Safe Modest Lip Filler Placement

Originally posted 2010-10-06 07:30:49.

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Cat Cleavage Meets Dr D at Glamourcon

Dr D Orange County Plastic Surgeon and Cat Cleavage at Glamourcon 2010

My trip to Glamourcon was an exploration of sorts. Amongst potential goals was to speak to some models who were OK with their plastic surgery experience and felt free about talking about it. These ladies are rare. Some feel better knowing their interviewer is a plastic surgeon.

I did meet a sweet gal by the name of Cat Cleavage. Cat has been a model and porn star over the years and admittedly has had more than her fair share of plastic surgery. Not all of it has gone so well.

She openly admits to 9 breast implant operations. She has had problems with contracture (breast hardening.) She is a smoker, but has not had silicone gel implants. I did not examine her as we were in the middle of a convention hall. She talks about problem with thinning breast tissue over the implants. Cat is starting to think about going smaller but is hesitant about larger breast lifts for fear of scarring. She has also had soft tissue fillers of the lips including a “knockoff silicone” that caused lumps that she needed removed in part and several facelifts. She has had four surgeons.

We talked in a generic sense about what might be done about her issues. Cases like hers are not easy, but improvements can be made.

Best Regards,

John Di Saia MD

Originally posted 2010-11-15 07:30:24.

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Reader Question on Injected Silicone Options

Reader Question:

I had free silicone injected into my lips about 10 years ago. Needless to say they are now bumpy and unsightly. I am concerned that removing the silicone will only result in another deformity. What are my options?

Lisa Rinna’s revelation that she had had silicone lip injections and sought removal helped bring the subject to light.

Free silicone injections change once they contact tissue sometimes becoming encased in scar and inflammation (swelling.) They can grow larger and harder over time (years) and hurt. Removal is ideal if the loss of the volume wouldn’t produce a bigger problem than the lumps themselves represent. You can’t just cut out tissue that you need to look normal without a good way of replacing it. With silicone injections replacement of that removed scarred tissue in sensitive areas is often the main problem.

Aside from surgery sometimes steroid injections can help with the inflammation to get the injected areas to calm down. Managing the problems that can arise with injected silicone can be difficult, so I would encourage you to see a good plastic surgeon to have the area(s) examined and have your options presented to you.

Best Regards,

John Di Saia MD

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Lisa Rinna – Silicone Lip Injections She Says

“This is the first time I have told what I have done to my lips. 23 years ago, I had silicone put in my top lip not the bottom lip. [The look] made me who I am. But after years and years, you develop scar tissue,” she said.
Source: thehollywoodgossip.com/2009/05/lisa-rinna-speaks-on-plastic-surgery-gone-horribly-horribly-wron

Silicone gel injected into the lips can really make a mess. She actually looks good for having had this done.

The Moral: no silicone gel injections in the lips.

Best Regards,

John Di Saia MD

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