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The use of injectable silicone for aesthetic purposes, despite long-standing global warnings, remains a significant health issue in Chile. Often administered by non-medical personnel, liquid silicone infiltrates soft tissues, leading to both acute and chronic complications, including granulomas, deformities, and systemic inflammation. A 2021 Chilean Ministry of Health survey revealed widespread use among trans women, prompting regulatory concern. Diagnostic imaging, particularly high-resolution color Doppler ultrasound, has become essential for identifying silicone and its complications, surpassing other methods like magnetic resonance imaging (MRI). Ultrasound helps differentiate silicone from other fillers and detect tissue migration and inflammatory responses. Treatment options include expectant management, pharmacological therapy, and reconstructive surgery, tailored to the extent of infiltration and patient symptoms. Non-surgical aesthetic procedures are generally contraindicated due to the risk of triggering immune responses or migration. Color Doppler ultrasound is the diagnostic tool of choice in Chile, guiding individualized treatment strategies for patients suffering from complications related to silicone use.

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Chilean Experience in the Management of Patients Injected with Silicone

  • 章节

  • 发表日期：

    2026年

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  • Montserrat Fontbona,
  • Teresa De la Cerda,
  • Ximena Wortsman,
  • Natacha Quezada Gaón

摘要

The use of injectable silicone for aesthetic purposes, despite long-standing global warnings, remains a significant health issue in Chile. Often administered by non-medical personnel, liquid silicone infiltrates soft tissues, leading to both acute and chronic complications, including granulomas, deformities, and systemic inflammation. A 2021 Chilean Ministry of Health survey revealed widespread use among trans women, prompting regulatory concern. Diagnostic imaging, particularly high-resolution color Doppler ultrasound, has become essential for identifying silicone and its complications, surpassing other methods like magnetic resonance imaging (MRI). Ultrasound helps differentiate silicone from other fillers and detect tissue migration and inflammatory responses. Treatment options include expectant management, pharmacological therapy, and reconstructive surgery, tailored to the extent of infiltration and patient symptoms. Non-surgical aesthetic procedures are generally contraindicated due to the risk of triggering immune responses or migration. Color Doppler ultrasound is the diagnostic tool of choice in Chile, guiding individualized treatment strategies for patients suffering from complications related to silicone use.