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Management of silicone lip complications with Board Certified Plastic Surgeon - Beverly Hills Plastic Surgeon Dr. Raffy Karamanoukian

At some point, patients who have undergone silicone augmentation to the lips will likely develop an inflammatory condition in the early or late phase after injection, in which the body will begin to react to the silicone injection.  This inflammatory reaction may lead to pain, discomfort, swelling and aesthetic deformity of the upper and lower lips. 


In many cases, the silicone may actually migrate to the lip and surrounding areas, including the lymph nodes resulting to chronic discomfort and disfigurement.  The long-term complication rate for silicone injection is unknown, but is thought to be progressively worse with longer duration in the body. 


Dr. Raffy Karamanoukian has had vast experience in the management of silicone complications of the lips.  In fact, he is one of several plastic surgeons in the world who has an established protocol for the management of silicone lip complications.  Many of these complications include lip swelling, lip deformity, pain and discomfort, and lip bumpiness.  The global problem with patients with silicone injections is an inflammatory reaction caused by either the silicone itself or the contaminant contained within the original silicone injection.  This may result in a subclinical infection or a sterile reaction which causes inflammation.


Women who have had a lip injection with silicone or unknown filler may benefit from Dr. Raffy Karamanoukian’s specific protocol for silicone lip correction.  The physical burden of silicone injection may make it difficult to lead a daily life and may lead to further progression of the problem.  Using established surgical criteria, Dr. Karamanoukian can carefully analyze and examine your specific situation and develop a surgical plan to repair and restore your lips to their near original size and contour.  This is often a difficult and meticulous surgery performed on an outpatient basis and can dramatically improve the quality of life for someone with silicone lip injections.  The determination of success includes the type of silicone, the duration of the silicone injection within the lips, the presence of granulomas and silicone reaction, and the severity of the inflammatory response.


Despite the difficulty of the clinical situation associated with silicone complications, Dr. Raffy Karamanoukian, a double board certified plastic surgeon, has developed a specific surgical protocol to improve the size and contour of the lips.  This surgical protocol has been used successfully to treat patients with minor to severe silicone lip complications.


The removal of silicone granulomas, the inciting agents for the inflammatory reaction, or silicone itself, can be performed safely with minimal damage to the original shape of the lip, the sensation, or motor function of the lips themselves.  If you are suffering from complications arising from silicone lip injections or similar permanent fillers to lips, Dr. Karamanoukian can provide you with expertise in the management of lip complications for permanent fillers.


Surgery for correction of upper and lower lip complications with silicone injection begins with a thorough consultation and examination of the silicone.  The type of silicone and the method of injection are useful elements in the discussion and consultation.  Please provide Dr. Raffy Karamanoukian with complete details of the type of injection and the method of injection to the lip and surrounding areas.  The aesthetic shape of the lip will also be examined and the goal is to determine whether an aesthetic improvement can be achieved with surgical correction.


In the majority of cases, the inflammatory reaction surrounding silicone lip injection can be controlled by surgical removal of the majority of silicone.  In some cases, intramuscular infection of silicone can not be removed successfully and Dr. Raffy Karamanoukian will determine whether surgery is a useful modality for your condition.  Intramuscular silicone in the lip can not be corrected with surgery alone and Dr. Karamanoukian will determine your suitability for surgery about 30 to 40% of patients will have intramuscular silicone that can not be corrected with surgery alone and these patients will be referred to an immunologist for control of the inflammatory cycle caused by silicone.  Dr. Karamanoukian works with a group of immunologist and allergy specialists who can help control the silicone inflammatory reaction if there is no other surgical option.


If you are concerned about silicone in the lip and silicone scar tissue resulting from permanent augmentation Dr. Karamanoukian can provide you with a well thought out and meticulous approach to removal of the silicone lip filler.  The goal of surgery is to provide near complete resection of the silicone from the lip.


Many people request consultation on the phone or by e-mail regarding their silicone injections to the lip.  Unfortunately, due to the severity of the problem, useful information can only be derived from a careful physical examination with the lip in a static position and in motion. Dr. Karamanoukian cannot provide consultation by photographs or telephone interviews.  A personal and complete physical examination and consultation is required for this specific surgery. 


Dr. Karamanoukian is one of the only a handful of cosmetic plastic surgeons in the world who has developed a successful surgical protocol for lip silicone removal.  Patients from across the globe including the Middle East, Saudi Arabia, UAE, Kuwait, Lebanon, France, Spain, Italy, Indonesia, Russia, Japan, Korea, and China have visited Dr. Karamanoukian for his expertise in the correction of silicone lip problems.  During your consultation, Dr. Karamanoukian will examine whether the silicone is likely intramuscular, subcutaneous, or submucosal, and determine whether surgical correction can improve the aesthetic outcome of your lips. The final result is a more contoured upper and lower lip resulting from surgical debulking of the silicone granulomas and silicone permanent fillers.


The treatment of silicone lip complications is a difficult and time consuming task that can dramatically improve the quality of life for patients with silicone lip complications.  Silicone lip complications may cause pain, discomfort, granuloma, inflammation, swelling, and a poor aesthetic result. 


If you are concerned about the presence of silicone in your lips and wish to remove the silicone, Dr. Karamanoukian can provide you with specific detailed recommendation about a surgical protocol for correction of lip silicone.  This surgical protocol is unique to Dr. Karamanoukian and he can provide you with details regarding this particular surgery only during a one on one consultation in Los Angeles.  Dr. Karamanoukian has performed many of these surgeries successfully with positive outcomes that have restored a women’s lip to normal shape and contour.  In the Los Angeles area, please call our office at 310-998-5533 to obtain a comprehensive consultation to discuss your surgical option for correction of lip silicone.

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