Management of the Complication After Silicone Fluid Injection at Facial and Eyelid Region

ABCTRACT: The aim of this case report is to report the management of complication after silicone fluid injection on facial and eyelid region and to educate the community about the side effect of silicone fluid injection. Three patients who had been injected with silicone fluid by unprofessional or non medical person on facial and eyelid region complained about changes in consistency of the skin and eyelid contour as blepharochalasis and baggy eyelid one or two years after injection. The reason of the silicone injection was for cosmetically purpose with low budget. With a good informed consent about the complication of silicone fluid injection and the deformity condition of the skin and eyelid, blepharoplasty technique was performed to reconstruct the deformity. The upper lid blepharoplasty had been done for 1st and 3th patients, whereas upper and lower lid blepharoplasty had been done for the 2nd patient. During this operation  fibrotic orbicularis muscle and vesicles amoung muscle tissue in the various diameter were found. The fibrotic tissue and vesicles had been excised maximally, because very difficult to excise all the fibrotic tissue and the vesicles. Histological examination showed non specific chronic inflammation. All patients have a good contour of the eyelid. The complication after silicone fluid injection can be managed by blepharoplasty with good result and patient's satisfy.
Key words: silicone fluid, blepharochalasis, blepharoplasty
Penulis: Ratna Doemilah
Kode Jurnal: jpkedokterandd080012

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