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Silicone injection to the male genitalia as well as other parts of the body for enhancement is often done by non-medical personnel or doctors operating in foreign countries. The fees seems affordable, but the results are often disastrous. Silicone like injectable fat chooses paths of least resistance. Once inserted, silicone takes a random walk and the ultimate result is often unpredictable.

We have seen many transsexual females with butts that look like car tires. Way too much material is often unfortunately a feature of silicone practitioners and the results are very grotesque.

Here are some examples including one case of a female breast representative of so many we have seen, with hard lumpy contours.

Lastly although we are removing silicone as frequently as a few cases a month, there are surgical pitfalls. Silicone destroys normal healthy vascularity, so there is a propensity for poor wound healing, including separation and infection. Inevitably some silicone must be left within few milliliters of the skin as removing all of that will certainly result in skin necrosis. Silicone often will track into the lymphatic system. Tissue bulking secondary to ligneous edema may result in periodic swelling depending upon degree of physical activity.

Harold M. Reed, M.D.                                                                              305-865-2000