Silikon 1000 side effects are very rare. For some people, there is a little bit of redness for a couple of days, which is more related to the injection process, just as it would be with any dermal or soft tissue filler. 

This side effect is temporary. There is also no pain, no bruising, and no increase in swelling around the injection site. The microdroplet technique in multiple areas mitigates against any significant swelling. 

Likewise, because there is no swelling, downtime is not an issue. 

Augmentation may vary based on the volume of filler necessary. Still, as the injection of the silicone oil is conducted over multiple sessions, there is no issue with nodules or disability. 

Silicon Based Procedures

Correction of imperfect rhinoplasty with both permanent filler and cortisone injections to shrink areas of excessive fullness.

The cosmetic use of silicon is an art form that rests in the hands of a skilled practitioner. This procedure is challenging to learn because it is permanent. 

One learns best from an experienced preceptor or trainer. Dr. Kotler was fortunate to have that experience very early in his career. 

Dr.Kotler became a junior associate with Jack P. Startz, MD, advancing his skills in permanent non-surgical rhinoplasty, primary rhinoplasty, permanent non-surgical revision rhinoplasty, and non-surgical facial rejuvenation.

Dr. Kotler observed that the Silikon 1000 technique would be a marvelous adjunct to a cosmetic nasal surgery practice. 

There is a virtue in superspecialization with an intense focus on a very limited field of cosmetic work. 

Generally, superspecialists are the ones that engender the greatest confidence on the part of the patients.

The Silikon 1000 Procedure

The Silikon 1000 procedure is a no-downtime office treatment to modify nasal contours. It is a dermal filler but differs from all other filler materials in that it is a permanent filler and not a temporary filler. It is typically a series of three successive filling of nose defects. 

Such defects may be described as grooves, divots, depressions, or asymmetries. The microdroplet technique involves multiple tiny injections of the silicone oil filler done through a fine-gauge needle. 

Silikon 1000 is a permanent filler. Therefore, it is used very judiciously and incrementally to avoid over-filling. 

The difference between this and collagen and other dermal fillers is that they are typically done in one session but have a limited lifetime.

What Is Silikon 1000?

Silikon 1000 (S1000) is a trade name for clear, colorless, medical-grade liquid silicone. The product is manufactured for use as a permanent filler in appropriate areas. 

FDA-approved Silikon 1000 has been successfully used for acne scars and lasts longer than any collagen injectable. It has over a 60-year track record of success. 

The FDA (Food and Drug Administration) initially approved the use of Silikon 1000 (purified polydimethylsiloxane) to “push back” a detached retina. 

However, doctors have used Silikon 1000 off-label as a safe, effective, and durable injectable filler that can provide permanent results.

Generally, there are very few issues with the product when properly used. Being conservative is essential to improve outcomes and prevent complications.

How Does Silikon 1000 Work?

When liquid droplets of Silikon 1000, which is the trade name for silicone oil, are injected underneath the skin, it creates a small volume necessary to fill or efface a depression, divot, irregularity, or asymmetry caused by an underlying imperfection of the bone and cartilage skeleton.

The most common cause is if the skeleton has had one or more rhinoplasty surgeries, which has left the patient with unsatisfactory results. 

The FDA-approved Silikon-1000 liquid filler maintains its position because, within six weeks, nature builds a wall or capsule around it. 

This process is how the nose typically deals with foreign materials that are tolerated and not considered a threat to the welfare of the body. 

There is no accessibility to the filler once it is injected. It is pure augmentation. 

There is no downtime and typically no side effects. If there is any swelling at the time of the office treatment, a cold pack is applied. 

Adato Sil 5000 Procedure

Adato Sil 5000 is another trade name for medical-grade liquid injectable silicone. It is less well-known than the Silikon-1000. The procedure for injection is the same for Adato Sil 5000 as it is for Silikon-1000. 

It is a series of microdroplet injections whereby the dermal filler, in this case, the medical-grade silicone, is used to correct the various external imperfections of the nose. 

This brand of injectable silicone is expected to perform as well as any variety of FDA-approved medical-grade liquid silicone products. As with the other silicone products, there is no downtime. 

This application is an off-label use of silicone but has been in effect for over 60 years without any question or reserve on the part of the FDA. 

These various brands are the only permanent fillers available to patients. Their benefits, safety, results, and freedom from side effects make the procedure successful and satisfactory to patients. 

What Are the Advantages?

The advantages of silicone-based cosmetic procedures are permanency, simplicity, freedom from side effects and complications,  sequential injection (giving patients time to ponder their desires), and cost considerations. 

The difference between the cost of Silikon-1000 or any injectable silicon filler versus plastic surgery is highly significant, as one would expect.  

Silicone Injections Make a Comeback

In the mid-1990s, there was a well-publicized issue of the lack of safety of silicone-filled breast implants. 

It was claimed that some percentage of women having these implants placed and subsequently having a leak or rupture to the capsule would be more subject to certain autoimmune diseases such as rheumatoid arthritis, scleroderma, or lupus.

 Over several years of reviewing medical records, it was proven that the two events were unconnected, coincidental, and therefore not an indictment of the silicone product.  

Medical records were very clear that some of these women were destined to develop the disease regardless of having had silicone implants.

Due to the overwhelmingly negative portrayal of silicone implants in the media, many likely overestimated the possibility that the alleged link between breast implants and systemic disease was real. 

Understand that liquid-filled silicone breast implants are a world apart and have no parallel to the Silikon-1000 or the Adato Sil 5000 liquid silicone fillers. 

They are not microscopic. They are not dermal fillers. The placement is not one of the microdroplet techniques. While it is still an off-label use, the world of silicone breast implants and permanent fillers using silicone oil are not parallel. 

More About the Dangers of Injectable Silicone

There is hardly any danger with injectable silicone. Dr. Kotler has used it for over 35 years, and it has been remarkable — never a frank infection and never any breakdown of skin. 

This outcome is an enviable track record for any product. The test of time has shown Dr. Kotler that injectable silicone is an extraordinary off-label yet safe permanent filler. 

Without side effects and complications, it is hard to fault this augmentation process. 

Dr. Robert Kotler considers injectable silicone an extraordinary office injection technique. Considering there is safety, minor patient inconvenience, no downtime, and no pain, this option is, by definition, a marvelous service to patients. 

There are so-so, good, and great filler injectors. In the case of ham-handed injectors, fillers could cause side effects like lumps, infections, and discolorations.

It matters who does the injections. 

Is Silikon 1000 Safe?

Silikon-1000 is safe because it is FDA-approved and has performed well over time, and its safety has never been questioned. 

There is no reaction other than the minimal body reaction to stabilize its position. 

The Risks of Silikon 1000

There are very few risks with Silikon-1000. An allergic reaction is almost unheard of because the product is universally tolerated since it is also used for heart valves, artificial joints, and pacemakers. 

Most people have been exposed to liquid silicone because every hypodermic needle is covered with a thin layer of liquid silicone to ease the needle’s skin penetration. 

Very few products with the same benefits and freedom from complications and untoward side effects have been developed. 

The fact that its worth was originally proven to correct retinal detachments speaks volumes of the safety of silicone oil and the persistent, unwavering FDA approval of this marvelous augmentation product. 

No rhinoplasty patient wants overcorrection that results in an unnatural nose. Unfortunately, even poor-quality dermatology care and cosmetic surgery are not uncommon.

As the number of people needing a nose enhancement rises, Dr. Robert Kotler, a Beverly Hills board-certified rhinoplasty superspecialist, offers a highly specialized procedure known as permanent non-surgical rhinoplasty.

He has developed the Kotler Saline Demo, a clever and practical way to give you a sneak preview of the desired result of permanent filling.

The saline, sterile salt water, injected under the skin, under a topical skin anesthetic, will demonstrate to the patient the result of the permanent filler. The likelihood of success is very high if the patient likes what they see. 

Reporting Problems to the FDA

If there are any problems, they would require reporting to the FDA. The FDA appears to have never sent users a directive or bulletin to beware of the product.  

There have been thousands of injections over many years, and these attest to the safety and lack of complications that could be attended to by other products. 

As an alternative to collagen, silicone filler has a longer track record and is considered the “gold standard” of dermal fillers by dermatologists and cosmetic facial surgeons.

Its popularity spans the continent from New York to Los Angeles, Beverly Hills, and Southern California.  

Safety Tips

The basic safety tip for patients is to ensure that the practitioner is long-experienced, highly focused on the work, and has an excellent track record of success. To achieve excellence, one must have superior training by an experienced teacher. 

One should not have injectable silicone filler in the face of skin infection. Acne is an infection that, therefore, must be cleared. 

There must be a pristine skin condition to avoid any possible, albeit rare, complication such as further inflammation or infection. 

If the patient has a history of hyper-reaction, one can do a skin test by placing a microdroplet of the product behind the ear and observing for any signs of reaction.  

 A permanent filler of the nature of medical-grade liquid silicone is best understood over time.   


The results of Silikon 1000, a trademark brand of liquid silicone, are superb. Among the dermal fillers, it sits the highest in terms of lack of complications and success. 

This process assumes the microdroplet technique is used to inject the filler. It is optimal to do the Silikon 1000 treatment sequentially over time to allow nature to perform its work of surrounding the product, thereby stabilizing it to maintain its role as an augmentation enhancer.  

The results are permanent. This feature contrasts with the lifetime commitment to renewable fillers. 

Most plastic surgeons administer temporary hyaluronic acid filler for non-surgical rhinoplasty procedures. 

Although these options can be suitable, they yield only temporary results and require regular follow-up injections.

Rather than using temporary fillers, Dr. Kotler offers his patients permanent solutions.


One chooses a permanent filler for a finite treatment period and a lifetime or long-term benefit. 

Collagen and other fillers have a limited lifespan due to the body’s auto-degradation of these products. 

This consideration is the main difference between the two approaches to correcting cosmetic deformities of the nose. 

Most people are aware of the option of permanent filler versus temporary. They opt for the permanent solution since they like to have a conclusion to an often somewhat disappointing experience with one or worse, several surgical rhinoplasties.

One cannot use Silikon-1000 in conjunction with temporary fillers.  

The reason is that temporary fillers do not provide an adequate environment for the injectable silicone oil to become embedded and surrounded by nature’s self-generating capsule. 

It will settle best and remain constant when injected into tissue that has had no alteration by the injection of temporary filler. 

There is no benefit to combining a temporary filler with a permanent filler. If one prefers temporary fillers, which some deem a “life sentence,” that is one’s prerogative. Most patients will not relish that consideration.

Popular temporary dermal fillers include Restylane® and Juvéderm®.

From a practical perspective, one cannot remove Silikon 1000. 

If one ever had to have some other reason for operating in that area underneath the skin and close to the bone and cartilage, the surgeon would notice that the treatment area filled with silicone is indistinguishable from the non-filled one.