Silicone injection

From RACKWiki
Silicone injection
Health risk High
Legal risk

Silicone injection is the injection of silicone oil into the body. In a kink context, this is usually into the genitalia. The practice of injecting silicone as a dermal filler started in the 1960s, and has since been banned by the FDA due to numerous reports of dangerous and life threatening complications.[1] Silicone injections can lead to long-term pain, infections, permanent disfigurement, embolism, stroke, and death.[2][3] Unlike with saline injection, silicone injections are permanent.





When silicone is injected into areas with many blood vessels, such as the penis, testicles, or buttocks, silicone can migrate through these vessels and form a blockage, known as an embolism. This can cause an embolic stroke if it blocks blood flow to the brain, or a pulmonary embolism if it blocks blood flow in the lungs. Both conditions are life threatening.[4]

As complications from liquid silicone injection involving embolism are so common, medical literature typically refers to these complications as silicone embolism syndrome. Symptoms include:[5][6]

  • Shortness of breath (dyspnea)
  • Fever
  • Cough
  • Discharge of blood or blood-stained mucus from the mouth (hemoptysis)
  • Hypoxia
  • Bleeding in the lungs (alveolar hemorrhage)
  • Altered consciousness

Vision problems have also been observed in some cases.[7]

Risk mitigation

Instead of silicone, saline injection is temporary (lasting for up to several days) and does not have the same serious risks such as embolism.

Known incidents


  3. Shamsodini, Ahmad; Al-Ansari, Abdulla A.; Talib, Raidh A.; Alkhafaji, Haidar M.; Shokeir, Ahmed A.; Toth, Csaba (2012-12-01). "Complications of penile augmentation by use of nonmedical industrial silicone". The Journal of Sexual Medicine. 9 (12): 3279–3283. doi:10.1111/j.1743-6109.2011.02563.x. ISSN 1743-6109. PMID 22145947.
  5. Schmid, Andreas; Tzur, Assaf; Leshko, Lidiya; Krieger, Bruce P. (2005-06). "Silicone embolism syndrome: a case report, review of the literature, and comparison with fat embolism syndrome". Chest. 127 (6): 2276–2281. doi:10.1378/chest.127.6.2276. ISSN 0012-3692. PMID 15947350. {{cite journal}}: Check date values in: |date= (help)
  6. Singarajah, Anantha; Wang, Albert; Sayegh, Julie; Vilke, Gary M.; Quenzer, Faith C. (2020-10-20). ""Botched": A Case Report of Silicone Embolism Syndrome After Penile and Scrotal Injection". Clinical Practice and Cases in Emergency Medicine. 4 (4): 595–598. doi:10.5811/cpcem.2020.9.48838. ISSN 2474-252X. PMC 7676808. PMID 33217281.
  7. Echegaray, Jose J.; Echegaray, Patricia M.; Townsend-Pico, William (2022-11-01). "Penile Filler Injection Leading to Silicone Embolism Syndrome and Paracentral Acute Middle Maculopathy". Ophthalmic Surgery, Lasers & Imaging Retina. 53 (11): 635–638. doi:10.3928/23258160-20221018-03. ISSN 2325-8179. PMID 36378616.