Recently awarded CE (European Conformity) as an implantable medical device, the effectiveness and absolute safety of the procedure
was demonstrated by Dr Solomon Balkin. Over a 40 year period Dr Balkin performed over 30,000 cases, almost 1600 pathology samples
were independently evaluated, no inflammation, infection or allergic responses were found.
Who needs it?
Where the normal fatty tissue has been thinned, lost or displaced on toes, heels or the soles of your feet,
pressure may cause painful corns, callus or ulcerations, especially in diabetics. Silicone micro droplet implants
give you protective cushioning where you need it most. Silicone implants have been shown to prevent ulcers re-occurring
and the CE product licence was awarded primarily for that reason.
Use for preventing corns, callus and ulcers in non-diabetics, though effective, is “off-label” Wikipedia.
How does it work?
Precisely placed, multiple tracks of silicone fluid are slowly deposited at several levels between the skin and underlying bone.
The high viscosity of the medical grade Silicone fluid forms tiny spheres. The body encapsulates these spheres with fibrous
tissue to create long lasting structures with the protective properties of artificial fat cells, cushioning bony areas of the foot.
The new flexible matrix formed by the fibrous tissue reinforces the tissues which may be damaged by previous lesions, ulcers,
scarring or restrictive and brittle glycosolation.
What is involved?
At an initial consultation your problem, its history and treatment options would be discussed and your questions answered.
Unless any underlying structural or bio-mechanical problems are also addressed the outcome will be less than optimal.
If Silicone micro droplet implants are considered to have a reasonable chance of improving your condition
an appointment will be made for the implant procedure.
The implant procedure
Any corn or callus must be totally reduced or implanting the Silicone fluid would be like trying to inflate a leather balloon.
If the skin cannot lift, stretch and deform, the extra fluid will create pressure in the tissues which may compromise local blood flow.
Following debridement, the area is numbed and multiple tracks of Silicone micro- droplets are very slowly and precisely placed
at different levels and locations so as to rebuild your “fatty” tissue in three dimensions.
Typically the end, top or side of your toe requires approximately a third of a millilitre (0.3ml) beneath the lesion.
Areas on the sole of your foot typically require half of a millilitre (0.5ml) or more.
A dressing will be applied and protective padding used to keep pressure off the implant site.
It is essential that you rest the area for 24 hours following the procedure.
Minimise activities such as running over the next 10 -12 days to allow fibrosis to begin to lock the silicone microdroplets in place.
As the sole of your foot may be numb immediately after the procedure you should be accompanied by a driver.
