Chronic Inflammatory Tissue Following Failed Silicone Injections

Treatment

The patient underwent extensive serial debridement to remove devitalized soft tissue infiltrated with silicone oil. The resulting right wound measured 1,116 cm2 and the left wound measured 960 cm2. The wounds reached 6 cm in depth (Fig 4, Fig 5). After multiple unsuccessful treatment attempts of other commercially available products, several reconstructive and wound care specialists were consulted. Restrata was ultimately selected as an adjunct to skin grafting due to
benefits resulting from its synthetic composition and resorption profile. Restrata Meshed was applied (Fig 6) with a planned second application at Week 3 due to depth of wound and sensitivity to achieving an acceptable aesthetic outcome. Restrata Meshed was covered with a non-adherent contact layer followed by negative pressure wound therapy (NPWT). After full incorporation of Restrata (Fig 7), a 3:1 split thickness skin graft and autologous skin cell harvesting were applied for definitive closure (Fig 8).