20 years ago I had illegal industrial grade silicone injections. Upper butt region injected. What can be done about this now?

Hi there. I'm sorry to hear you have silicone injections. I hope you know that you are not alone. It's not too late to get the silicone removed. You'll first need an MRI. We'll be able to tell by the MRI if the silicone is in the muscle. If it's in the muscle, you'll need open excision of the product and cleaning of the muscle. If it's only in the fatty layer and you have no skin changes, you can likely get away with the closed technique (ultrasound guided vaser assisted silicone suction). I use the VASER to melt the scar tissue and silicone shells, then I use a special cannula that I had made just me SPECIFICALLY for silicone injections removal, It's true that the product can migrate throughout the body. I've seen it go from the buttocks to the labia, lymph nodes, thighs, ankles, even the toes. I've also seen it migrate upwards. It's crucial you remove this poison for the sake of your future.

Since removing silicone from the buttock is a big procedure, please seek an experienced, board certified plastic surgeon with significant experience in removing silicone from the buttock. Do your research. Make sure they have performed at least 100 buttock silicone removal surgeries and have the before and after pictures to prove it. Carefully examine their before and after pictures and check their reviews on RealSelf.  If you cannot find an experienced, buttock silicone removal surgeon in your neighborhood, consider traveling out of state if you must. Sincerely, Dr. Katzen. (“Verified” Plastic Surgeon, President of the American Society of Bariatric Plastic Surgeons, Certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery and ​member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery and RealSelf Hall of Fame.)

Our office is the leading center for the removal of foreign body fillers in the United States. My approach is protocol based, beginning with an examination to determine the grade of inflammation using the Karamanoukian Grading Scale for Soft Tissue Inflammation. Silicone biopolymers and PMMA can be safely removed from the face and body. Longterm complications are minimized with diligent attention to detail and protocol-based treatment. 
Best, 
Dr. Karamanoukian
Realself100 Surgeon

     This is a difficult situation to address.  If you are contemplating trying to remove the material, an exam followed by imaging may be appropriate.Kenneth Hughes, MDLos Angeles, CA