Where can I find a good surgeon for biopolymers removal in Australia I had injections in my glutes 15 years ago. (photos)

Question

I went to the surgeon 10 year ago to check all was ok, he said the product was encapsulated but that I didnt have to be worry about it. I havent had any discomfort so far, but feels little balls if I touch few areas. I want to get fat transfer to glutes but the Doc said he could'nt do that since it could get infected.Besides of that Im scared since Ive done some research and I just want to get rid of this Any advice will help,anyone could recomend me a trustworthy surgeon. Im Desesperate please!

Jeremy S. Nikfarjam, MD · Answer

Hi Fehr!

Thank you for your question. I can tell you're trying to do the right thing for your health and peace of mind. You’re absolutely not alone—a lot of people who’ve had silicone injections (non-medical grade or black-market ones) eventually want to either remove it or make sure it won’t cause future problems.

When a doctor says the silicone is "encapsulated," it usually means your body has formed scar tissue around the material—kind of sealing it off. While that sounds reassuring, it doesn’t always mean it’s safe to leave it there forever. Over time, encapsulated silicone can still migrate, inflame, or even trigger immune responses, especially if disrupted (like with a fat transfer or trauma to the area). Your doctor is being cautious for a good reason. Fat transfer involves injecting fat into the area, and if there’s silicone present—especially if it's free or migrated—there's a real risk of inflammation or infection. Also, fat won’t survive well in an area already compromised by foreign material. If you're feeling nodules or balls under the skin, and even though there’s no current pain, that silicone could shift, inflame, or cause issues later on. You're wise to want to get ahead of it. I recommend finding a surgeon experienced in silicone/biopolymer removal. Not every plastic surgeon handles this. You need someone experienced in gluteal silicone removal specifically. It’s delicate, and the surgeon needs to know how to remove as much as possible without damaging surrounding tissues. Don’t rush into fat grafting until the area is evaluated and cleared post-removal. Ask for an MRI. This helps see how deep the material is, how much there is, and how it’s distributed. It’s crucial for surgical planning.

I hope this helps! Best of luck on your silicone removal journey!

J. Timothy Katzen, MD, FACS · Answer

Hello, Imam sorry younahd silicone injectioned into your buttocks.  Whetehre you have encapsulation or not, pain or not, lumps or not, I would recommend you have the silicone removed as soon as possible.  Silicone injections can cause ASIA Syndrome, granulomas, electrolyte imbalances, kidney failure, and even mutate into cancers.  I specialize in treating patients with ASIA syndrome and in the removal of silicone from the buttock and subsequent reconstruction of the buttock.  I am a lead investigator and founder of the Silicone Removal Institute. 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 your chosen plastic surgeon has performed at least 100 buttock silicone removal surgeries and has 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 the country or state if you must. I am sorry that I do not know any plastic surgenons in Australia who specialize in the removal of silicone.  However, I have had many overseas patients come to me for the removal of their buttock silicone.  Sincerely, Dr. Katzen. (“Verified” Plastic Surgeon, 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.)

Raffy Karamanoukian, MD, FACS · Answer

I specialize in the removal of silicone, artecoll, and biopolymer injections from the face and body. No two patients are alike and a carefully planned procedure can remove the substance from the soft tissue with minimal scarring. 
Best, 
Dr. Karamanoukian
Realself100 Surgeon

Where can I find a good surgeon for biopolymers removal in Australia I had injections in my glutes 15 years ago. (photos)

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Where can I find a good surgeon for biopolymers removal in Australia I had injections in my glutes 15 years ago. (photos)

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Everything you need to know about Silicone Injection Removal

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