Are Biogel Injections safe for butt enhancements?

Question

I am 20 years old. I live in NYC and Florida, I'm pretty much back and forth. I heard of these butt injections called Biogel. It costs $1,500 dollars and is supposed to enhance your buttocks. Is this safe to do, or is this as bad as Hydrogel claims to be.?

Emmanuel De La Cruz, MD · Answer

Hello cammm, 
  It’s a pleasure to answer your questions! Injectable Silicone, Biogel, Hydrogel, and Biopolymers used for body contouring are not FDA-approved and can cause serious side effects that may be permanent or may even lead to death. Side effects can include ongoing pain and serious injuries, such as scarring, tissue death, and permanent disfigurement. If the silicone migrates beyond the injection site, it could cause an embolism (blockage of a blood vessel), stroke, infections and death. Serious complications may occur right away or could develop weeks, months, or years later. Instead of Biogel injections and other foreign material injectable substances that are deemed medically unsafe, I would recommend you getting a VASER Liposuction with fat transfer to the buttocks (Brazilian Butt Lift (BBL). Many of my patients chose to have excess fat removed from specific areas of the body such as arms, back, abs and flanks with VASER Liposuction and transfer it to the hips and buttocks to get a beautifully contoured figure. Fat cells treated and removed during VASER Liposuction are typically of high quality, and are viable to re-introduce into the body in a fat transfer procedure. Unlike short lasting synthetic fillers, re-injecting your own fat may give you natural looking results that last longer, with no risk of rejection. Consult with an experienced plastic surgeon to assess your candidacy for a Brazilian Butt Lift and discuss your particular needs and cosmetic expectations. Best regards! Dr. De La Cruz.

John Nguyen, MD, FACS · Answer

My advice is to stick with fat and avoid the synthetic silicone fillers to the buttocks.  See a board certified plastic surgeon in your area.  There are much better options.  Good luck and be safe.John T. Nguyen, MD, FACS, FICSDouble Board Certified Plastic Surgeon

Johnny Franco, MD, FACS · Answer

I would NOT have silicone,
hydrogel or any other substances injected into your buttock that is not
fat.  That is a set-up for life long
problems.  Some people have these
injections and are fine, but the people that have problems have them for
life.  Do not have silicone injections to
your buttock.

Unfortunately here in Miami many patients try to save money
by having their procedure performed by non-plastic surgeons and at facilities
that have not been accredited and often have problems. These facilities often
use substances for buttock injections that have not been approved for that
purpose.

The only injection that you
should use to enhance your buttock is fat. 
Anything else would not be recommended. 
Patients have had tremendous results with the Brazilian Butt Lift (fat
transfer to the buttock).  This procedure
allows your surgeon to shape your entire body.

With that said I would tell you
that when it comes to your body, I would not choose your surgeon by who is the
cheapest or have something injected just because it is easy.  It is important to have several consultations
with board certified plastic surgeons. 
Also make sure that your surgery is being performed in an accredited
surgery center or hospital.

It is
important to ask the right questions during your consultation:

1.Is your surgeon a board certified plastic surgeon?a.Be sure he or she is a plastic surgeon, there are a lot surgeons that
are cosmetic surgeons or board certified in other fields other than plastic
surgery.  They do not do the same
training as a plastic surgeon. b.You can check the American Board of Plastic Surgery website for a list
of plastic surgeons in your area.

2.Does your
surgeon commonly perform this procedure?a.Ask to see
before and after pictures or look online for reviews on the procedure.

3.Where is the
surgery performeda.Is the
procedure performed in an accredited surgery center or hospital?

4.Who performs
the anesthesia for the procedure?a.Is an
anesthesiologist performing the anesthesia?

I would advise you to see a board
certified plastic surgeon that performs a lot of fat transfer procedures.  In my practice the Brazilian Butt Lift is one
of the procedures where patient are extremely happy after surgery.

Jaime Perez, MD · Answer

My best advice is to have a consultation with a board certified plastic surgeon who performs this type of procedure regularly and can demonstrate before and after photos to give examples of what can be expected. Stay away from any kind of silicone injection that is offered by non physicians. This can be very dangerous and lead to death. Be ware!!!

Paul Fortes, MD · Answer

All "permanent" fillers, like Biogels, Hydrogels, PMMA, and free collagen, injected anywhere in the body, run the risk of creating hard nodules or masses. The body creates these masses in an attempt to encapsulate the material and isolate it from the rest of the body. These masses can cause deformities and even chronic pain where they develop around the filler products. Another major problem from the injection of permanent fillers is the possibility of chronic infections that only respond temporarily to treatment with antibiotics. Fat grafts, on the other hand, are safe, reliable, and cost effective for buttock augmentation. I would stick with fat. Best of luck!

David A. Horvath, MD · Answer

Simply stated, Synthetic injections in the buttock are not safe, Not approved and Not recommended. They are commonly performed by non-physicians in facilities that lack accreditation as safe surgical facilities. The only Injection that is scientifically studied and proven as a safe method for buttock enhancement is Fat Injections. Any surgical procedure carries some risk and it is important that if you decide to have fat grafting for Brazilian Buttock Lift that you have it in an accredited surgical center by a board certified Plastic Surgeon with experience in this technique.

James Knoetgen, III, MD · Answer

The Brazilian Butt Lift (liposuction of your lower back, waist, abdomen, etc, and injection of this fat into your buttocks) is a SAFE, effective buttock augmentation technique. I STRONGLY suggest you avoid any alternative injections (I have seen men and women with liquid silicone injected into their buttocks with HORRIBLE results and complications, wounds, infections, etc).If you're interested in buttock augmentation surgery, I suggest you visit with an experienced Board Certified PLASTIC SURGEON.I hope that helps and wish you all the best!

Pat Pazmino, MD, FACS · Answer

Here in Florida, there are many people offering a variety of injections to the butt for the purpose of increasing the size and changing the shape. Please be very very careful and avoid these injections. Patients in Florida who have received these injections were very surprised afterward to find out that they actually were injected with industrial grade silicone that mechanics use, paraffin wax, and even bathroom caulking. Obviously, none of these materials are designed for injection into the body. Your body will reject these materials causing a great deal of scarring, pain and even infections.

	It is best to discuss with your plastic surgeon the great options that exist for butt contouring enhancements such as a Brazilian Butt lift.

	Best-

	Pat Pazmino

Sean A. Simon, MD · Answer

Cammm,
There is a reason that there are no injectables of any kind (other than a patient's own fat) that is currently approved for buttock enhancement in the United States.  It is because, to date, none of them are safe, no matter what they are called.  Being a plastic surgeon in south florida, I see patients all the time asking similar questions to yours.  These 'treatments' are typically offered by non-physicians, often done in the home.  The products are named to sound as if they are biologic and safe such as 'biogel or biopolymers'.  The injectable is most commonly industrial grade silicone, the same material that is used to caulk your bath tub.  These foreign materials can and do cause short and long term irreversible complications and should therefore be avoided.  
There is a proven surgical procedure, the brazilian buttock augmentation, which i routinely perform that can provide excellent, long lasting, and safe results in the appropriate  candidate.  My best advice is to have a consultation with a board certified plastic surgeon who performs this type of procedure regularly and can demonstrate before and after photos to give examples of what can be expected.  Good luck.
Dr. Sean Simon

Are Biogel Injections safe for butt enhancements?

Answers (9)

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