Hello. Thank you for your question regarding the safety of undergoing hip and butt reconstruction simultaneously with silicone injection removal scheduled for 10/10. It is important to approach the removal of silicone injections with caution, particularly if the silicone used was non-medical grade and administered by someone not medically certified. Such silicone is often not sterile, which increases the risk of complications during removal. Safety Concerns: Infection Risk: During the silicone removal process, the manipulation of the affected area can stir up particles and potentially introduce bacteria, significantly increasing the risk of infection. If reconstruction, such as fat grafting or implants, is performed at the same time, the risk of infection could jeopardize the success of the graft or implant and lead to serious health complications. Healing Process: After the removal of silicone injections, the body needs time to heal and any inflammation or residual issues need to be resolved. Performing reconstruction immediately does not allow for this necessary healing period. Recommended Approach: Waiting Period: Most plastic surgeons experienced in silicone removal strongly recommend waiting at least 4 to 6 months after the removal surgery before considering any reconstructive procedures. This waiting period allows your body to heal and also helps to ensure that any complications related to the silicone removal, such as residual infection or inflammation, are fully addressed. Reconstruction Options: After the waiting period and once your health is fully stabilized, you can explore various reconstruction options such as a Brazilian Butt Lift (BBL), autologous fat transfer (AFT), buttock implants, or non-surgical enhancements like Sculptra injections. Additionally, exercise regimens focused on the buttocks, such as squats and use of a Stairmaster, can naturally enhance the area’s appearance. Moving Forward: Consultation: Discuss these considerations with your surgeon, who can provide guidance based on the specifics of your case and their professional experience. They will help you plan a safe and effective treatment timeline for both the removal and subsequent reconstruction. I hope this response clarifies your concerns about the safety and timing of reconstruction after silicone removal. It’s crucial to prioritize your health and ensure optimal conditions for any surgical procedure. Thank you for your insightful question, and I wish you the best in your upcoming surgery and recovery. Sincerely, J. Timothy Katzen, MD, FASMBS, FICS Plastic Surgeon