Thank you for sharing that. Tt takes courage to reflect honestly on past decisions. Since it's been 11 years since your butt injections, it's definitely worth having a deeper look at your situation, especially if you’re unsure of what material was injected. If you're unsure of what was injected, that’s the first major concern. There are a few common types of substances people have had injected: Medical-grade fillers (for example: Sculptra) generally safe when done properly. Silicone/Biopolymer (liquid form) — Not FDA-approved for body contouring injections and can lead to serious complications over time. Often done illegally. These materials can migrate, cause chronic inflammation, infections, and other serious issues. If you're experiencing any symptoms such as pain, firmness, lumps, skin changes or discoloration, infections (recurrent), or any shifts or migration of the material in the buttocks to any nearby areas, this is definitely cause for concern. However, even if you’re feeling fine now, complications from silicone/biopolymer injections can sometimes surface years later. The first step would be to consult a specialist such as a board-certified plastic surgeon (especially one experienced in silicone/biopolymer removal) who can assess the situation and advise you on monitoring or removal options. Second step would be to go for imaging. An MRI with silicone protocol can help determine if any foreign material is present and whether it's causing tissue damage or migration. Don’t Wait for symptoms. Many people wait until things become painful or dangerous. Early evaluation gives you more options and better outcomes. These substances don’t naturally dissolve. Your body can mount an immune reaction to them years later. Complications like skin breakdown, hardening, nerve pain, or even systemic illness (autoimmune-like symptoms) can appear after 10+ years. Yes, it’s wise to be concerned and proactive. Just because you haven’t had problems yet doesn’t mean they won’t happen. Getting evaluated by a knowledgeable surgeon and having imaging done is the best next step. I have seen thousands of patients who have been victimized by illegal silicone injections. The symptoms I see range from mild to moderate to severe- requiring emergent hospital admissions. What you report is a familiar story that we here in the office- pain in the buttocks, back, and legs. Sometimes this pain is accompanied by intermittent tingling in the extremities. However, treatment is possible! After training in hospitals in The Bronx in the early '00s, I saw countless patients present to the emergency room with symptoms related to silicone disease but were not given any substantial treatment. They were given antibiotics and pain medications and sent home. It was then that I decided to pioneer the silicone removal center in New York. You can read more through the link below. Ultimately, I perform a two-stage open removal procedure (through a small incision inside the buttocks crease) with a third stage reconstructive BBL. All three stages are pre-authorized through a patient's health insurance. I only perform these procedures in a hospital setting with a dedicated team that I have handpicked to assist in these unique procedures. I believe this is a medical problem that needs real, medical treatment (in the U.S., in a hospital, with a board-certified plastic surgeon). Of course, the aesthetic component is very important, and as a plastic surgeon, I do everything I can to make sure my patients look great afterwards as well. Please feel free to contact my team to inquire about your particular insurance policy (516) 279-2616.