Is it safe to remove silicone butt injections with laser?

Hi, Thank you for your question regarding whether silicone can be removed from your butt with laser.  The answer is "no". Silicone can not be removed from your butt with laser alone.  Laser is just a source of light.  You may be referring to laser liposuction, where there is laser at the end of the liposuction tube or cannula.  During laser liposuction, your plastic surgeon can see the tip of the liposuction cannula under the skin during the operation.  In my experience, laser liposuction does not help too much.  In my opinion, the best treatment to remove silicone from the buttocks is using intra-operative ultra-sound guided, VASER assisted, liposuction.  During this procedure, the silicone and scar tissue is identified with the ultrasound.  The silicone and scar is melted with the VASER.  Then, the scar tissue and silicone are removed with liposuction. I hope that I have answered your questions regarding removing silicone from the butt with laser and liposuction.   Before you make any decisions regarding removing the silicone from the butt, I would suggest you seek consultation with an expert. Please seek an experienced, board-certified, plastic surgeon.  Travel out of state if you must to find such an expert. If you have any more questions regarding a silicone removal with laser or liposuction, or plastic surgery in general, please contact my office.  Sincerely Dr. Katzen. (Certified by the American Board of Plastic Surgery and member of the American Society Plastic Surgeons, International Society of Aesthetic Plastic Surgery, American Academy of Cosmetic Surgery, and Fellow of American College of Surgeons and American Board for Metabolic and Bariatric Surgery)

Hi Bebe,
I've treated hundreds of patients with silicone in the buttocks including many revisionary procedures on those who have attempted removal via liposuction or laser liposuction. What I have seen to be true is that the only effective and safe method to remove this product is via an open surgery.
I wish you the best in your search for treatment!
- Dr. Nik

Silicone in the buttocks and soft tissue can cause inflammatory
reactions. Our office specializes in the management of Karamanoukian
Grade I-IV reaction in the soft tissue using minimally-invasive means.
The first step is to identify the grade of soft tissue reaction and
determine whether the tissue can withstand surgery. 
Best, 
Dr. Karamanoukian
Realself100 Surgeon