Silicone injection removal from face. (photo)

An assessment may be appropriate to document and monitor the degree of soft tissue reaction based on the Karamanoukian Grading scale. I would not recommend silicone removal on all parts of the face. Best, Dr. KaramanoukianLos Angeles

Thank you for being open about your experience. This is unfortunately a more common situation than many people realize, and it's important that you're seeking help now. Before proceeding with treatment, the first step is usually an in-depth clinical evaluation, often supported by imaging such as MRI. This helps determine how much silicone is present, whether it has migrated, if there is associated fibrosis or granuloma formation and the depth and distribution (superficial vs deep plane). If the silicone is causing persistent deformity, asymmetry, or chronic inflammation, surgical removal is the most definitive option. Once the MRI is performed, a customized surgical plan can be created depending on the MRI results. Once the silicone is removed, fat grafting from a separate donor site to the face can be performed to restore structural integrity and functional mobility. Non-surgical management may include dermal filler augmentation, contour and correct minor asymmetry or divots following the initial excision. It's important to note that these procedures can be covered by insurance. I am a board-certified plastic and reconstructive surgeon with a specialized focus on silicone and biopolymer removal. Over the years, I have dedicated my practice to safely addressing complications arising from these materials. Recognizing the unique challenges they pose, I developed a removal and reconstruction technique that is designed to ensure the most complete removal possible while minimizing risks and optimizing patient outcomes. I'd be happy to see you for a clinical evaluation whether it be complimentary virtual consultation or an in-office appointment to discuss your options. (516) 279-2616

Hi Jeson14, Thank you your question regarding silicone removal from the face. I would suggest that this product be removed. To remove product from the face, I would suggest one of two approaches. Sometimes, an incision can be made inside the mouth. Through this surgical approach, the cheek silicone is removed from the inside. The benefit of this procedure is that it avoids any external scar. Another approach for the removal of silicone injections from the face would be to utilize a facelift incision. A facelift incision is hidden around the ear. Using the facelift approach, the silicone from the face and cheeks can be removed. Either of these procedures can be performed under local or general anesthesia. These procedures take approximately 2 to 4 hours to complete. I hope that I have answered your questions regarding removal of silicone from the face. Since removing facial silicone is a big procedure, please seek an experienced, board certified plastic surgeon with significant experience in removing silicone from the face. Do your research. Make sure they have performed silicone removal surgeries and have 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, face silicone removal surgeon in your neighborhood, consider traveling out of state if you must. Sincerely, Dr. Katzen. (“Verified” Plastic Surgeon, President of the American Society of Bariatric Plastic Surgeons, 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.)