Got Silikon 1000 years ago. I want it out. Can I do it with a steroid or something else? I don't want lipo on my face (Photo)

Silicone biopolymers can cause severe longterm complications including inflammation and nodule formulation. Although results are longer-lasting that Juvederm or Restylane, long-acting fillers should be avoided.  
Bellafill, Artefill, and PMMA are known to cause granulomas and permanent nodules with swelling. This is not the case for everyone. Silicone biopolymers can also cause similar chronic inflammatory conditions. 
In my practice, I specialize in the removal of Bellafill and Artefill injections, in addition to silicone biopolymers, from the face and body. Initially, treatments are non-surgical with corticosteroids and immune modulators. If unable to be corrected, we can also perform surgery in some cases. 
Silicone biopolymers can also be removed from the body if there are signs of migration or inflammation. All of these filler-types should be removed as early as possible. 
Lastly, our office is conducting ongoing studies of plasma-assisted corticosteroid application, which allows for diffusion of the treatment medication in superficial tissue without causing atrophy. 
Best, 
Dr. Karamanoukian 
Realself100 Surgeon

In our experience, a surgical attempt to remove Silikon1000 may be futile and result in irregularities. Silicone becomes densely adherent to your skin and facial soft tissues, surgical procedures should be left as a last resort. Consider consulting a specialist for a trial of dilute triamcinolone acetonide (Kenalog) injections - this may result in less cheek volume. Wishing you well. Dr Joseph

This can either be removed surgically or treated with diluted kenalog combined with 5FU. I recommend getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer