How do booty silicone injections change the vagina?

Question

Does silicone or biopolymers in butt cause problems in the vagina? Does it cause the Vagina to become loose? Or does it cause dryness and infections? reoccurring infections?

Jeremy S. Nikfarjam, MD · Answer

Hi CrownedLevi!

That's a great question! Silicone or biopolymer injections in the buttocks are not directly placed in or around the vagina, but they can potentially cause secondary effects in nearby areas, including the pelvic and perineal regions, especially if complications arise. Silicone/biopolymer injections can indirectly cause chronic inflammation & migration from the buttocks toward the perineum, labia, or pelvic floor, causing inflammation, pain, or pressure in nearby tissues. This can lead to changes in pelvic floor tone or even affect vaginal support structures, possibly contributing to a sensation of looseness in some cases, but this is rare and usually associated with more severe migration or granulomatous reaction. Nerve compression or damage is common if the material impinges on pudendal or pelvic nerves, it may cause pain, numbness, or discomfort in the vaginal or perineal area.
In cases where the silicone/biopolymer becomes infected or forms granulomas, recurrent infections or drainage can affect adjacent tissues, potentially increasing the risk of recurrent vaginal or perineal infections, though this is not common unless there’s significant local reaction. Systemic inflammatory responses or nerve involvement may alter vaginal lubrication in rare cases, but silicone/biopolymers are not known to directly cause vaginal dryness. They do not directly cause the vagina to become "loose." Vaginal laxity is typically due to childbirth, hormonal changes, or pelvic floor dysfunction—not biopolymer injections in the buttocks. They do not directly cause vaginal infections, but in the presence of chronic inflammation or drainage, hygiene challenges may predispose to infections in surrounding areas. They do not directly cause dryness, unless there is a broader systemic or neurologic reaction. While silicone or biopolymer injections in the buttocks do not directly affect the vagina, migration, chronic inflammation, or nerve involvement can result in indirect symptoms such as pain, discomfort, or rarely, secondary infections. Vaginal looseness or dryness is not a typical direct result but may occur as part of a broader inflammatory or neurologic issue.

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 two-stage surgical excision process and a third stage of reconstruction (often referred to as a reconstructive BBL). This approach 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. My Silicone Coordinator would be happy to get the ball rolling to see how we can help.  (516) 279-2616

J. Timothy Katzen, MD, FACS · Answer

Hi Croenedlevi, Thank you for your question regarding whether silicone injections change the vagina and whether silicone or biopolymers in butt cause problems in the vagina. Specifically, do silicone butt injections cause the vagina to become loose? And do silicone or biopolymers in the buttocks cause vaginal dryness and reoccurring infections?  Silicone injections in the buttocks are not a good idea.  Silicone injections are not FDA-approved.  Unfortunately, many patients have silicone injections in the buttocks.  The vagina can be affected by silicone injections.  Silicone buttock injections can migrate down the buttock and into the lower portion of the vagina.  As the buttock injections migrate to the vagina, the injected silicone can cause extensive scarring and the creation of granulation tissue in the vagina and labia.  This scar tissue can lead to chronic vaginal pain and infections.  Plastic surgeons specializing in silicone removal from the buttock often see patients with recurring vaginal infections with dryness.  These symptoms are common with the silicone injections that migrate to the vagina.  However, most plastic surgeons do not see the vagina becoming loose because of silicone migration from the buttock.  Plastic surgeons who specialize in silicone removal would strongly counsel you to have the silicone injections removed from both the buttock and vagina.  Some plastic surgeons specialize in the field of silicone removal from the buttocks.  I suggest you remove your bio-polymers as soon as possible before further complications occur.  I hope I have answered your questions regarding whether silicone injections can change the vagina and cause the vagina to be loose, dry, and have recurring infections.  Good luck.  
Sincerely, Dr. J. Timothy Katzen,

How do booty silicone injections change the vagina?

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How do booty silicone injections change the vagina?

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Everything you need to know about Silicone Injection Removal

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