Can silicone be removed from the face and buttocks?

Question

About 17 years ago I had my face, lips and buttock injected by a non doctor in Miami. She had said it would desolve in about 4 years well, the silicon or what ever I was injected with in the lips as sip thru the tissue therefore I have a puffy area between my lips and nose causing a monkey like appearance. My butt also has bumps and some have traveled close to my leg. Is a horrible mess, Is there anything that can be done? I do not know what I was injected with for certain.

John L. Burns Jr., MD · Answer

Yes, to a certain extent it can be removed although it is a difficult process.  In the face it can be removed directly via excision.  When larger volumes are involved such as the butt then liposuction can reduce the silicone.

J. Timothy Katzen, MD, FACS · Answer

Hello, I am sorry you had silicone injected into your face, lips, and buttock and that now you are having problems.  Also, I am sorry that the silicone has migrated.  You must understand that silicone is a PERMANENT filler.  Unfortunately, you have seen and lived with this silicone for 17 years.  Furthermore, the silicone will NEVER go away without surgical intervention.  Permanent fillers do NOT dissolve with steroids, hyaluronidase, antibiotics, or radio frequency (RF).  Nothing will dissolve silicone.  Since these areas are causing you problems, I would suggest surgical resection.  You can have the silicone removed from the face, lips, and buttocks.  It is possible to have the silicone removed during one surgery.  I specialize in the removal of silicone from the face, lips, and buttocks and subsequent reconstruction of the buttock.  I am a lead investigator and founder of the Silicone Removal Institute. Since removing silicone from the  face, lips, and buttocks is a big procedure, please seek an experienced, board certified plastic surgeon with significant experience in removing silicone.  Do your research.  Make sure your chosen plastic surgeon has performed many  buttock silicone removal surgeries and has 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, lips, and buttock silicone removal surgeon in your neighborhood, consider traveling out of state if you must. Sincerely, Dr. Katzen. (“Verified” Plastic Surgeon, 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.)

Jeremy S. Nikfarjam, MD · Answer

Hi Ellie,
I'm so sorry to hear of your condition. I treat hundreds of women each year who have similarly been victimized by these illegal injectors. Open, surgical removal (face and buttocks) with a board certified plastic surgeon is the safest and most comprehensive solution. 
I wish you the best on your journey!
- Dr. Nik

Raffy Karamanoukian, MD, FACS · Answer

Our office is the leading center for the removal of foreign body fillers in the United States. My approach is protocol based, beginning with an examination to determine the grade of inflammation using the Karamanoukian Grading Scale for Soft Tissue Inflammation. Silicone biopolymers and PMMA can be safely removed from the face and body. Longterm complications are minimized with diligent attention to detail and protocol-based treatment. 
Best, 
Dr. Karamanoukian
Realself100 Surgeon

Luis Lopez Tallaj, MD · Answer

La diferencia entre rellenos dérmicos reales como el ácido hialurónico o la hidroxiapatita cálcica es que permanecen donde lo inyectamos y no se mueven, y se absorberán en un plazo no superior a 12 a 16 meses dependiendo del caso y la zona tratada. Los materiales aloplásticos como la silicona y el PMMA invaden las células atravesando su citoplasma y se integran con los tejidos más cercanos, además se migrar y provocar deformidades comprometiendo la microcirculación, una verdadera pesadilla. En algunos casos podemos eliminar parte del mismo, nunca todo, intentando recrear una normalidad temporal en los labios, y hasta en otras zonas del rostro con riesgo de deformidades severas. Es muy importante que antes de realizarte las inyecciones faciales cosméticas verifiques el médico elegido por usted y busque en google la marca del producto que le ofrece este profesional. Recientemente publicamos un documental en nuestro canal de youtube Lopeztallaj, Besos de plástico explicando todo lo relacionado con esas inyecciones ilegales para una verdadera prevención. Tiene subtítulos en inglés y portugués.

Luis A. Cenedese, MD, FACS · Answer

Silcone injected into the face typically becomes surrounded by scar tissue which makes it extremely difficult to remove without directly excising the surrounding soft tissues. This can be done in the lips depending on the site.  Excision of tissues may result in deformities which require subsequent treatment. Unless the silicone has coalesced into a pool only small amounts can be removed with liposuction.Please consult in person with an experienced Board Certified Plastic Surgeon prior to making treatment decisions.

Amit Gupta, MD - Account Suspended · Answer

Good eveningSilicone removals can be the most most difficult thing a plastic surgeon can ever do, and it is the most dissatisfying of all correction procedures. I was faced with a situation of a lady injected with silicone in cheek region, and laughter lines. With no clear solution, i tried  VASER in the hope that the sound energy would break the silicone, and i was so surprised to see it actually did, and liquid silcone flowed down the track. almost 75 % silicone came out in 5 minutes or so. Now i cannot assure that this procedure will work in the lip segment, it might be too dangerous to do so, However it can be tried in the buttock regions. Do check with Plastic Surgeons in your area who are expert with VASERBestDr Amit Gupta

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