Is there yet any procedure to dissolve silicone based filler from cheeks? Morpheus8?

Hello there. Thank you for your question. Unfortunately, the heat generated by Morpheus8, and other similar RF microneedling devices, cannot dissolve silicone fillers. In fact, the necessary inflammatory process experienced with Morpheus8 could exacerbate underlying issues often associated with silicone filler — including but not limited to: excessive inflammation, infection, permanent skin discoloration/visible changes in skin texture (hardened lumps), overall discomfort (itching/burning/pain), etc. Many practitioners prefer the use of HA-based fillers for temporary augmentation because degradation of HA-based fillers not only happens naturally by the body over time but they can also be dissolved using hyaluronidase (injectable enzymes that cause an immediate breakdown of the hyaluronic acid gel). While HA fillers are often affected by the controlled thermal damage caused during non-invasive skin tightening treatments; silicone fillers are not. On the contrary, silicone liquid is a permanent filler that often requires more invasive surgical intervention for removal. However, removal of silicone from soft tissues of the face is exceedingly complicated and the risks may outweigh the benefits. Therefore, I highly recommend you consult with a surgeon that specializes in silicone filler removal if your main goal of Morpheus8 treatment is to dissolve the silicone filler.

Dear Sincere thank you for your question.

Unfortunately silicone injections cannot be disolved, the filler applied will remain in place unless it is surgically removed. I would recommend seeking a surgeon with experience in silicone injection removal to get a thorough evaluation.

Silicone fillers are extremely difficult to remove because they integrate with the tissue over time. I’m sorry you’re dealing with this, and I want to help you understand your best options.

The gold standard for removing silicone is surgical excision, where the affected tissue is physically cut out. This is the most definitive solution and should only be performed by a highly experienced plastic surgeon who specializes in silicone removal.

However, if you’re looking for a non-surgical alternative, there are two options:

1. Mechanical Tissue Coring (e.g., Ellacor) – This method removes small sections of skin, potentially extracting some silicone. However, it has limitations, as it cannot be used in all areas.

2. Laser Coring with UltraClear – This approach uses laser energy to core tissue, allowing for greater flexibility in treatment areas compared to mechanical coring. However, the heat may trigger an inflammatory response, so it must be performed with expertise.

In my experience, Morpheus8 is not an option—it delivers heat to the skin but does not remove silicone or the affected tissue. The key to improving silicone-related issues is removing the tissue itself, whether through surgery or coring techniques.

These treatments should only be performed by a highly experienced physician, such as a plastic surgeon, dermatologist, or aesthetic physician, who understands the complexities of silicone removal.

I hope this helps, and I encourage you to seek out a trusted expert for a personalized evaluation. Wishing you the very Best.
Dr.Shanthala