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 Sincere139802,

There is no procedure or treatment is available that can effectively dissolve silicone-based fillers. Silicone is a permanent filler that cannot be broken down or dissolved by any known substances or treatments.

I understand that you may be hoping for a new invention or procedure that can reverse this mistake, but unfortunately, such a solution does not exist. Over the years, there have been various attempts to dissolve silicone fillers using substances like hyaluronidase, corticosteroids, or even liposuction techniques, but none of these methods have proven to be successful in breaking down or removing silicone from the body.

As a board-certified plastic surgeon, I frequently perform silicone removal procedures, especially in cases where patients have experienced complications or are unsatisfied with their previous filler treatments. Surgical removal remains the most reliable and effective option for addressing silicone-based filler concerns. Please seek someone with experience to help you remove the silicone from your face. This problem will not go away on its own and will only get worse. I don't mean to frighten you but this product is very dangerous.

Sincerely,
Dr. Katzen

Silicone based filler cannot be dissolved. I must be physically removed.

The danger of minimally invasive procedures in the setting of permanent silicone based filler is the potential for contamination and infection.

As always, discuss your concerns with a board certified plastic surgeon (ABPS).

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

Hello and thank you for your question!

Unfortunately, silicone-based fillers can’t be dissolved like hyaluronic acid fillers, which respond well to treatments like hyaluronidase. Since silicone is permanent, it stays in place once injected, and if any complications arise, they often require surgical removal rather than a non-invasive procedure.

As for Morpheus8, it’s a fantastic treatment for improving skin texture, firmness, and tone through microneedling and radiofrequency. However, since it doesn’t directly affect silicone fillers, using it over areas with silicone might cause inflammation or complications due to the heat involved.

It’s always a good idea to consult with a specialist who’s familiar with silicone fillers before trying anything, just to be on the safe side. Best of luck!

Genie Alexander, RN BSN for Anna Petropoulos, MD FRCS at Center for Classic Beauty, Boston, MA

Silicone-based fillers are permanent and, unfortunately, cannot be dissolved like hyaluronic acid fillers. However, there are some options for improving or managing the situation.
1. Surgical Removal: The most definitive way to remove silicone fillers is through surgical excision. While this may help, it can be complex and may result in scarring or other changes in facial contour.
2. Morpheus8: Morpheus8 is a radiofrequency microneedling treatment that can help tighten and rejuvenate the skin, but it won’t dissolve silicone fillers. It may improve skin texture and firmness around the area, but there’s a risk that it could disrupt the filler or make the situation worse.
It's best to consult with an experienced plastic surgeon or dermatologist who can assess the situation and recommend the safest approach based on your individual case.

Hello and thank you for your question. Yes, microneedling with radio frequency can help to dissolve silicone-based filler.

You should not proceed with morpheus8 if you have silicone or biopolymers as they may inflame the tissue. I would instead proceed with intralesional therapy and that is something we specialize in at our office in Los Angeles.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Thank you for your question. There are some rumors on "doctor google" that there is a solution that can dissolve silicone filler. This is absolutely not true. There is no antidote as there is with hyaluronic acid based fillers such as Restylane or Juvederm. Morpheus 8 or other EBDs (energy based devices) will not work. The injection of steroids can decrease inflammation or the appearance of scars in the area but will not dissolve the silicone. Your best approach is to seek a plastic surgeon who specializes in removing silicone. Excision and possible restorative surgery is what you should invest in and as soon as possible - before any granuloma formation occurs or the deformity becomes worse. I hope this helps! Dr. Dima