What can be done to remove the silicone from my upper lip? (Photo)

Thank you for your question regarding how to remove silicone from not necessarily your upper lip but your nasal labial fold. It’s unfortunate that a doctor injected silicone into your face. This is not recommended. I would suggest surgical removal. Liposuction of this area is dangerous and not accurate. I would suggest direct surgical removal. The area that you circled is called the nasal labial fold. This is a hole that extends from the corner of your nose to the corner of your lips. I’ve had several patients where I make an incision in this fold and directly excise the product and associated scar. The scar heals very well. Please seek an experienced board-certified plastic surgeon for the removal of silicone in the nasal labial fold.


I specialize in biopolymer and silicone removal and subsequent reconstruction. Since removing biopolymer and silicone is a big procedure, please seek an experienced, board-certified plastic surgeon with significant experience in removing silicone from the buttock. Do your research. Make sure they have performed at least 100 biopolymer and silicone removal surgeries and have 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, buttock silicone removal surgeon in your neighborhood, consider traveling out of state if you must. Sincerely, Dr. Katzen. (“Verified” Plastic Surgeon, President of the American Society of Bariatric Plastic Surgeons, 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.)

Thank you for your openness—this is a challenge many others face as well, even if it’s not often talked about. It's encouraging that you're now taking steps to get the support you deserve. Before proceeding with treatment, the first step is usually an in-depth clinical evaluation, often supported by imaging such as MRI. This helps determine how much silicone is present, whether it has migrated, if there is associated fibrosis or granuloma formation and the depth and distribution (superficial vs deep plane). If the silicone is causing persistent deformity, asymmetry, or chronic inflammation, surgical removal is the most definitive option. This typically involves a direct excision through intraoral or external approaches, depending on the location and extent. Once removal is complete, reconstructive techniques to preserve or restore lip shape. This includes autologous fat grafting from a separate donor site to the lips to restore structural integrity and functional mobility. Non-surgical management may include dermal filler augmentation to restore lip, contour and correct minor asymmetry or divots following the initial excision. Please note - the surgical option is permanent and non-surgical is not and would need to be maintained every 6-12 months. Given your history and description, you may benefit from surgical removal and reconstruction by a plastic surgeon experienced in silicone excision and lip reshaping. 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 removal and reconstruction technique that 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. (516) 279-2616

Nasolabial silicone biopolymer can be removed or treated using HIDEF techniques that can dissipate the silicone. I would first like to assess whether the silicone is highly viscous or whether granuloma formation has occured. This is an important part of the assessment because it can determine the extent of non surgical options.

My office focuses on the treatment of biopolymers and we are a National Center of Excellence for this condition. I would begin by examining the area and possibly treating for granuloma formation before any attempts are made to excise the filler. Surgical intervention should be planned and carefully considered in order to optimize results. Although a direct excision is possible, wouldn't it be better to explore easier options?

I would suggest a consultation to explore your options. I am the surgical director of Kare Plastic Surgery and have extensive experience in this realm. Best of luck.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Thank you for your question. I have used silicone oil in my practice for the last 25 years. The area that is inflamed actually is silicone oil, it should respond very nicely to a steroid injection-Kenalog 10 mixed with Kenalog 40. Best wishes to you.