Hello, and thank you for your question regarding silicone in the buttocks and hips, causing you pain and mobility issues, and whether you will look disfigured after removing the injected silicone. You must remove the silicone. Silicone causes a whole host of inflammatory responses, autoimmune diseases, and can cause problems with disfiguring, scarring, and migration, even without surgery. Silicone is not a naturally occurring product in the body. Therefore, since the body is designed to react to anything that is not supposed to be in your body, the silicone causes an inflammatory response. Inflammatory responses include swelling, pain, itching, scarring, and skin discoloration. Injected silicone also causes the body to create antibodies, which can cross-react with other tissues in your body. Silicone has been linked with a condition called ASIA syndrome. Silicone is not inert and does not just sit there; silicone causes your body to react. Your workup should include an MRI of the injected areas. The MRI will determine the location of the product. The MRI will determine whether the silicone is superficial or deep in the muscle. If the muscle is accessible, like the gluteus maximus muscle, superficial injections of silicone into its superficial fibers can be removed. However, if the silicone is deep in the muscle, it may not be worth going after the silicone. The fact that silicone is in your body makes surgery difficult. The fact that silicone is in your muscle makes the surgery even more difficult. Deformity is relative. Removal of the injected silicone should be your top priority, not the appearance. You must remove the silicone product. After the removal of the silicone, soft tissue deformity often can be corrected with fat transfer or other soft tissue fillers. However, it is much more important to remove the product first and consider the deformities left behind from silicone removal secondarily. Almost all patients can regain their strength and balance after silicone removal from the hips and buttocks, even after the product is removed from the muscle. Good luck. Thank you for your question regarding silicone and the body and hips, causing mobility issues, and whether you will look disfigured after removing the injected silicone. Since removing silicone is a big procedure, please seek an experienced, board-certified plastic surgeon with significant experience in removing silicone. Do your research. Make sure they have performed many 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 silicone removal surgeon in your neighborhood, consider traveling out of state if you must. Sincerely, Dr. Katzen, MD, MBA ( Plastic Surgeon, President of the American Society of Bariatric 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, Director and chief clinical investigator at the Institute of Silicone Removal, RealSelf Hall of Fame, and RealSelf Doctor Advisory Board for Medical Review and Consumer Panel, Director and Chief Investigator of Silicone Removal Institute.)