Can I still get a BBL if I have a seroma capsule that has been previously drained from silicone removal in my buttocks?

Hi, thank you your question regarding what to do with your buttock after removal of silicone and subsequent development of a seroma. I would HIGHLY suggest you have the seroma capsule removed. The residual seroma capsule could cause an infection at any time and could cause an infection of the transplanted fat. Also, because the seroma capsule has no blood supply, any fat transferred into thee capsule would surely die and probably get infected. Basically, get the seroma removed BEFORE you have a BBL. I hope that I have answered your questions regarding removing a seroma capsule, which developed after silicone from the buttock. I specialize in silicone buttock removal and subsequent buttock reconstruction. I am the Director and chief clinical investigator at the Institute of Silicone Removal. Since removing silicone from the buttock 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 many buttock 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 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.)

Silicone biopolymers can cause severe longterm complications including inflammation and nodule formulation. Although results are longer-lasting that Juvederm or Restylane, long-acting fillers should be avoided.  
Bellafill, Artefill, and PMMA are known to cause granulomas and permanent nodules with swelling. This is not the case for everyone. Silicone biopolymers can also cause similar chronic inflammatory conditions. 
In my practice, I specialize in the removal of Bellafill and Artefill injections, in addition to silicone biopolymers, from the face and body. Initially, treatments are non-surgical with corticosteroids and immune modulators. If unable to be corrected, we can also perform surgery in some cases. 
Silicone biopolymers can also be removed from the body if there are signs of migration or inflammation. All of these filler-types should be removed as early as possible. 
Lastly, our office is conducting ongoing studies of plasma-assisted corticosteroid application, which allows for diffusion of the treatment medication in superficial tissue without causing atrophy. 
Best, 
Dr. Karamanoukian 
Realself100 Surgeon