Am I able to get the silicon removed from my legs & do a BBL at the same time? (Photos)

Question

I am waiting to get my silicone injection removal of the buttocks in a few weeks. I have noticed that it migrated over to my legs/thighs as well so I want to shop around for other doctors who do the removal of the leg areas. Do any doctors have experience in removing silicon that migrated to the legs?

Zoran Potparic, MD · Answer

Removal of free silicone gel/oil from multiple sites is very difficult procedure and may result in serious infection that requires hospitalization. It may not be possible to remove the entire silicone ever! No other procedure, like fat grafting, should be done in the same time! Be very selective with selection of surgeon and look for a board certified plastic surgeon, if you want to avoid serious co mplications. Good luck.

Alan Gonzalez, MD, FACS · Answer

Hello @Rational12364, thank you for your question. To have this two procedures in one surgical time depends on criteria an surgical technique. I believe that the best possible result for silicon removal is just to the removal and then after a prudent time perform a BBL. If you are considering a silicon removal, consultation with a plastic surgeon who is experienced in this procedure is essential to ensure optimal results. Best wishes! Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science” Member (IFATS), Colombian Society of Plastic Surgery member (SCCP) .

Daniel Barrett, MD · Answer

Dear Rational12364,
I understand your concern. It is best however that you consult with a board certified plastic surgeon to determine whether you can have several aesthetic surgeries in one session, as this would depend on various factors including but not limited to your general health condition, the type of anesthesia that will be used, and the type of surgeries that will be performed among others.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Darryl J. Blinski, MD · Answer

It is possible to try to lipo remove any lower leg migrated silicone. But if excising it the scarring a deformities might interfer with appearance of lower legs and walking. Also removal from your buttock is being via excision with large scarring and deforming of your buttock or lipo reduction? Best to virtual consult with... I would use intra operative ultrasound to see areas of the illegal silicone injected materials. Understand there is no guarantee of complete removal by any surgeon!

Mats Hagstrom, MD (license on probation) · Answer

Your situation is complex and so will be the assessment and treatment.
The first thing any provider will need to know is exactly what the substance was that was injected.
Most people who have free silicone injections use a semi solid soft silicone product that does not migrate.
The fact that yours has migrated makes me think that it’s not silicone but could be some type of liquid like an oil.
Where are your silicone injections done by a medical provider? A non-medical person? In this country? In another country?
Before planning surgery I would imagine a provider would want to have a really good understanding of all the anatomic locations that the product has spread.
This could be done radiographically through a few different means.
MRI is very precise and could easily determine the exact location and extent of the spread.
Ultrasound should also be sufficient. it would be very helpful for the surgeon to be present during an ultrasound evaluation marking off on your skin using a sharpie all the areas that have the silicon material.
If the material is liquid then it’s possible it can be drained and all the cavities flushed out without needing to go to the operating room.
Removing previously injected silicone tends to be technically difficult, invasive and potentially destructive.
Free silicone typically incorporates into the tissues and the tissues themselves that have silicone embedded need to be removed.
This is not the case when liquids are injected which tend to become encapsulated and not incorporate into the tissue. This is also why they have the potential to spread. Pressure on a pocket containing an injector liquid will increase and it’ll force the liquid to open up new compartments spreading the injected material in different areas.
It may be difficult to find anybody who has substantial experience removing previous injected silicon though in your case I’m not convinced what was injected is silicone.
You’ll probably need to start scheduling in person consultations with plastic surgeons especially those who perform a lot BBL procedures ask if they have experience and/or if they’re willing to take on your case.
Individuals with previous silicone injections are sometimes far better off leaving things the way they are rather than trying to remove the foreign body.
Sometimes the process of removing silicone that’s deeply embedded into tissues is far more destructive and damaging then leaving the material where it is.
The information you presented is not typical for someone who has had previous silicone injections in their buttocks.
Like I mentioned earlier that product typically does not spread.
Good luck,
Mats Hagstrom MD

Am I able to get the silicon removed from my legs & do a BBL at the same time? (Photos)

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