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

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!

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