Silicone butt injections are migrating to my legs and feet - what can I do before surgical removal to manage this for now?

Hi Enthusiastic81888!

I'm really sorry you're going through this—what you're describing is very serious, and your fear is completely understandable. Silicone injections can lead to severe complications, especially when they start migrating or triggering inflammatory reactions. Let me walk you through what may be happening and what steps you can take right now to manage this before surgical removal. What Might Be Happening: When silicone is injected—especially in large, non-medical-grade amounts—it does not stay in place. Over time, the body may recognize it as a foreign substance and can trigger chronic inflammation, leading to swelling, pain, and tissue damage, cause migration - where the silicone travels from the original site (like the buttocks) to the legs, groin, and even feet. It can block lymphatic drainage, which can result in painful swelling. Sometimes, it can even lead to infections or skin ulceration.

What You Can Do Right Now:
If you have any of these symptoms, go to the ER - Fever, difficulty walking, severe shortness of breath, skin turning dark or ulcerating.

What You Can Do at Home:
Anti-inflammatory medications -Take over-the-counter meds like ibuprofen (Advil) or naproxen (Aleve) if you are not allergic and have no medical contraindications. These can help reduce inflammation and pain. Cold compresses - Apply to swollen areas for 15–20 minutes at a time, several times a day. Elevation - Lie down and elevate your legs higher than your heart (use pillows). This can help with swelling if lymphatic flow is impaired. Compression garments (with caution) - Light compression shorts or leggings may help, but if they make the pain or swelling worse, remove them immediately. Avoid massaging or pressing on the areas - This can increase migration or worsen inflammation. Hydration and nutrition - Drink water, eat low-sodium anti-inflammatory foods (e.g., leafy greens, berries, turmeric, ginger).

I definitely suggest doing your research for a Board-Certified Plastic & Reconstructive surgeon who specializes in silicone/biopolymer removal. Here at my New York based silicone removal center, 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 two-stage surgical excision process followed by a stage of reconstruction. This approach is designed to ensure the most complete removal possible while minimizing risks and optimizing patient outcomes. To learn more or to schedule a complimentary virtual or in person consultation, please call (516) 279-2616. My silicone coordinator will walk you through the entire process. She, too, has had silicone removal and would be happy to share her story with you. Please remember - you're not alone. This situation is terrifying but there is a path forward... we're here to help.

Thank you for sharing your experience. I’m truly sorry to hear about the discomfort and challenges you’re facing due to migrating silicone. Based on your description, it’s crucial to seek surgical removal as soon as possible. As silicone continues to migrate, it can cause increased pain, swelling, and more complex complications. Over time, scar tissue can form around these areas, potentially leading to additional incisions and a more involved removal process.

While you prepare for removal, here are some measures to help manage symptoms:

Limit Pressure and Activity: Avoid activities that increase pressure in the affected areas, like prolonged standing or intense exercise, as they can worsen migration and swelling.

Cold Compresses and Anti-Inflammatories: Applying cold compresses and using anti-inflammatory medication may help relieve swelling and discomfort. Consult your doctor to confirm safe use.

Compression Garments: Wearing compression garments fitted specifically for your condition can provide additional support and possibly slow the spread. Your plastic surgeon can advise on the best garment to avoid complications.

Hydration and Gentle Movement: Stay hydrated and engage in mild stretching to support circulation without encouraging further silicone migration.

It’s vital to connect with a plastic surgeon experienced in silicone removal who can provide an individualized plan. I’ve guided many patients with silicone complications, and timely action truly makes a difference in managing outcomes. I’m here to help every step of the way.

Sincerely,
Dr. J. Timothy Katzen, MD

Best to virtual consult with since you did not post photos or repost question with your photos. A temporary treatment could be large, bore silicon removal of the buttocks, injections to the bulk the amount of silicon in the tissue. Best of virtual consult with expect fees to range from $6000-$15,000.