Has anyone ever heard about Multipuntura-succion, or multipunture suction technique to remove silicone injections?

Thank you for your question regarding the multi-puncture session technique to remove silicone injections. No, I have not heard of this technique. Usually, silicone is very thick and viscous and requires large holes for drainage. Additionally, injected silicone forms scar tissue, which will not allow the silicone to drain through multiple small punctures. Therefore, this technique does not work effectively for significant silicone removal. Although it sounds like a great idea, it simply does not work. Please see an experienced, board-certified plastic surgeon when considering getting silicone removed. There are two main ways to remove silicone: the open technique and the closed technique. During the open technique, an incision is made, and the offending silicone and surrounding scar tissue are removed. With the closed technique, a remote incision is placed and the scar and silicone are removed with suction. Thank you for your question regarding the multi-puncture technique, which does not work for silicone injection removal.

Sincerely,
Dr. Katzen

Removal of silicone, bioalcamid, PMMA, and Artefill from the soft
tissue is a complex problem and can be addressed by anti-inflammatory
agents and microsurgery. I use a less invasive surgical approach that
can remove and dissipate granulomas and fibrous tissue. 
In terms
of facial silicone removal, an ultrasound can sometimes help gauge the
grade of Karamanoukian Staging for soft tissue inflammation. 
The video demonstrates one of our techniques.
Best, 
Dr. Karamanoukian
Realself100 Surgeon

There are many people who take advantage of silicone injection problems. There is nothing that dissolves silicone. Silicone oils and gels injected cause severe inflammatory reaction and very hard granulomas. Only surgery can remove the granulomas and some of the injected silicone.

The problem with removing injected silicone once it's gone bad is not all about the silicone.The body responds to the silicone by making hard inflammation and scar tissue. There is no such thing as silicone milking and coming back out. The tissue has been destroyed and generally needs to be removed.It is also possible to get serious, and sometimes life-threatening, infections when surgically attempting to remove injected silicone.These are severe and complicated situations.Unfortunately, we have no great way of taking care of this problem.Best of luck,Mats Hagstrom, M.D.