Silicone has migrated to my lower back, causing pain on my spine. What procedure will remove it from my back and buttocks?

This can be a tough problem. The main thing is to remove the silicone when possible. Areas that are infected may have abcesses need to be located and drained. Hopefully there is only one spot to deal with but it may well require several procedures.

Silicone biopolymers are commonly used in the face and body. They may sometimes cause noticeable symptoms that we gauge using the Karamanoukian Soft Tissue Reaction Grading Scale from I to V. The severity of your complications dictates the interventions needed, ranging from itching and burning to severe necrosis of the soft tissue. Nerve pain and symptomatic swelling is also possible. Insurance may cover your surgery, but that is a discussion that requires you to contact and appeal to your insurance carrier. Options for removal are complex and depend on whether you have the material in your face or body. We reverse BBL with silicone commonly and remove silicone from the lips very commonly. Diffuse silicone in the face is not likely to respond to removal. Filler migration, swelling, and granulomas can cause significant discomfort and cosmetic ramifications. Our office specializes in the use of enzymes and filler reversal techniques without hyaluronidase to help improve the results of botched cosmetic fillers, whether caused by Juvederm, Restylane, or foreign fillers. We can also test for the material to determine the likelihood of silicone granulomas and silicone reaction.

Best,
Dr. Karamanoukian
Realself100 Surgeon

there is only one treatment for this liposuction or skin removal. you will need a full assessment i hope that Its not deper you should get a scan to esnure it hasnt migrated into your body.  Best, Dr. emer.

Silicone injections to the buttocks and other parts of the body for the sake of enlargement is illegal not approved by FDA or any medical society. The long term result is intense reaction to the foreign body and the formation of siliconomas, hard lumps, and migration of the silicone.All these injections are not medical grade and not sterile, lead to chronic recurrent infections.Surgery can not remove all the silicone and will get infected with any attempt to remove by any means.One can attempt removal of the large painful lumps of siliconomas. This will leave multiple scars and major deformities. Removal from the buttocks require removal of the silicone and fat down to the muscle and skin when involved. Eventually silicone will migrate to lymph nodes resulting in chronic swelling and disabling problems for life.

Silicone injections are not an FDA approved procedure. This is an unsafe procedure and not recommended. What you are experiencing is the reason one should avoid this approach.  Silicone removal is a difficult and challenging procedure.  The MRI will localize the silicone allowing for extraction.  Removal of the silicone will probably create some irregularities and dimpling.  Unfortunately you have no choice.  Good luck.