Is it possible to remove silicone fillers from under the eyes? Can you help me?

Silicone biopolymers are being used throughout the world for facial and body volume augmentation. Results are longer-lasting that Juvederm or Restylane. 
Bellafill and Artefill are known to cause granulomas and permanent nodules with swelling. This is not the case for everyone. Silicone biopolymers can also cause similar chronic inflammatory conditions. 
In my practice, I specialize in the removal of Bellafill and Artefill injections, in addition to silicone biopolymers, from the face and body. Initially, treatments are non-surgical with corticosteroids and immune modulators. If unable to be corrected, we can also perform surgery in some cases. 
Silicone biopolymers can also be removed from the body if there are signs of migration or inflammation. All of these filler-types should be removed as early as possible. 
Lastly, our office is conducting ongoing studies of plasma-assisted corticosteroid application, which allows for diffusion of the treatment medication in superficial tissue without causing atrophy. 
Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Hi AnnaCastelli, thank you for your question regarding removing silicone from the tear trough region. This is a difficult area to remove silicone. I believe it is more important to remove the silicone than leave the silicone in place. There are three ways to remove the silicone, all require an incision, as silicone suction would be too dangerous in this area. There are three types of incisions.  1) One method is the subcilliary approach where an incision is placed underneath the eyelashes and the silicone is removed directly by dissecting downward under the skin.  2) Another approach is to make an incision in the tear trough and remove the silicone like a crescent shaped incision. 3) The third alternative is making an incision inside the lower eyelid (in the red part or conjunctiva) and removing the silicone, scar tissue, and associated fat directly.  I hope that I have answered your questions removing silicone from the tear trough or under the eyes.  Before you make any decisions regarding silicone removal from the tear trough, I would suggest you seek consultation with a silicone removal expert. Please seek an experienced, board-certified, plastic surgeon.  Travel out of state if you must to find such a silicone removal expert. If you have any more questions regarding silicone removal from the tear trough or any part of the face or plastic surgery in general, please contact my office.  Sincerely, Dr. J. Timothy Katzen. (“Verified” Plastic Surgeon, Certified by the American Board of Plastic Surgery and member of the American Society Plastic Surgeons, International Society of Aesthetic Plastic Surgery, American Academy of Cosmetic Surgery, and Fellow of American College of Surgeons and American Board for Metabolic and Bariatric Surgery, Awardee: RealSelf 100.)

The difference between real dermalfillers as hyaluronic acid or calcium hydroxiapatite is that they stay were we inject it and do not move, and of coirse it will absorb within a period of no more than 12 to 16 months dependind on the case and area. Alloplastic material such silicone and PMMA the invade the cells citoplasma and integrate with the closer tissues, also they migarte and causes deformitis with compromise of the micro circulation, a real nightmare. In some cases we can remove part of it, neve all of it, trying to recreate a temporal normality in the lips or someother areas of the face with the risk of severe deformities. It’s so important that prior to do cosmetic facial injections you verify the doctor choosen by you, and search about the brand of the product that this professional is pffering to you. Recently we posted a documentary in our youtube channel Lopeztallaj, Besos de plástico explaining everything involved with those ilegal injections for a real prevention. It has english subtitles.