Is It Possible to Remove Injectable Butt Augmentation Substance?

Question

Around 2005 i had injections done in my buttocks and then again in 2006. Sad to say on both occasions it was not administered from a doctor. I'm unsure of what the substance really is. Since then My buttocks have formed discoloration and lumps. My left buttock has dropped tremendously so now i"m distorted. Is there something that i can do to fix this? I know i've made a terrible decision I'm really afraid.

Raffy Karamanoukian, MD, FACS · Answer

Silicone injections and silicone nodules in the buttocks can be treated effectively using conservative measures in the primary stage of treatment and surgical measures in the secondary and plateau phases of silicone treatment.  I characterize these three phases as such:
Karamanoukian protocol for silicone injection treatment:
Primary Phase - Conservative: Reduction of Inflammatory and Infectious Component of Silicone Injections
Secondary  Phase- Maintenance of Inflammatory Component of Silicone Injections
Plateau Phase - Surgical Measures to Reduce Deformity
I routinely treat patients from Asia and South America with a similar problem.  In your particular case, I would address the inflammatory component of your injections for at least six months and then transition to a corrective modality to remove th silicone nodularity.

Ryan A. Stanton, MD · Answer

Unfortunately, at this stage of the game it may be best to leave it alone unless you encounter a more serious problem such as painful hardening and/or infection otherwise removal of the material can only be done by way of excision which can greatly deform the buttocks and leave large scars. Best to see a board certified plastic surgeon for a direct exam and recommendation(s). Good luck...RAS

Richard Zienowicz, MD · Answer

There is no real way to provide you specific advice without first figuring out what material was injected. It would be best for you to meet with a board certified plastic surgeon who can give you the advice and treatment you need.

Nelson Castillo, MD · Answer

Thank you for your question and photograph, and I am sorry to hear about your butt injection issues.  Unfortunately there is no way to reverse or dissolve the mysterious substance placed within the tissue of your buttocks.  Surgery to remove the tissue would not only leave you with extensive scars, but likely a permanent deformity.  Assuming you are not having a health issue from the injections, best to leave them alone.

John Nguyen, MD, FACS · Answer

This is a very serious problem.  I do not know of an effective way of removing the substrate injected.  I assume it is free silicone, but we obviously do not know.  Conservative measures and surgical excision of nodules only as needed.  Good luck and be safe.John T. Nguyen, MD, FACS, FICSDouble Board Certified Plastic Surgeon

Martin Jugenburg, MD · Answer

Silicone, or other material that is injected into a butt (breasts, or other body area), is unsafe and not performed by any normal doctor that I am aware off.

There are many complications arising from injectable substances such as Silicone.  The biggest problem, however, is getting it out once it becomes a problem.  It cannot be liposuctioned out.  If removal is required, it is done by cutting out all the tissues where the silicone has spread.  This will leave a very visible defect.

Paul Fortes, MD · Answer

I recommend that you consult with an experienced, board certifies plastic surgeon.  I have taken care of many patients who have had similar buttock irregularities following the injection of illegal fillers.  The corrective options really depend on how soft the buttock tissues are now and how amenable the tissues are to contouring by liposuction, fat grafting, or buttock lifting techniques.

Carlos Alberto Ríos García, MD · Answer

Hello
Tanyat2, thank you for your question.

As for your
question, I can answer that was unfortunate the fact you have this substance
injected into your buttocks.

Biopolymers
ALWAYS should be removed, because you present at any time iatrogenic
allogenosis and probably A.S.I.A. syndrome. The skin redness could be secundary
to the liquid silicone and I dont recomend you treat with any type of energy as
light (laser), Intensed Pulsed Light (IPL) that could increase the inflamatory
activity.

Our plastic surgery center
specializes in the treatment of Biopolymers injections (permanent fillers:
liquid silione, Polyacrylamide Gel, PMMA, Biogel, Macrolane, Metacryletc.) to
the face, buttocks and other soft tissue and its complications. We see patients
that came worldwide who have complications arising from Biopolymers injections
to soft tissues. The Biopolymers cause a severe inflammatory reaction that can
cause permanent damage to the tissues known as Iatrogenic Allogenosis and an
autoimmune syndrome (A.S.I.A. Syndrome). In our plastic surgery center, I
developed the technique of resection of biopolymersin face, buttocks and lower back
through video – endoscopy, a surgery made with minnimal incissions to treat
patients with permanent deformities secundary to Biopolymers injections. Other
techniques such as liposuction, VASER or LASER are absolutely ineffective in
treating this type of situation.

I hope it has been helpful.

Spanish translation provided by doctor:

Hola Tanyat2, gracias
por su pregunta.

En cuanto a tu pregunta
, puedo responderte que fue poco afortunado el hecho de haberte hecho inyectar
esta sustancia en tus gluteos.

Los biopolimeros
SIEMPRE deben ser retirados pues presentarás en algún momento alogenosis
iatrogénica y probablemente Sindrome de A.S.I.A.

El enrojecimiento que
presentas en tu piel seguramente es secundario a la silicona liquida y no te
recomiendo tratar esta área con ningún tipo de energia como luz (LASER), luz
intensa pulsada (IPL) que podria aumentar la actividad inflamatoria.

Nuestro Centro de Cirugía Plástica se
especializa en el tratamiento de biopolimeros (rellenos permanentes: silicona
liquida, poli acrilamida gel, PMMA, Biogel, Macrolane, Metacryl, etc.),
inyectados en el rostro, glúteos y otros tejidos blandos y sus complicaciones.
Recibimos pacientes de todo el mundo que presentan complicaciones originadas
por la inyeccion de biopolímeros. Los biopolímeros causan una reaccion
inflamatoria severa que puede causar daño permanente a los tejidos conocida
como Alogenosis Iatrogénica y un síndrome de auto inmunidad (Síndrome de
A.S.I.A.). En nuestro Centro de Cirugía Plástica, desarrollé una técnica de
retirada de biopolímeros en el rostro, los glúteos y la esplada baja a través
de video-endoscopia, una cirugía realizada a través de incisiones mínimas para
tratar pacientes con deformidades permanentes secundarias a inyecciones de
Biopolímeros. Otras técnicas como liposucción, LASER o VASER son absolutamente
ineficientes en el tratamiento de esta situación.

Espero le haya sido
útil.

Norman Bakshandeh Day, MD, FACS · Answer

I feel for you. This is a tough problem. In my past experience most of these injections are with liquid silicone. I dont know where they are purchased from but they are not medical grade. Plus free silicone injections into any part of the body is not a good idea.

	The hyperpigmentation and the lumps are from the body trying to accumulate the free material into discrete areas and to get rid of them. They usually and eventually surface to the skin and start to drain. This may take many many years.

	Leave it alone for now. The only was to fix this, if things get out of hand, is to remove the injected fat and then recontour and fill with deepethelialised skin and fat flaps. This is how I have treated these in the past.

Barry L. Eppley, MD, DMD · Answer

Synthetic injectable materials in the buttock are an irreversible procedure. This is no way to ever get it out as, unlike a solid implant, it is scarred in amongst the tissues over a broad area not just a single implant pocket. Trying to remove it would leave the buttock terribly scarred. The only reason to consider any form of excision is if an area starts draining, is painful, or gets infected. Otherwise, you are best to leave the buttocks alone and only treat areas that become symptomatic.

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