I Want to Get Rid of Liquid Silicone in my Butt. What and How Can I Do It?

Question

The silicone injections have moved and infected and I want to get rid of it. What will be the procedure??

J. Timothy Katzen, MD, FACS · Answer

Hello, thank you for your question about how to get rid of silicone in your buttock.  There are two very effective ways to remove silicone from the buttocks.  First, you need a thorough physical examination by a qualified plastic surgeon.  Your chosen plastic surgeon should be experienced in removing silicone from the buttocks.  Second, there are two different ways to remove silicone from the buttocks. If you do not have to much silicone in the buttock, ultrasound-guided, VASER-assisted buttock liposuction is an excellent way to remove silicone from the buttock without a long scar.  However, if you have significant amount of buttock silicone, lots of buttock skin scarring, and buttock pain,  I would suggest an incision that goes across the top of the buttock. The shape in the incision is in the shape of a gullwing.  During this open technique, more silicone can be directly excised than traditional ultrasound-guided, VASER-assisted buttock liposuction  Please see the videos on this website as well as YouTube for successful silicone extraction using these two techniques.  I hope that I have answered your questions removing silicone from the buttock.  
  
Before you make any decisions regarding silicone removal from the buttock, I would suggest you seek consultation with an expert. Please seek an experienced, board-certified, plastic surgeon.  Travel out of state or country  if you must to find such a silicone removal  expert. If you have any more questions regarding silicone removal from the buttock, intra-operative ultrasound-guided VASER assisted buttock liposuction or plastic surgery in general, please contact my office.  Sincerely, Dr. Katzen. (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.)

Jeremy S. Nikfarjam, MD · Answer

Hi Cucusa! Here’s a clear guide on how to start the process: 1. Find a Qualified Surgeon: You want a board-certified plastic surgeon who specializes in silicone or biopolymer injection removal, particularly from the buttocks. This isn’t a typical cosmetic surgery—it requires experience with identifying free silicone migration, managing scar tissue and inflammation, and reconstructive techniques. 2. Schedule a Consultation: At the consultation, the surgeon will review your injection history (what was used, where, how much—if known), perform a physical exam, order imaging (usually MRI with silicone protocol). It's important to be honest and detailed, even if you don’t have full records. Your transparency will help guide safe removal planning. 3. Get Imaging (MRI with and without contrast): MRI with and without contras to assess how deep and widespread the silicone is, including possible migration to lymph nodes or muscle. This step is crucial for safe surgical planning. 4. Discuss Removal Options: Based on imaging and your anatomy, the surgeon will explain what areas they can remove silicone from and if they offer (or are experienced with) reconstruction post silicone removal. It's also important to discuss: Recovery time and risks along with personal goals. *Don’t rush into surgery with just any provider—this is delicate work that requires true expertise. Be cautious of anyone offering “minimally invasive” or “liposuction only” solutions for silicone removal; these often leave silicone behind or worsen inflammation. I have seen thousands of patients who have been victimized by illegal silicone injections. The symptoms I see range from mild to moderate to severe- requiring emergent hospital admissions. What you report is a familiar story that we here in the office- pain in the buttocks, back, and legs. Sometimes this pain is accompanied by intermittent tingling in the extremities. Treatment is possible! After training in hospitals in The Bronx in the early '00s, I saw countless patients present to the emergency room with symptoms related to silicone disease but were not given any substantial treatment. They were given antibiotics and pain medications and sent home. It was then that I decided to pioneer the silicone removal center in New York. You can read more through the link below. Ultimately, I perform a two-stage open removal procedure (through a small incision inside the buttocks crease) with a third stage reconstructive BBL. All three stages are pre-authorized through a patient's health insurance. I only perform these procedures in a hospital setting with a dedicated team that I have handpicked to assist in these unique procedures. I believe this is a medical problem that needs real, medical treatment (in the U.S., in a hospital, with a board-certified plastic surgeon). Of course, the aesthetic component is very important, and as a plastic surgeon, I do everything I can to make sure my patients look great afterwards as well. Please feel free to contact my team to inquire about your particular insurance policy. We have a comprehensive fly-in program my Silicone Coordinator can discuss with you. She has undergone silicone removal and reconstruction and would be happy to share her silicone journey with you and see how we can help with yours. (516) 279-2616

Raffy Karamanoukian, MD, FACS · Answer

Our office is the leading center for the removal of foreign body fillers in the United States. My approach is protocol based, beginning with an examination to determine the grade of inflammation using the Karamanoukian Grading Scale for Soft Tissue Inflammation. Silicone biopolymers and PMMA can be safely removed from the face and body. Longterm complications are minimized with diligent attention to detail and protocol-based treatment. 
Best, 
Dr. Karamanoukian
Realself100 Surgeon

Daniel P. Markmann, MD · Answer

Unfortunately, this is a very common question from patients who get silicone injected into their buttocks. There is no easy way to remove it. Silicone Oil is injected into and spreads throughout the tissues of your buttocks. When you get infections of this, oil or when your body reacts to it forming granulomas, it is a very difficult problem to treat. Localized areas can be surgically removed. Some may need to be debrided (cleaned out) and left open to drain and heal from the inside out. Usually removal of silicone and silicone granulomas results in a deformed buttocks. If the problem is bad enough or the pain is severe enough, then it needs to be done! What, if anything, can be done afterwards about the deformity will have to be addressed later.

Peter A. Aldea, MD · Answer

RE - "The silicone injections have moved and infected and I want to get rid of it"

	"Buyer's Remorse" is extremely common with injection of Silicone (?caulking), PMMA and a host of other substances into the buttocks. the sad truth is that the injections are NOT done into a single space but instead are infiltrated THROUGH the tissues. Removing these un-natural fillers and the scar tissue around it is frustrating to the surgeon and often leaves the patient with a buttock deformity which is MUCH worse than the deformity which prompted them to seek these "treatments".

	When dealing with an infected foreign body, such as presumably is the case here, the only answer is surgical removal and allowing the body to heal itself. Unfortunately, this is much easier said than done. These procedures are not cheap. They need to be done repeatedly and as stated above, are associated with depressions, dimpling and permanent scarring.

	Dr. Peter a Aldea

George Lefkovits, MD - Account Suspended · Answer

Silicone injections into the buttcoks are very dangerous and are illegal in the United States. Unfortunately there are quite a few patients who have undergone this procedure and are suffering the consequences which may include hardness, areas of discoloration, pain, drainage,defromity, and systemic health problems. Trying to remove these liquid injections which have permeated the various layers of tissues is very difficult, and is associated with complications including infection, loss of skin,and deformity. If there are 1 or 2 discreetly defined areas which are indurated they may possibly be attended to. But, again removing them is problemmatic.

I Want to Get Rid of Liquid Silicone in my Butt. What and How Can I Do It?

Answers (6)

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