How Do I Get Rid of the Pain and Lumps Due to Silicone Injections?

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

This is a real problem! Unfortunately we are seeing this more and more commonly. Anytime something good comes along such as the Brazililan Butt Lift, there are always people out there who try to capitalize on the demand by trying to find a way to make people think they are getting something similarly good at a much cheaper price. These people do this with no concern for the safety of patients or pretty much anything aside from making an easy buck. There is a reason it is illegal here in the States.
The only success I have seen with this problem is either direct excision of the lumps or injection of steroids. This may help, but it doesn't solve the problem permanently. The more injections or the more resection, the more chance of further deformity. But this is the best treatment available.

Silicone injections into the buttocks are illegal in the US. They still are performed and they use silicone from the hardware store. No medical grade silicone is available in large volume.

Thea body reacts to the silicone by forming :Granulomas" The only treatment is surgical removal and that WILL LEAVE YOU WITH A MAJOR DEFORMITY OF THE BUTTOCKS.

Prior injections with steroids may soften the granulomas then surgical excision.

The silicone used also causes very starange and unusual infection. Essentially they use silicone caulking to inject to your buttock.

Treatment is multiple procedures and is expensive.THE SURGERY WILL CAUSE MAJOR DEFORMITY OF THE BUTTOCKS AND NO GUARANTEES THAT YOU WILL NOT GET INFECTION AND IRRIGULARITIES AND MAY REQUIRE MORE SURGERY TO IMPROVE ON THE DEFORMITIES.

Dear Lawrence6199,

Yikes.  As obvious as it sounds, it is not a good idea to have this procedure done and I hope that other people considering it will decide not to do it.  Even based on this alone.

First of all, you really do not know what was injected.  They may have said "silicone," you may have assumed it was "silicone" but the only silicone approved for injection in the US, (by the FDA) is for ophthalmologic use (the eyes).  It can be used off-label in the US but since the cost is prohibitive in the volumes that would be required for buttock augmentation, that's not how it's done here.  If at all.  Most likely, it is some other substance that was injected.  It is hard to know what it was, or even to go through a list of everything it could be.  Better not to even think about it.

More important is what can be done.  In general, you could either have some of the areas removed surgically (ie, cut out) or via liposuction, if that will work.  The most direct approach is to excise (cut out surgically) each of the areas that is symptomatic, if that is possible.  Otherwise, a more diffuse approach, such as liposuction (although it's not really fat that is being aspirated) may help.

I'm really sorry for what you've been going through - and will go through - but I hope that this helps and good luck,

Dr. E