Is there a way to remove biopolymers without cutting across the buttocks?

Hello, Thank you for your question about how to remove biopolymer from the buttocks. At this time, there are two accepted surgical procedures for the removal of biopolymer injected into the buttocks. To effectively remove  biopolymer buttock injections, there is ultrasound-guided, VASER buttock liposuction and direct buttock excision. The ultra-sound guided, VASER liposuction removal procedure avoids the incision across the top of the buttocks.  During the ultra-sound guided, VASER liposuction removal procedure, tumescent fluid is injected into the area. An intra-operative ultrasound is used to identify the biopolymer. A VASER probe is used to melt the scar tissue around the biopolymer. Then, I use a proprietary liposuction cannula to remove the scar tissue around the biopolymer as well as the biopolymer itself. The ultra-sound guided, VASER liposuction removal procedure takes approximately 2 to 3 hours to complete depending on the amount of biopolymer. This procedure is performed under general anesthesia. It takes about 1 to 2 weeks to recover from ultra-sound guided, VASER liposuction biopolymer removal.   I hope that I have answered your questions removing biopolymer from the buttock. Before you make any decisions regarding biopolymer 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 if you must to find such a biopolymer removal expert. If you have any more questions regarding biopolymer removal from the buttock, intra-operative ultra-sound guided VASER assisted 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.)

Hi AwesomeBlossom!

This is a great question! In short, the answer is yes! Silicone removal can be performed surgically without the need for a large, unsightly horizontal incision across the buttocks. I’ve developed a specialized technique utilizing a discreet “Y”-shaped incision, strategically placed within the gluteal crease. This approach extends only about an inch beyond the crease on either side, allowing for optimal access while keeping the incision primarily hidden within the natural contours of the body.

I am a board-certified plastic and reconstructive surgeon with a specialized focus on silicone and biopolymer removal. Over the years, I have dedicated my practice to safely addressing complications arising from these materials. Recognizing the unique challenges they pose, I developed a two-stage surgical excision process and a third stage of reconstruction (often referred to as a reconstructive BBL). This approach is designed to ensure the most complete removal possible while minimizing risks and optimizing patient outcomes. I'd be happy to see you for a clinical evaluation whether it be complimentary virtual consultation or an in-office appointment to discuss your options. My Silicone Coordinator has undergone silicone removal and reconstruction and would be happy to get the ball rolling to see how we can help. (516) 279-2616

I specialize in the removal of silicone, artecoll, and biopolymer injections from the face and body. No two patients are alike and a carefully planned procedure can remove the substance from the soft tissue with minimal scarring. 
Best, 
Dr. Karamanoukian
Realself100 Surgeon