How can I remove silicone fillers from lips? (photo)

Thank you for your question and picture! Ultherapy is a nonsurgical procedure that uses ultrasound to breakdown and soften the silicone, this might be a good option if you are looking for a minimally invasive procedure to help (but not solve) the issue. The other option is excision of the silicone which would involve a cut made on the inside of your lip. The incisions on the inside of the lip heal very nicely and you could replace the lost volume with temporary fillers or your own fat. I recommend consulting with a board certified plastic surgeon in person to discuss your concerns and discuss what would be the best option for you.

Hi Reliable6396!

It’s very possible to surgically remove permanent lip fillers such as silicone or biopolymer, but the approach depends on the extent and type of material, how your body has reacted to it over time, and how much scar tissue has developed around it. The first step is usually an in-depth clinical evaluation, often supported by imaging such as MRI. This helps determine how much silicone is present, whether it has migrated, if there is associated fibrosis or granuloma formation and the depth and distribution (superficial vs deep plane). If the silicone is causing persistent deformity, asymmetry, or chronic inflammation, surgical removal is the most definitive option. This typically involves a direct excision through intraoral or external approaches, depending on the location and extent. Once removal is complete, reconstructive techniques to preserve or restore lip shape can be performed. This may include autologous fat grafting from a separate donor site to the lips to restore structural integrity and functional mobility. Non-surgical management after removal may include dermal filler augmentation (which would be temporary and need to be maintained) to restore lip, contour and correct minor asymmetry or divots following the initial excision. The most effective way to remove silicone is through surgical removal and reconstruction by a plastic surgeon experienced in silicone excision and lip reshaping. Please note - insurance can cover these procedures if your insurance plan holds out of network coverage and the procedure is deemed medically necessary. 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 removal and reconstruction technique that 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. We can also check your existing insurance coverage to determine if this can be billed through your policy. (516) 279-2616. Please remember, you’re not alone — many people have been through this, and there are paths forward. But it takes the right expertise and realistic expectations. The goal with any surgery is not just to make you look better, but to restore function and normal feeling, which you deeply need right now. Best of luck on your silicone removal journey.

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