Smart Lipo to Remove Silicone Injections?

Question

I injected it in my cheeks, chin and hip. Can it be removed and how much would removing it cost? Somebody boasted about Smart Lipo removing it out with the fat and scar tissue that built around it it. Is this true? I want to know.

J. Timothy Katzen, MD, FACS · Answer

Hello Girl33635. Thank you for your question regarding Smart Lipo to remove silicone injections. Thank you for your history. I’m sorry you had silicone injected into your cheeks, chin, and hips. There are two methods to remove silicone: open and closed. In the open technique, an incision is made over the product, and the product and its associated scar tissue are directly resected. With the closed technique, a small incision about the size of a pencil eraser is made.  A VASER probe is inserted and turned on.  The scar tissue surrounding the silicone is melted with the VASER cannula. The VASER uses ultrasonic energy to melt scar tissue. Then, a variety of liposuction cannulas can be used to aspirate or remove the silicone and associated scar tissue.  Typically, SmartLipo does not have a large enough cannula to allow for the successful removal of silicone and scar tissue.  The best cannulas for successful silicone removal are custom-made. Therefore, most plastic surgeons who specialize in silicone removal do not use SmartLipo; they use VASER and custom-made cannulae that do not fit on the SmartLipo platform.  Thank you for your interesting question regarding SmartLipo to remove silicone injections and whether this technique works for silicone removal. I hope I answered your question regarding silicone injection removal. Good luck. 
Sincerely, Dr. J. Timothy Katzen

Raffy Karamanoukian, MD, FACS · Answer

LIposuction has been proposed as an option for body silicone, but the long term results have not been shown in large clinical studies.

Steven Wallach, MD · Answer

I never heard of this. Some people have used Liposuction to try to debulk silicone free injections. But, it is extremely difficult and I doubt it works.  Unfortunately the only way I know to remove free silicone that is caught in the tissue is to excise it.

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