How to smooth lumps in the buttock after Hydrogel injections?

   Hardened lumps can be surgically removed, and I have had to remove some types of materials in patients bothered by these injections.Kenneth Hughes, MDLos Angeles, CA

Unfortunately irregularity and hardening are very common complications after "hydrogel" buttock augmentation.  As unfortunate is the fact that there is no good solution for the problem other that surgically excising any areas that eventually become painful.  I would not recommend fat grafting either because of the risk of fat necrosis (not surviving) and subsequent infection.  Hope this helps some...RAS