After getting silicone removal can too much gluteus muscle be removed or damaged causing to be ineligible for a fat transfer?

Hi My Surgical Journey, thank you for your question regarding whether, during silicone removal from the buttock, can too much gluteus muscle be removed or damaged, causing it to be eligible for fat transfer. When injected, silicone can be injected into the buttock fat and/or muscle, namely, the gluteus maximus muscle. Usually, the depth of silicone injection into the muscle is, at most, 1 to 1.5 inches into the gluteus maximus muscle. The gluteus maximus muscle is the largest muscle in the buttocks. Even if the outer 1.5 inches of muscle is removed, you would still be eligible for a BBL or fat transfer to the buttocks. During fat transfer to the buttocks, fat is injected into the fatty layer of the buttocks. Fat is not injected into the gluteus maximus muscle. Therefore, fat is injected into the fatty layer to reconstruct the buttock after silicone removal. Fat should not be injected into the buttock muscle. During a BBL, if fat is injected into the gluteus maximus muscle, the injected fat can cause lethal fat emboli or clots in the lungs. Therefore, experienced and knowledgeable plastic surgeons do not inject fat into the gluteus maximus muscle during a BBL, especially during buttock construction after silicone removal. Therefore, even with significant gluteus maximus muscle removed, you can still be eligible for fat transfer. I hope I have answered your question regarding whether you can get fat transfer into the fatty layer of the buttocks after 
gluteus maximus muscle removal for the removal of silicone injections into the buttocks. Good luck.  

Hi MSJ,
I treat hundreds of patients each year who are suffering from silicone and silicone diseases. I also treat many many silicone removal revisions. I have never seen a patient rendered ineligible for fat transfer. That said, the one thing I do know to be true is that no two silicone patients are alike, and this substance does things to the body that no one in the medical community fully understands.
Every one of my silicone removal patients have successfully undergone subsequent reconstruction with fat transfer.
It sounds like you've already been through a lot. I hope you find the care you're seeking soon.
- Dr. Nik

Yes there is a very high risk if too much gluteal muscle has been removed. Best to virtual consult with. To see if ultrasound guided fat injections can be easily done in surgery. Expect fees from $10,000+ Again try to virutal consult with....