Hello @My Surgical Journey, thank you for your question. To answer your question, it's best to avoid fat grafting and silicone removal at the same time. This is due to a variety of considerations which can affect the results of the procedures such as fat dying or the risk of infection. It is advisable to wait 3 to 4 months to have a gluteal lipo molding procedure after the biopolymer removal. The best course of action is to consult one or several board certified plastic surgeon for more information and options tailored specifically to your needs. Best wishes! Alan Gonzalez MD, FACS. Best wishes!! Alan Gonzalez MD, FACS. Best wishes! Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science” Member (IFATS), Colombian Society of Plastic Surgery member (SCCP)