Can anyone tell me what laser this is please? (Photo)

Hi Happy,
The photo you posted here appears to be some sort of ablation tool which is commonly used to remove skin tags, cauterize wounds, or resurface skin texture. After many years of treating silicone patients, my belief is that the only way to remove this substance and improve symptomology is through an open surgical approach. I realize that patients may be hesitant to undergo surgery, but I've also seen so many patients try other methods (liposuction, lasers) and end up in a worse position then where they started.
I wish you best of luck in your search for treatment!
Dr. Nik

Thank you for your question regarding what kind of laser this is that was used to remove a silicone granuloma. The picture only includes the hand piece without other information, however if I had to guess I would suggest that his is an ND:YAG laser. I hope this helps answer your question what laser was used to remove your silicone granuloma.
The FDA warns AGAINST silicone injections on their website. The FDA states “Do not get injectable silicone or any type of filler material for large-scale body contouring or enhancement.” Also, the FDA has said Injectable silicone is permanent, with side effects that can occur right after the injection and up to years after treatment. Silicone spreads and migrates easily inside the body, which may worsen adverse events and make surgical attempts to remove the silicone oil more difficult or impossible. Silicone, when injected into areas with many blood vessels such as the buttocks, can travel to other parts of the body and block blood vessels in the lungs, heart, or brain. This can result in permanent damage to those tissues and lead to stroke or death.”

I specialize in silicone buttock removal and subsequent buttock reconstruction. I am the Director and chief clinical investigator at the Since removing silicone from the buttock is a big procedure, please seek an experienced, board certified plastic surgeon with significant experience in removing silicone from the buttock. Do your research. Make sure they have performed at least 100 buttock silicone removal surgeries and have the before and after pictures to prove it. Carefully examine their before and after pictures and check their reviews on RealSelf.  If you cannot find an experienced, buttock silicone removal surgeon in your neighborhood, consider traveling out of state if you must. Sincerely, Dr. Katzen. (“Verified” Plastic Surgeon, President of the American Society of Bariatric Plastic Surgeons, Certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery and ​member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery and RealSelf Hall of Fame.)