Where in the Buttocks is Silicone Injected?

Question

Where exactly is the silicone injected, into the buttock tissues or into the muscle? The reason I ask is because there seems to be a lot of confusion on this amongst my friends who have already had it done.

Carlos Alberto Ríos García, MD · Answer

I understand the confusion. Unfortunately, with illegal or non-regulated buttock injections, there often is *no standardized technique*, which is one reason complications can become so unpredictable and dangerous.
In different cases, injected materials may end up:
* within the subcutaneous fat* between tissue planes* around fascia* inside connective tissue* near lymphatic channels* and sometimes even within or beneath muscle planes
depending on:
* who performed the injections* what material was used* injection depth* injection pressure* volume injected* and the injector’s level of experience or lack of training
One important thing to understand is that large-volume free silicone injections are fundamentally different from controlled surgical implants or modern fat transfer procedures.
When material is injected deeply or under pressure, it may potentially:
* migrate through tissue planes* enter blood vessels* spread into the lower back, hips, or legs* or trigger chronic inflammatory reactions
which is why some patients later develop:
* granulomas* fibrosis* nerve pain* cellulitis* migration* tissue hardening* or systemic complications.
Another major issue is that many patients never truly know what was injected. In illegal procedures, substances may include:
* silicone* hydrogel* PMMA* oils* industrial compounds* or mixed unknown materials
and the placement technique itself is often inconsistent.
In modern gluteal fat grafting (BBL), by contrast, surgeons follow much stricter anatomical and safety protocols regarding:
* injection plane* cannula control* ultrasound guidance* and avoidance of dangerous deep structures.
The reason there is so much confusion among patients is because illegal injection practices are not standardized medical procedures. Two people may both say they had “silicone shots,” while:
* completely different materials were used* different tissue planes were injected* and vastly different risks were created.
The most important thing to understand is that the danger is not only *what* is injected &mdash; but also *where* and *how* it is injected.

Raffy Karamanoukian, MD, FACS · Answer

Silicone in the buttocks can be injected intramuscularly and subcutaneously.  Both injection techniques are wrought with problems long term.

Otto Joseph Placik, MD · Answer

It really depends on the practitioner's practice and personal preference. Some inject it into the subcutaneous tissues whereas others inject it into the muscle. Try to obtain the records of the surgeon who perfomed the procedure,

Raj S. Ambay, MD · Answer

Silicone injections in various parts of the body has been done quite frequently all over the country. The difficulty with silicone injections begins with the quality of the silicone itself. I have seen many cases where industrial grade silicone has been injected inside the human body. This can be a tremendous disaster. Problems can include infections, granulomas, cellulitis, and persistent skin infections, disfigurement and skin dimpling. It is very easy to have silicone injected, but very difficult to have it removed. The removal can frequently be very complex and involved lengthy surgery. Multiple operation is not uncommon. It is not uncommon to expect scars in locations that would otherwise be undesirable. If you do have silicone, or are having problem with silicone that was injected by a non-healthcare provider then you should certainly seek medical attention. Some solutions include IV antibiotics, oral antibiotics and surgery after the inflammation has subsided. Removing the silicone is not just a cosmetic issue but also an issue of better health. Depending on the type of silicone injected concerns with autoimmune diseases and infections are foremost. Taking medications such as ibuprofen or cortisone is only a temporary measure. The real solution is surgery. Not all plastic surgeons are willing to operate on patients who have had silicone injected in their body. Many of these cases are not covered by insurance because they were performed for cosmetic reasons. My recommendation to anyone that has had silicone injections and wishes to have it removed, is to seek a board certified plastic surgeon who is likely willing to do more than 1 operation as well as willing to do some of these operations in a hospital setting. I have had patients visit me for removal of silicone and the discussion to proceed is never an easy one.

Pat Pazmino, MD, FACS · Answer

Silicone should NEVER be injected into your breasts or buttocks. Your body can cause a very severe reaction to the silicone and create excess scar tissue that may deform the appearance of your butt or breasts. We have seen many patients who have come to our clinic after having received these injections and its terrible because we cannot offer them any good options to fix this difficult problem.

	No ethical medical doctor will perform this procedure.

	Here in Florida, we have unfortunately had a number of patients who have died after they received silicone injections to the butt and this silicone then traveled to their lungs and kidneys.

	Please work with a board certified plastic surgeon who can offer you safe options for butt augmentation.

Kamran Khoobehi, MD · Answer

Please do not let anybody do silicone injection. There are severe long term complications from silicone injection. I have seen many patients that had silicone injection to breast, lip and face with severe complications. There is no treatment to remove injected silicone.

Where in the Buttocks is Silicone Injected?

Answers (6)

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