VASER Ultrasound, closed silicone removal for pain relief and buttock contour*

Our patient is a 28-year-old White male who weighed 180 lbs at the time of surgery, he came to Dr. Timothy Katzen with ongoing discomfort and pain in the buttock region caused by previous silicone injections performed by another surgeon.  After a thorough evaluation, Dr. Katzen recommended a closed silicone injection removal using an ultrasound-guided, VASER-assisted method, a specialized technique designed to target unwanted silicone while minimizing large incisions and helping protect surrounding healthy tissue.  Under general anesthesia, Dr. Katzen carefully planned small, discreet access points and introduced VASER ultrasound energy to gently loosen and break up the silicone and inflammatory fluid that can form around it.  This step helps separate the unwanted material from the body’s natural tissue, making removal more controlled and reducing the risk of uneven contours.  Once the silicone was mobilized, a specialized suction cannula was used to gradually extract the loosened material in a methodical pattern, focusing on relieving pressure, improving comfort, and maintaining a smoother buttock shape.  Throughout the procedure, Dr. Katzen prioritized safety, tissue preservation, and balanced body contouring, which are critical in complex silicone removal cases.  These photos were taken one week after surgery, and while some swelling and firmness are still expected at this early stage, our patient reported remarkable improvement and significant relief from most of his pain, with continued healing and refinement anticipated as inflammation continues to settle over the following weeks.