Pain Relief and Restoration After Open Silicone Butt Removal and Butt Lift*

This case features a Black woman in her 50s who came to Dr. Katzen feeling both physically uncomfortable and emotionally discouraged by changes in her buttocks after silicone injections she received many years ago.  She reported constant pressure, burning sensations when sitting, and areas that felt unusually firm or lumpy.  These symptoms, combined with the uneven shape the silicone created, made her feel self-conscious in clothing and worried about the long-term effects of the injections.  After a thorough examination and a detailed discussion of her goals, Dr. Katzen recommended an open silicone butt removal with a Posterior Butt Lift, a reconstructive buttock surgery designed to remove as much silicone as safely possible while lifting and reshaping the buttocks for a more natural contour.  In the operating room, she was placed under general anesthesia for comfort and safety.  Dr. Katzen began by making a carefully planned incision across the upper buttocks and lower back, positioned so it could later be hidden beneath underwear or swimwear.  This open approach allowed him to directly see and remove visible silicone deposits, scar tissue, and damaged fat.  Once the silicone was removed, he sculpted the remaining healthy tissue to smooth out irregularities and restore softer, more natural curves.  The next phase of the procedure was the Posterior Butt Lift. Dr. Katzen lifted the buttock tissues, removed stretched and sagging skin, and secured the remaining tissue in a higher, firmer position.  This step improved projection, restored shape, and gave her a more youthful silhouette.  The incision was then closed in multiple layers to support healing and refine the final contour.  As she recovered, she noticed a major reduction in discomfort and a dramatic improvement in the overall look and feel of her buttocks.  Her shape appeared more balanced, the hard areas were gone, and sitting became much more comfortable.  She was very happy with her open silicone butt removal and Posterior Butt Lift results and now feels more confident, comfortable, and relieved knowing she took a safer path forward.