Posterior Butt Lift with Silicone Removal Restores Comfort and Natural Contour*

This case highlights a Hispanic woman in her 30s who came to Dr. Katzen with significant pain, tightness, and uneven shape in her buttocks after previous silicone injections performed elsewhere.  She described burning discomfort when sitting, firmness beneath the skin, and visible contour irregularities that affected her confidence.  After a thorough consultation, imaging, and discussion of reconstructive plastic surgery options, Dr. Katzen recommended a Posterior Butt Lift (PBL) combined with open silicone injection removal to address both her symptoms and her buttock contour in the safest way possible.  In the operating room, the patient was placed under general anesthesia.  Dr. Katzen designed an incision across the lower back and upper buttocks to directly access the silicone deposits, scar tissue, and distorted fat.  Under direct vision, he carefully removed visible free silicone and silicone-laden tissue while protecting vital structures, a critical step in complex silicone removal surgery.  The remaining healthy fat and soft tissue were sculpted to create a smoother transition from the waist and flanks to the buttocks.  He then elevated and tightened the buttock tissues, removed excess sagging skin, and secured the new position to create a firmer, lifted, more youthful buttock profile.  The incision was closed in multiple layers to support healing and refine the final contour.  Following her Posterior Butt Lift with open silicone injection removal, the patient experienced significant relief in pain and improved comfort when sitting and moving.  She is very happy with her results, grateful for safer, board-certified care, and pleased with her more natural buttock shape.