Posterior Butt Lift + Open Silicone Injection Removal for Buttock Pain Relief*

Our patient is a Hispanic female in her 50s who presented to Dr. Timothy Katzen after previously receiving silicone injections to the buttocks by another plastic surgeon, which over time led to progressive pain, firmness, and discomfort as the silicone migrated into surrounding tissues.  She weighed 147 lbs at the time of surgery and reported that the ongoing symptoms were affecting her daily comfort and quality of life.  Given the complexity of free silicone and its tendency to spread unpredictably, Dr. Katzen recommended a Posterior Butt Lift combined with silicone injection removal using the open injection removal technique, performed under general anesthesia.  This approach allows for direct visualization of the affected areas so migrated silicone, inflammatory tissue, and hardened nodules can be carefully removed in a controlled and targeted manner rather than relying on blind suction alone.  By accessing the tissues openly, Dr. Katzen was able to remove a significant amount of silicone while preserving healthier structures and reducing ongoing irritation.  After addressing the silicone burden, attention was given to reshaping and supporting the posterior buttocks to improve contour, stability, and overall balance, helping restore a smoother, more natural silhouette.  Recovery involves gradual improvement in swelling and firmness, with long-term follow-up being essential for patients treated for butt shots, biopolymers, or silicone complications.  Photos were taken 20 months after surgery, demonstrating stable, durable results. Our patient has shared that her pain has been significantly reduced and she is pleased with her remarkable outcome, both in comfort and appearance.