Open Silicone Injection Removal with Posterior Butt Lift for Pain Relief*

Open silicone injection removal of the buttocks is often the best surgical option when foreign body injections begin causing pain and swelling years later. Our patient is a 43-year-old White female who had a foreign body product injected into her buttocks about a decade ago. She later developed ongoing pain and swelling in the area and sought out Dr. J. Timothy Katzen for relief and reconstruction. Under general anesthesia, she underwent a posterior butt lift with open technique, silicone injection, and removal of the buttocks. In this procedure, Dr. Katzen makes carefully placed incisions to directly expose the foreign material, allowing it to be removed more thoroughly than with blind methods alone. The open technique allows for careful removal of problematic injected product, inflamed tissue, and scar tissue that may be contributing to pain, firmness, and buttock deformity. After the abnormal material is addressed, the posterior butt lift portion of the surgery helps improve contour by reshaping and lifting the buttock tissues, resulting in a smoother, more balanced appearance. This type of buttock reconstruction can be life-changing for patients dealing with complications from illegal butt injections or permanent foreign body fillers. Her after photos were taken 1 month after surgery and already show remarkable progress with improved shape, reduced swelling, and relief of most of her pain. Her early recovery is already showing a meaningful transformation.