Top 10 FAQs About BBL After Silicone Butt Injection Removal

1. BBL and Why Might It Be Needed After Silicone Removal?

A Brazilian Butt Lift (BBL) is a plastic surgery procedure that involves the transfer of fat from one area of the body to the buttocks to enhance their size, shape, and overall contour. This fat is typically harvested via liposuction from areas such as the abdomen, thighs, or flanks, then purified and injected into the buttocks to create a natural and aesthetically pleasing result. Unlike synthetic fillers, the BBL procedure uses the patient’s fat, reducing the risk of allergic reactions or rejection.

Watch Dr. Katzen explain a surgical BBL video

A BBL may be recommended for individuals who have undergone silicone buttock injection removal to restore volume and correct contour irregularities. Silicone injections—especially those performed illegally or with non-medical-grade silicone—can often cause complications such as inflammation, infection, tissue damage, or migration. To address these issues, removal may be necessary, though the process can often leave the buttocks deformed or deficient in volume. The BBL serves as a reconstructive or corrective measure in such cases.

Significant tissue changes may occur during the silicone removal procedure, as the plastic surgeon must excise the affected areas to eliminate harmful materials. This excision can result in irregularities or indentations. The strategic fat transfer used in a BBL can help fill those voids, reshape the buttocks, and restore a more symmetrical and natural appearance. Additionally, a BBL offers the advantage of improved consistency and reduced risks compared to reintroducing synthetic materials. A BBL addresses aesthetic and functional concerns, providing renewed confidence and comfort for patients post-removal.

Here is a patient in her late 30’s who had silicone injected into her buttock 8 years ago. She felt pain, discomfort, hard nodules of scar tissue, and unevenness of her buttocks. She got the silicone removed by Dr. Katzen then came for reconstruction with a BBL.

Notice how well she healed and her hourglass figure after the BBL. She is now pain-free and loving her figure.

2. How Does Silicone Butt Injection Removal Work?

Silicone butt injection removal is a specialized medical procedure designed to extract silicone material that has been injected into the buttocks. This process often addresses complications arising from the use of unapproved or illegal injectable silicone, such as chronic pain, inflammation, infection, or migration of the material to other areas of the body. Removal procedures require precision and expertise to minimize risks and achieve optimal outcomes.

There are several techniques surgeons may use to remove injected silicone, tailored to the specific needs of the patient and the extent of silicone presence:

1. Closed technique (Ultrasound-Guided VASER-assisted Silicone Suction Removal): This advanced method uses imaging technology to locate silicone deposits precisely. It allows Dr. Katzen to address complex cases where silicone migration has occurred, particularly into muscle layers or nearby structures. For cases where silicone is embedded deeper into tissues or spread over a larger area, liposuction-assisted removal may be employed. This technique uses a specialized cannula to suction the silicone alongside surrounding tissue. However, this approach has limitations as it might not fully remove all traces of silicone.

2. Open technique (Direct Excision): This method involves making targeted incisions to surgically remove the silicone material and any surrounding damaged tissue. Direct excision can be highly effective for localized deposits of silicone but may leave visible scarring depending on the size and location of the incisions.

After removal, patients often require follow-up care to promote healing and monitor for potential complications. Compression garments, pain management, and physical activity restrictions are typically part of recovery.

3. What Are the Risks of Keeping Silicone Injections Versus Removing Them?

The decision to keep or remove silicone injections involves assessing several critical risks to health and well-being. Retaining silicone injections, particularly illegal or industrial-grade materials, can lead to significant complications. Over time, silicone injections might migrate from the original injection site to other body parts, causing uneven appearances or deformities. These migrations can also trigger chronic inflammation and lead to the formation of hard lumps or granulomas, which may be painful or disfiguring. Additionally, permanent scarring or damage to surrounding tissues can occur.

Another risk includes the potential for ongoing or delayed systemic reactions. Silicone is not designed to integrate with human tissue, and the immune system may view it as a foreign invader, leading to symptoms such as fatigue, fevers, or autoimmune-like conditions. Infections can also arise, particularly if the procedure was performed in non-sterile conditions or by unlicensed practitioners. In severe cases, infections and chronic inflammation may result in life-threatening complications like abscesses or sepsis.

Conversely, removing silicone injections also comes with potential risks. Surgical removal can lead to extensive scarring, given the damage caused to the tissues by the foreign material. There is also the risk of incomplete removal if the silicone has migrated or bonded deeply within the tissue layers. Complications from removal procedures may include changes in skin texture, indentations, or loss of volume in the affected area.

Patients must balance the risks of keeping the silicone against those of removal while consulting with a qualified and experienced plastic surgeon to determine the best course of action for their health and cosmetic goals.

4. Why Is a BBL a Popular Choice Post-Silicone Removal?

A Brazilian Butt Lift (BBL) has emerged as a preferred option by Dr. Katzne for many individuals after undergoing silicone butt injection removal. This choice can be attributed to its unique ability to restore both the aesthetics and functionality of the buttocks, which might be affected by prior silicone injections. Several factors make the BBL particularly appealing in these cases:

1. Natural Results: The BBL procedure exclusively uses the patient’s fat, harvested from other body areas through liposuction. This approach avoids foreign materials and creates a more natural look and feel. For individuals recovering from the complications caused by silicone injections, this method offers a safer and organic alternative.

2. Enhanced Body Contouring: Performing a BBL involves removing unwanted fat from areas like the abdomen, thighs, or flanks. This dual-step procedure provides the added benefit of body contouring by sculpting these regions, allowing patients to achieve a more balanced and proportional overall figure.

3. Restoration of Lost Volume: Silicone removal can leave behind irregularities or volume loss in the buttock region. A BBL helps address these issues by replenishing the volume in a controlled and precise manner, delivering symmetrical and aesthetically pleasing results.

4. Minimized Risks Compared to Silicone: Unlike illegal silicone injections, the BBL procedure involves fat transfer, which significantly reduces the risk of toxicity or adverse reactions. For patients wary of potential complications, the BBL is a reliable alternative.

5. Improved Self-Confidence: Many individuals seek a BBL after silicone removal to regain confidence in their appearance. By reshaping and refining the buttocks, the procedure can enhance self-esteem and promote a positive self-image.

The growing preference for BBL among those transitioning from silicone further underscores its effectiveness as a safe and transformative option.

5. How Long Should You Wait After Silicone Injection Removal to Get a BBL?

The appropriate waiting period between silicone removal and undergoing a Brazilian Butt Lift (BBL) is a critical consideration for both safety and optimal results. Each patient’s situation is unique, and the specific timeline required will depend on individual health factors, the extent of tissue damage caused by silicone injections, and recommendations provided by Dr. Katzen or a qualified plastic surgeon. Patients are encouraged to prioritize recovery over rushing into secondary procedures.

Typically, plastic surgeons who specialize in silicone removal and reconstruction, including Dr. Katzen, recommend waiting at least four to six months after silicone removal before pursuing a BBL. This timeline allows sufficient healing for the affected tissue, reducing the risk of complications during or after the procedure. The waiting period can vary depending on factors such as the following:

1. Extent of Damage: If the silicone injections caused severe tissue damage, scarring, or irregularities, a longer recovery period may be necessary for adequate soft tissue repair.

2. Type of Procedure Performed: The method used for silicone removal (e.g., open or closed technique) may impact the recovery timeframe, as more invasive techniques often require extended healing periods.

3. Overall Health Status: A patient’s general health, immune system function, and ability to heal from previous surgeries will influence how quickly the body can prepare for additional procedures.

During this recovery period, patients must adhere to post-removal care instructions from Dr. Katzen or their plastic surgeon. These may include maintaining a healthy lifestyle, avoiding smoking, and managing scar tissue formation. Regular follow-ups with Dr. Katzen to monitor healing progress are equally essential. By allowing ample time for recovery, patients minimize surgical risks and ensure the tissue is in the best condition to achieve optimal BBL outcomes.

After open-technique silicone removal and before BBL

After BBL

Figure 1: 36-year-old female who had silicone buttock injections eight years prior. She underwent successful open-technique removal of the silicone. Six months after her open technique, she underwent a BBL (fat transfer) to her buttocks and hips. Note her excellent buttock shape and the restoration of her natural body curves after her BBL.

6. What Is the Recovery Process Like After BBL Following Silicone Removal?

The recovery process after a Brazilian Butt Lift (BBL) that follows silicone injection removal is both unique and multifaceted, as it combines healing from two distinct surgical interventions. Patients should anticipate a structured and carefully monitored recovery period to promote optimal results and minimize complications.

The initial phase of recovery focuses on addressing the effects of silicone removal. This involves managing swelling, soreness, and potential scar tissue in the areas where silicone was extracted. Open wound care may be required if the removal process involves extensive excisions. Proper hygiene and wound dressings are critical during this stage to reduce the risk of infection.

Simultaneously, patients must follow post-BBL recovery protocols. As with any typical BBL surgery, this involves avoiding direct pressure on the buttocks for at least two to three weeks to safeguard the newly transferred fat cells. Special pillows or cushions should be used when sitting, and extended periods of sitting should be limited.

Controlled movements and resting in specified positions, such as lying on the stomach, are strongly recommended. Compression garments will likely be prescribed to reduce swelling and provide support, particularly in the areas affected by silicone removal and liposuction for fat harvesting.

Physical activities are to be restricted during the early recovery phase. Light walking is encouraged to maintain proper circulation, but strenuous activities and exercise should be avoided for several weeks. Patients should also follow a nourishing diet to support cell regeneration and hydration.

Regular follow-up appointments with Dr. Katzen are essential to monitor progress and address concerns. Minor adjustments in care plans may be necessary as patients heal and recover from both procedures, ensuring long-term success and satisfaction with their results.

7. Are There Any Additional Risks for BBL Patients Post-Silicone Removal?

Patients considering a Brazilian Butt Lift (BBL) after the removal of silicone buttock injections should understand that this combination presents distinct risks. Silicone removal is a complex procedure, and combining it with a BBL introduces factors that increase complexity and risk. These potential complications primarily arise from the prior trauma and changes caused by the silicone material and its removal.

One key consideration is scar tissue development. Silicone injections, whether medical-grade or illicit, often trigger fibrosis and scar tissue formation. This scarring can alter the texture and elasticity of the surrounding tissues, making fat grafting during the BBL procedure more challenging. Dr. Katzen may need to work around areas of dense scar tissue, which can impact the transplanted fat's even distribution and survival rate.

Another significant risk includes compromised blood supply. Silicone injections and their subsequent removal can damage the intricate vascular structures in the buttocks. Poor blood flow in certain areas can decrease the success of fat grafting, increase the risk of fat necrosis, or lead to tissue healing complications. Patients with vascular damage may also experience slower recovery times and a higher likelihood of infection.

The structural integrity of the buttock tissues is another concern. Tissue thinning or internal damage caused by prolonged contact with silicone can result in reduced elasticity. This makes the skin and deeper structures less able to accommodate the volume added during a BBL, potentially increasing the risk of skin sagging or irregular contours.

To minimize these risks, patients must choose an experienced board-certified surgeon familiar with advanced techniques for operating on compromised tissue. Preoperative evaluations, including imaging and blood supply assessments, can also help identify potential issues early.

Our patient in her late 40’s had silicone injections of her buttocks. She got the closed technique and came back to Dr. Katzen 9 months later for reconstruction. She specifically wanted to fill out the dent seen on her right buttock. She also wanted an improved body shape.

8. How Does the Dr. Katzen Use Your Fat for the BBL After Silicone Removal?

In the process of performing a Brazilian Butt Lift (BBL) after silicone butt injection removal, Dr. Katzen focuses on using autologous (your own) fat transfer. This method involves extracting fat from one part of the patient’s body and redistributing the fat to the buttocks to achieve enhanced volume and contour. This approach is preferred for its natural appearance and lower risk of complications compared to synthetic fillers.

The first step in this procedure is liposuction, where Dr. Katzen identifies areas of the body with excess or unwanted fat, such as the abdomen, thighs, flanks, or lower back. These donor sites are determined based on the patient’s body type and the desired outcome. Using specialized cannulas, DR. Katzen carefully removes fat cells, ensuring minimal trauma to surrounding tissues.

The extracted fat then undergoes a purification process. This step is crucial for separating viable fat cells from impurities like oils, blood, or damaged cells. Dr. Katzen utilizes specific equipment, such as centrifugation or filtration systems, to refine the fat for safe reinjection. Only the healthiest fat cells are selected for transfer, which maximizes the survival rate and ensures a more lasting result.

Once prepared, the purified fat is gradually injected into the buttocks through targeted microinjections. This technique enables precise sculpting of contours and volume while distributing the fat evenly to avoid irregularities or lumps. The injections are typically performed in multiple layers, facilitating better integration with existing tissue and enhancing the overall appearance.

Attention is given to achieving symmetry and natural proportions, creating a balanced aesthetic. Throughout each step, Dr. Katzen prioritizes patient safety and customization of the procedure to align with individual preferences and anatomy.

9. What Results Can You Realistically Expect After BBL Post-Silicone Removal?

After silicone butt injection removal, undergoing a Brazilian butt lift (BBL) can lead to noticeable improvements in shape and contour. However, the results patients experience are influenced by several critical factors, including the extent of damage caused by prior silicone injections, the amount of existing healthy tissue, and the plastic surgeon’s skill. Expectations should be realistic to appreciate the achievable outcomes.

One key factor to consider is the restoration of symmetry and volume. Silicone injections often cause irregularities in the buttock area, such as asymmetry or uneven contours. A BBL procedure can address these issues by harvesting fat from other body parts, which is then processed and transferred into the buttocks to improve balance and roundness.

It’s important to note that the results may be more subtle than a standard BBL because of the restorative nature of the procedure. DR. Katzen may focus primarily on repairing and enhancing damaged tissue rather than exclusively prioritizing dramatic volumetric enhancement. Patients should also bear in mind that some loss of fat volume is normal during the healing process, as not all transferred fat cells survive post-procedure.

Increased firmness and smoother skin texture can also be expected from the procedure, particularly if the previous silicone injections caused dimpling or indentations. However, the extent of improvement depends on the quality of the tissue remaining after silicone removal.

Also, recovery times and individual healing rates will be affected when the final results are visible. Full outcomes are usually evident once the swelling subsides and the body adjusts, typically within three to six months post-surgery.

Overall, while the BBL can help restore a more natural and aesthetically pleasing appearance, outcomes will vary and should align with a patient’s unique circumstances and health history.

This patient in her early 30’s had silicone injected to her buttocks 10 years ago and got them removed with the open technique. She came back later for a BBL to reconstruct her buttock.

10. How Do You Choose the Right Surgeon for BBL After Silicone Removal?

Choosing the right surgeon for a procedure like a Brazilian Butt Lift (BBL) after silicone butt injection removal requires careful research and consideration. The complexity of effectively removing silicone and sculpting BBL requires a plastic surgeon with specialized expertise and skill.

1. Board Certification: Ensure the plastic surgeon is board-certified by reputable organizations such as the American Board of Plastic Surgery. Certification signifies that the plastic surgeon meets rigorous training, ethics, and expertise standards.

2. Experience in Dual Procedures: Look for a plastic surgeon with substantial experience performing silicone removal and BBL. These procedures require a nuanced understanding of safety, functionality, and aesthetics, as the removal process must complement the subsequent fat grafting.

3. Before-and-After Galleries: Review the plastic surgeon’s portfolio of before-and-after photos, paying attention to outcomes for patients with similar procedures. This can provide insight into the plastic surgeon’s capability to deliver natural-looking, proportional results.

4. Patient Reviews and Testimonials: Research online reviews and testimonials from former patients. A consistent positive feedback pattern regarding results, care, and professionalism can indicate reliability.

5. Consultation Quality: During a consultation, observe whether the plastic surgeon listens attentively to your goals, explains the process clearly, and discusses potential risks. Effective communication is an indicator of professionalism and patient-centered care.

6. Facility Accreditation: Verify that the procedure will occur in an accredited surgical facility. Accredited centers adhere to stringent safety, hygiene, and emergency preparedness standards.

7. Commitment to Safety: A qualified plastic surgeon prioritizes safety above all else, including discussing candidly the risks of the procedure and determining whether you are an appropriate candidate.

8. Customized Treatment Plans: The plastic surgeon should be able to tailor the procedure to your unique anatomy, goals, and health concerns rather than adopting a one-size-fits-all approach.

Investigating these factors allows potential patients to make informed decisions, ensuring optimal safety and satisfying results.

Conclusion

If you have silicone buttock injections, get them removed before infections, pain, and migration start. If you do not like the appearance of your buttock after silicone removal, buttock reconstruction with fat transfer or BBL may be an option. After silicone removal, a BBL can return your natural buttock shape and contour.

If you are considering buttock reconstruction after silicone removal, please contact Dr. Katzen at (310) 859-7770 TODAY. For your convenience, Dr. Katzen can physically consult with you in his office or virtually through platforms like FaceTime, WhatsApp, Skype, or Zoom. Consult with Dr. Katzen TODAY and reconstruct your buttock after silicone removal surgery with a BBL.