Removing Raw Silicone Injections from Butt

J. Timothy K.:

You can see from my video ultrasound that we have little pockets of silicone sort of here and there. Those are those little black, I call them church bells, you see those sort of come and go? Little flashlights? There's a big one. All right. There's another little one. These little church bells as we go down, down, down, down into the buttock now, it sort of all turns black. Now, that black is a big pocket of silicone. That's pretty much nothing but silicone. That's this pocket that we're getting into right here. So, what you're seeing on the screen there, that we'll call a blackout. That's pretty much a big pocket of injected silicone. That's our goal here today.

Tumescing, basically is injecting tumescent fluid. Tumescent fluid is lidocaine, epinephrine, and saline to put the fat and this foreign body into almost solution into floating state, so it allows the Vaser to be more effective. It also makes for a better liposuction with less bleeding and less post-operative pain. It's the way liposuction should really be performed in 2018 and beyond.

This is our Vaser machine. Okay? It's got a probe here at the end that emits vibration, okay? The vibration will help to break up and melt this fat and more importantly the silicone or Metacril that's been injected in here. This patient came from Ireland, so apparently what they're injecting is their medical equivalent to silicone. It's called Metacril. Whatever it is, whatever country it's been put in, it should be taken out if it's causing you problems. Even if it's not causing you problems, you should probably get it out sooner rather than later because inevitably the silicone is going to do a couple of things. One, it's going to cause pain. Two, it's going to give you these red tattoo marks in the skin. Three, it's going to cause scar tissue. Four, the scar tissue can turn into granulomas, and then five, the worst thing, one of the worst things, is the granulomas can turn into cancer. There've been documented cases where the silicone actually turns into cancer. Get this stuff out.

Basically, I'm going through all the scar tissue, all the silicone stuff, heating it up, melting it down, putting that silicone Metacril into solution and then we're going to come in here and scavenge, and do liposuction to get rid of the rest. You smell that petroleum smell? It smells like oil. Smell it? It's not bad. Oh. Yeah, you can... To me, it smells like, almost like cooking oil that's burning. I've seen it. We've actually seen cooking oil injected into the buttock too. That's a beautiful sight. Not. Now, I've done two steps, part of the three step process.

First step, we did the tumescent solution. Second step, we did the Vaser, which helped melt the silicone and melt the fat. On my third stage is, I'm going to suck out the silicone and the fat. You can see from this port sight... I don't know if you can see this because the angle. The fat and more importantly, the silicone, is just bubbling out. See those little droplets? I don't know if you can see that. Those little droplets are the silicone trying to jump out. Doesn't want to be there anymore. All right, so now we're going to go ahead and do our liposuction. I like to use this micro air, okay? I think it leads to a better result and we'll get out just fat and all the silicone garbage.

Another very important thing is, this material, silicone, and it can cause major, major problems down the road. A lot of the time this will be covered by your medical insurance, your health insurance. If you've got this stuff, come see me, and we'll try to get it approved by insurance to have this stuff removed. Don't fear that, you know, we can't get this stuff out or number two, how am I going to pay for it? Give us a call and it may be approved by your insurance. Either way, get this stuff out.

Where my [inaudible] solution cannula wasn't working and it got plugged by this big ball of silicone. These are these silicone balls that I'm trying to take out. Boom. I just popped it and went back in. These are the balls that we're removing. This ball didn't get Vasered, but the Vaser will pop these. You can see these are just empty sacks of silicone that we are hoping to aspirate here.

But you can see all those little church bells are all gone. All those balls of silicone are all gone. See, it's just nothing but now skin, little layer of underlying cutaneous fat, and then muscle. That's throughout this entire region. We pretty much got all these little balls of silicone that were all throughout here. You can see from... About how much did we get out? From almost two liters of silicone and fat in the buttock. The buttock is significantly changed. You can see the indentation now. I did a lot of liposuction around this area that was red. So, all that silicone now is gone. Now, we're going to go to the other side.

Now, with this silicone out, her body will stop making that foreign body reaction and ideally she'll stop having this pain caused by the silicone in the butt. The redness will go away. The incidents of granulomas, cancers, will go away. Take home message, get this stuff out. The sooner you get it out, the better. This just goes to show you that you can use liposuction to remove silicone. All right? Here are the silicone balls that had previously been injected. You can see, popped that silicone. See that's a silicone ball or a boba. All right? That's about a half a centimeter. Okay? Based on this ruler. And you can see my liposuction specimen is just strewn, like 95% of it, are all these little tiny silicone bobas that I just aspirated with the liposuction cannula. Instead of a big incision across her lower back or underneath your buttock, by just doing aggressive ultrasound-guided Vaser liposuction, you can get these little silicone balls out through three tiny little incisions. One at the top of the buttock, and one under each buttock.