New York Cosmetic, Skin & Laser Surgery Center

Correction of Bad Silicone Injections

At New York Cosmetic, Skin & Laser Surgery Center, we treat patients seeking silicone injection removal and correction after permanent silicone injections have caused lumps, pain, swelling, or facial irregularities. Dr. Cameron Rokhsar has more than 20 years of experience treating difficult cosmetic complications in Manhattan.

Correction of Bad Silicone Injections in New York

Q: What problems can silicone injection removal and correction treat?

Treatment can address silicone granulomas, hard nodules, chronic inflammation, swelling, redness, pain, asymmetry, and contour changes caused by permanent silicone. Symptoms may begin years after the original injections. Dr. Rokhsar evaluates the affected tissue first because treatment depends on the location, extent, and type of complication.

Q: Is non-surgical treatment different from silicone removal surgery?

Yes. Silicone removal surgery physically removes affected tissue through an incision, while 5-FU and Kenalog injections treat fibrosis and inflammation around silicone without cutting the skin. Surgery can be useful in selected cases, but dispersed silicone may be difficult to remove completely without causing scars or contour changes.

Q: Can silicone lip filler be removed?

Silicone lip removal depends on how much silicone was injected and how it is distributed through the lip. Permanent silicone cannot be dissolved like hyaluronic acid filler. When hard nodules or granulomas are the main concern, Dr. Rokhsar may use 5-FU and Kenalog injections to reduce the surrounding scar tissue and inflammation.

Correct Silicone Injection Complications Without Surgery

Silicone injection removal and correction in New York may be needed when permanent silicone causes hard lumps, swelling, redness, pain, asymmetry, or silicone granulomas. These reactions can begin months, years, or even decades after the original injections. Silicone may also migrate from the original treatment area. We treat complications involving the face, lips, and other injected areas after a detailed medical evaluation.

For many patients, Dr. Rokhsar uses a series of injections containing 5-fluorouracil, or 5-FU, and Kenalog, often mixed with lidocaine for comfort. The medications target the fibrous scar tissue and inflammatory reaction surrounding permanent silicone. This can soften hard nodules, reduce inflammation, and improve contour without an incision. The treatment does not dissolve the silicone itself, which is an essential distinction when discussing silicone injections removal.

Treatment sessions are generally spaced several weeks apart based on the location and severity of the reaction. Several sessions may be needed because silicone granulomas and fibrosis improve gradually. For selected patients, this approach offers an alternative to silicone removal surgery, which may create scars and cannot always remove silicone that has spread through surrounding tissue.

Experience Treating Difficult Silicone and Filler Complications

Dr. Cameron Rokhsar is double board-certified in dermatology and micrographic dermatologic surgery. He graduated from Harvard College and NYU School of Medicine before completing fellowship training in laser and dermatologic surgery under Dr. Richard Fitzpatrick. Dr. Rokhsar is also an Associate Clinical Professor of Dermatology at Mount Sinai Hospital in New York City.

For more than 20 years, Dr. Rokhsar has treated patients with difficult filler and injectable complications, including botched silicone injections. Dermatologists and other physicians refer complex cosmetic cases to him when patients develop persistent nodules, inflammation, asymmetry, or other problems after prior procedures. He has also trained physicians for Allergan, Galderma, and Merz.

His approach to silicone injection removal in NYC differs from practices that focus only on surgical excision. When appropriate, Dr. Rokhsar treats the scar tissue and granulomatous inflammation around silicone with 5-FU and Kenalog injections. This can be especially useful when silicone is dispersed through facial tissue and complete surgical removal could cause significant scarring or contour changes.

Patients seeking treatment for silicone injections gone wrong benefit from Dr. Rokhsar’s experience in dermatologic surgery, fillers, and complex revision care. Our Manhattan clinic is Quad A accredited. Dr. Rokhsar has also been recognized by Castle Connolly, New York Magazine, and RealSelf, and his medical work has appeared in national television and print media.

Correction of Bad Silicone Injections Before and After

* Results May Vary.

How Long Does Correction of Bad Silicone Injections Last?

Results from non-surgical silicone injection correction develop gradually. After several treatments, patients may notice that firm nodules feel softer and areas of redness, swelling, tenderness, or uneven contour become less noticeable. Improvement depends on the amount of silicone present, where it was injected, and how much scar tissue or inflammation has developed.

Liquid silicone is permanent and cannot be dissolved like a hyaluronic acid filler. Instead, 5-FU and Kenalog treat the fibrous tissue and inflammatory granulomas surrounding the material. When the inflammatory response is controlled, patients may experience long-lasting improvement in discomfort and appearance. Some cases need additional treatment if symptoms return.

The number of sessions varies from patient to patient. Someone with a small silicone lip filler nodule may need a different treatment plan than someone with widespread silicone injections in the face. Dr. Rokhsar evaluates the location, firmness, inflammation, and prior treatments before recommending the next step.

Correction of Bad Silicone Injections Downtime or Side Effects

Downtime after 5-FU and Kenalog injections is usually limited. You may have temporary redness, tenderness, swelling, or bruising where the medication was injected. Lidocaine can be mixed with the medications to reduce discomfort during treatment. Most patients can return to normal daily activities shortly after leaving our Manhattan office.

This recovery differs considerably from silicone removal surgery. Surgical excision may require an incision, healing time, and management of scars. Surgery may still be appropriate for certain silicone complications, but injected silicone can become intertwined with normal tissue, which can make complete removal difficult without removing healthy tissue as well.

Dr. Rokhsar monitors your response between sessions and adjusts treatment based on how the nodules and inflammation change. Contact our office promptly if you develop unusual or worsening pain, significant swelling, drainage, skin breakdown, fever, or another concerning symptom. More serious silicone complications require medical evaluation rather than cosmetic correction alone.

New York Correction of Bad Silicone Injections FAQs

What problems can silicone injection removal and correction treat?

Treatment can address silicone granulomas, hard nodules, chronic inflammation, swelling, redness, pain, asymmetry, and contour changes caused by permanent silicone. Symptoms may begin years after the original injections. Dr. Rokhsar evaluates the affected tissue first because treatment depends on the location, extent, and type of complication.

Can 5-FU and Kenalog dissolve silicone injections?

No. 5-FU and Kenalog do not dissolve liquid silicone itself. Silicone is a permanent material. The injections treat the fibrous scar tissue, nodules, and inflammatory reaction that can develop around it. By reducing this tissue response, treatment may soften lumps and improve discomfort and appearance without surgical excision.

Is non-surgical treatment different from silicone removal surgery?

Yes. Silicone removal surgery physically removes affected tissue through an incision, while 5-FU and Kenalog injections treat fibrosis and inflammation around silicone without cutting the skin. Surgery can be useful in selected cases, but dispersed silicone may be difficult to remove completely without causing scars or contour changes.

Can silicone lip filler be removed?

Silicone lip removal depends on how much silicone was injected and how it is distributed through the lip. Permanent silicone cannot be dissolved like hyaluronic acid filler. When hard nodules or granulomas are the main concern, Dr. Rokhsar may use 5-FU and Kenalog injections to reduce the surrounding scar tissue and inflammation.

Who is a good candidate for silicone injection correction?

Good candidates have lumps, firmness, pain, inflammation, asymmetry, or other problems related to prior silicone injections. Treatment may be appropriate for complications affecting the lips, cheeks, face, or other areas. A consultation is needed because infection, extensive migration, skin damage, or other medical problems may require a different treatment approach.

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Common Body Areas We Treat

From your face to your feet, we offer precise, physician-performed treatments for every area of your body. Whether you’re targeting wrinkles, scars, unwanted hair, or skin concerns, Dr. Rokhsar and our team provide customized care to achieve natural, lasting results.