Expert Surgical Removal of Silicone Injection Complications
The removal of silicone biopolymers from the buttocks and thighs requires considerable pre-operative surgical planning in order to maximize clearance of the foreign body material. Silicone biopolymers can migrate from one area of soft tissue to another, causing granuloma formation and diffuse inflammation of the skin and fat. It is of paramount importance that the surgeon performing your silicone biopolymer removal understands the degree of soft tissue inflammation and recommends treatments that can help modulate the severity of inflammation during volume reduction of silicone biopolymer. If inflammation is not addressed, ongoing inflammation can lead to fibrosis of the skin and loss of tissue perfusion.
Dr. Raffy Karamanoukiani is a specialist in silicone biopolymer removal from the thighs and buttocks and can help you resolve some of the long-term issues related to silicone injections. Modulation of inflammation usually requires long-term medical therapy whereas debulking of the foreign body silicone is more likely attainable with surgery. Patients are advised to seek less invasive treatments as opposed to en bloc resection of skin and fat. The second stage of repair after silicone removal is soft tissue reconstruction with fat transfer or allograft reconstruction. Dr. Raffy Karamanoukian uses a minimally-invasive approach that can minimize scars safely while removing the maximal amounts of silicone from the soft tissue. If silicone biopolymers are less viscous, sequential drainage may be of benefit.
Silicone Granuloma Removal in Los Angeles
Silicone granulomas can develop after illicit or permanent silicone injections, leading to chronic inflammation, firmness, pain, and contour deformities. Surgical removal is often the most effective treatment when nodules, migration, or fibrosis persist. In Los Angeles, Raffy Karamanoukian is recognized for his expertise in managing complex silicone complications. He performs meticulous surgical excision to remove silicone-laden tissue and granulomatous inflammation while preserving as much healthy tissue as possible.
Because silicone can infiltrate surrounding structures, treatment requires advanced knowledge of soft-tissue anatomy and careful operative planning. Dr. Karamanoukian combines precise removal techniques with reconstructive principles to restore smoother, more natural contours. His comprehensive approach prioritizes safety, symptom relief, and optimal aesthetic outcomes for patients seeking definitive silicone granuloma removal.
PMMA Bellafill and Artefill Removal in Los Angeles
PMMA filler complications require specialized expertise, particularly because polymethylmethacrylate is a permanent material that integrates into the surrounding tissue. In Los Angeles, Raffy Karamanoukian is recognized for his experience in evaluating and treating complications related to PMMA fillers such as Bellafill. Unlike temporary fillers, PMMA cannot be dissolved, making careful diagnosis and individualized treatment essential.
Non-surgical management may include targeted anti-inflammatory therapies and intralesional medications to reduce fibrosis, soften nodules, and calm chronic inflammatory reactions. These approaches can improve symptoms and contour irregularities in select cases. When persistent masses, deformity, or pain are present, surgical removal may be necessary to excise PMMA material along with affected scar tissue. Dr. Karamanoukian combines meticulous surgical technique with advanced soft-tissue reconstruction principles to restore more natural contours while prioritizing patient safety and long-term outcomes.
Cosmetic Lip Reduction Surgery
Lip reduction surgery can provide a transformative solution for individuals who feel their lips are overly full, protrusive, or out of proportion with their facial features. In Santa Monica, patients seeking expert care turn to board-certified plastic surgeon Dr. Raffy Karamanoukian, known for his refined surgical judgment and experience addressing both cosmetic lip size concerns and complications from previous filler or silicone injections. Unlike temporary injectable treatments, surgical lip reduction physically removes excess tissue to reduce overall lip volume, soften protrusion, refine the vermilion, and improve harmony with surrounding structures. For patients with undesirable results from permanent fillers such as silicone that cannot be dissolved with enzymes, Dr. Karamanoukian applies meticulous surgical techniques to safely remove the foreign material and sculpt the natural lip anatomy, restoring balance and improving symmetry. Whether the goal is reduction of lip size or correction of filler-related deformities, his comprehensive evaluation and precision-focused approach ensure outcomes that look natural and complement each individual’s facial aesthetic.
Our plastic surgery offices in Beverly Hills and Santa Monica can free you from the long-term complications of silicone biopolymers. Schedule a consultation with our expert surgeon who can recommend a treatment protocol that addresses inflammation, soft tissue fibrosis, and silicone removal.