He said that's what he had to do for a patient who came to him this week. She had silicone injected into her lips about 15 years ago, and it had become bumpy between her nose and lips.
"To go from a retina to a lip is a leap," he said. "This is why it's important to only have procedures done by board-certified plastic surgeons."
Dr. Larry Lickstein, a plastic surgeon at the Cosmetic Surgery Center of Maryland, said silicone injected in women would have to be removed, a procedure that could leave women looking for fuller backsides with less tissue than when they started. The result could also appear deformed.
He said the procedure recommended now by plastic surgeons to augment a buttock is grafting fat from another place on the body.
Fat can now be harvested from the abdomen, for example, without harming the cells. It can then be purified to remove blood, broken cells and anesthesia and gently distributed within the buttock tissue so that it can form new blood supplies and live permanently, he said.
"You want to limit the inflammatory response," Lickstein said. "There can be significant and severe consequences of cutting corners."
Sun reporter Justin Fenton contributed to this article.