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CosmeticSurg Blog

Dr. Rodriguez discusses Plastic Surgery, Medicine, and Stem Cell Research

Hydrogel Injections to the Buttocks- Don’t do it!

hydrogel bottleIn 2007,  I wrote a blog post about Hydrogel for Buttock Augmentation. In the post I detailed my reasons why I did not think it was a good idea to do a Buttock Augmentation or Butt Lift with hydrogel.  The only thing that has changed since I wrote that post is that I have seen many patients who have suffered terrible damage from hydrogel injections!  My position remains the same: Hydrogel to buttocks: Don’t do it! To recap….


  1. Not FDA approved

    For the amount of filler neded to get a proper butt augmentation or buttocks lift, the costs are prohibitive. Even if the costs were not an issue, the use of hydrogel for buttock augmentation is not FDA approved in the USA as far as I am aware.

  2. Complications are severe, tragic

    The long term results are not very well documented in the scientific literature, but there are plenty of well documented cases in the media of deaths, disfigurement, amputations, and organ failure as a result of these non approved injections.

    Essence Magazine detailed the exclusive story of Apryl Michelle Brown (photo: Kawai Matthews), who lost all four limbs due to silicone butt injections. To learn more about these tragic events with various injections, read Shot Girls by Vanity Wonder  or the details of the very sad story of Apryl Michelle Brown.

  3. Injectors are not licensed

    There is a virtual cottage industry of “injectors” plying their trade in hotel rooms and backdoor clinics. Having an ‘injection’ is a medical procedure. It should be performed in a sterile environment.  Medical procedures should be performed by a physician who went to Medical School. These ‘injectors’ are generally unlicensed, dangerous and unscrupulous.

    hydrogel to buttocks–don’t do it!

    -Dr. Rodriguez

    Despite all this, what is truly puzzling in the responses I get to my 2007 blog post discouraging hydrogel usage. In the comments a lot of people are asking me if I do the hydrogel, or could I recommend one who does. ??. I do not recommend it. Would you pay any amount of money for a procedure that can disfigure you, maim you, or even kill you? Even if it is cheap?

    Recently I received a sad phone call from an out of town patient. Her buttocks are disfigured because of hydrogel injections from a fraudulent practitioner. Like most patients, she did the hydrogel because it was cheap.  Medical Procedures should never be evaluated with cost as the primary factor. It is OK to look for bargains with clothing because you can throw clothes away. It is not OK to look for bargains with surgery because you only have one body.

So what is the right option to enhance your buttocks?


If you want a bigger more prominent buttocks, the best option is a Brazilian Butt Lift procedure performed by a Board Certified Plastic Surgeon. The Brazilian Butt Lift uses Fat Transfer techniques. Fat Transfer uses your own natural fat, and the technique produces long lasting results. It is not just a matter of making your butt bigger but improving your whole figure. When expertly done it’s as risk free as you can get. In over 300 cases of Fat Transfer I have only had one minor infection which resolved without any consequences. There is practically nothing else I do that has this record of safety.

If you want more prominent and perky buttocks, look for a Board Certified Plastic Surgeon and have the Brazilian Butt Lift procedure. It is possible to get not only a beautiful Buttock Augmentation or Buttock Lift, but a beautiful new figure. The Brazilian Butt Lift not only augments your buttocks, but it resculpts your entire body torso. View our procedure photo gallery to see some of our patients’ before and after pictures.

Some patients are also candidates for the B’more Butt Lift , which is a sculpting around the buttocks area to make them look more prominent. The B’more Butt Lift is a more affordable option than the Brazilian Butt Lift because the procedure can be performed in a much shorter period of time.

However, if you can not afford either procedure, then don’t resort to Hydrogel Injections. Either save your money to have the right procedure with an experienced surgeon, or don’t do anything at all!

Posted in Butt

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  • wrote
    November 17, 2015 at 12:27 pm

    Probably you don’t have much of the PMMA (I assume it’s hydrogel) left but there is bound to be some scarring.
    I would suggest for you to get and MRI to see if there are any identifiable masses.
    If not, the injection of your own body fat would help to resolve some of the scar issues.
    Let us know after you get an MRI of the area.

  • wrote
    October 14, 2015 at 9:07 am

    hi COURTNEY! i need to know your condition now? i think we have the same concern.. i feel d same as urs, pain in my legs and knees sometimes:( did u had already surgical operation for the removal of hydrogel? how are u now? i really need your advice.. thanks!

  • wrote
    October 14, 2015 at 3:35 am

    i had hydrogel butt injection that was year 2004. i think 60(cc) shots in each cheek, w/ out any pain in my legs and knees.. but now (after 11 yrs) sometimes i feel pain in my legs and knees? what should i do? do i need to have it surgical removal soon? i’m really worried..pls. i need your advice.. thankyou!

  • wrote
    October 11, 2015 at 10:34 pm

    At this point, probably very little of the original material remains and it has been replaced by dense scarring.
    The solution is fat grafting because the fat grafts restore the tissue that is missing and the stem cells in the graft help resolve the scar tissue.
    If you are interested you can contact Kelly at kelly@cosmeticsurg.net to arrange for a virtual consultation about how to address your problem.

  • wrote
    September 23, 2015 at 3:02 pm

    Hello Dr. Rodriguez, I read your article and it is very informative; I wish all this information would have been out there eight years ago when I got my “plant oil and water” injection. I have done research now, and there’s not really much of an advance as to how to treat this problem… it is either to “cut” or leave alone, and continue to bring it into light so many other women do not consider this as a choice. Do you remove this from the body being that you are a reconstructive plastic surgeon?

  • wrote
    April 21, 2015 at 10:57 am

    Unfortunately, removal of silicone may leave a lot of scarring. You would need an MRI or CT scan study to determine where the silicone is in order to ensure precision at the time of surgery.
    The pain is probably related to pressure of the silicone on the nerves. This may get better with time.
    Unfortunately, the only solution for silicon injection is surgical removal.
    There is a medication that helps with nerve related pain, it is called Neurontin. Ask your physician about it.

  • wrote
    April 7, 2015 at 9:44 pm

    Hello doctor, i had a quick question. I had silicone injected into my butt almost a year ago…a little over 450cc in each cheek .I haven’t had any deformities or discoloration or hardness.. Yes I sometimes have pain in my legs or knees but I am guessing that is my nerves and my body rejecting it. I was wondering two things…1) do you personally perform removal of silicone? And 2) besides having sometimes pain in my legs, should I even consider removing it? Also are there medicines out there I can take that can help…thank you !!

  • wrote
    April 2, 2015 at 10:10 am

    Without getting any more detail, it is difficult for me to give a recommendation. If you are interested in a virtual consultation Kelly at kelly@cosmeticsurg may be able to help you out.

  • wrote
    March 25, 2015 at 7:55 pm

    Hey doc I get hydrogel butt injection like 2years ago but now my butt is disclosures is there anything I can use are take so it can go away please am very uncomfortable

  • wrote
    March 1, 2015 at 5:41 pm

    The shots were a long time ago and I think you would be safe now. If anything the processed fat has an antifibrotic effect that may help you against further problems with the silicon. This has helped me in the past, using fat grafting to salvage patients who had silicon shots to the face.
    Anyways, I will give your info to Kelly at kelly@cosmeticsurg.net, and she will answer more of your questions and maybe even set up a virtual consultation via phone or Skype.
    Looking forward to hearing from you!

  • wrote
    February 9, 2015 at 5:31 am

    I got shots of liquid silicone 7 years ago, or at least what I thought it was, and luckily I haven’t had any complications from it. I haven’t done anything since cosmetically to my body up until now, but I would like to and have the means to do so. I’m looking into getting a Brazilian Butt Lift and was wondering because I had the shots done before, would it be a problem to get that procedure done even though its only using my own fat?

    Thank you!

  • wrote
    January 18, 2015 at 5:31 pm

    It is very complicated to have it removed, but I think fat grafting would help by resolving some of the scar tissue and incorporate living fat tissue into the hydrogel deposits.
    Contact Kelly at kelly@cometicsurg if you want some more info.

  • wrote
    January 16, 2015 at 2:04 pm

    Hey doctor it’s been 1year I got hydro gel and way it can get removed I did a MRI came back good they said but I’m scared I seen that model with her problems I don’t want the same PLEASE HELP ME

  • wrote
    January 9, 2015 at 5:25 pm

    Unfortunately, removing the material may be difficult. Best to go to a doctor and have it examined to ease your mind.

  • wrote
    January 9, 2015 at 5:24 pm

    I think you should go to a doctor in your area and have the area examined. At 5 years after I doubt this is an infection, but scar formation around nerves can cause a lot of pain.
    Infection is usually associated with throbbing pain, swelling and redness in the area.

  • wrote
    January 6, 2015 at 10:37 am

    I have had injections over 4 years ago and ever since I have had red spots on my hips and pain under my right buttocks.
    Should I be concerned? Should I remove it?

  • wrote
    January 5, 2015 at 10:23 pm

    I have had hidrogel injections about five years ago. I feel pain down my right leg and right under my buttocks and After the incident that happened with a model from my country, brazil, Where she was hospitalized for injecting hidrogel in her legs, i am freaking out, and very worried this pain im feeling is a warning that an infection is ocurring
    Please help
    Thank you

  • wrote
    December 11, 2014 at 4:14 pm

    I have done implants in the past but I do not like them because there are a lot of problems associated with them. They can put pressure on nerves and cause a lot of pain, they can also get infected or displaced. Fat is so much better because it feels completely natural and its your own tissue.
    Contact Kelly at kelly@cosmeticsurg.net if you want more info, she’ll be motte than happy to help.

  • wrote
    December 11, 2014 at 4:01 pm

    Having your mother’s fat injected would NOT be a good idea. It would be rejected and would probably make you very sick.
    I have grafted people in the past who had other types of injection such as PMMA. In any case, call Kelly at kelly@cosmeticsurg.net for further info and maybe even a virtual consultation.
    Hope to hear from you soon!

  • wrote
    November 29, 2014 at 9:42 am

    Hi doctor im looking to have buttocks implants how safe are those procedures

  • wrote
    November 20, 2014 at 2:17 pm

    So I have a question…I’ve had silicone injections in my butt years ago…it was obviously industrial and it has hardened. I don’t want to have it removed because I do not want to deal with the disfigurement so I was wondering what I be able to do anything else to improve what is already there and slightly softened what has hardened I do not have enough body fat you have that transfer…so my second question would be what if I had my moms fat inject it into my butt with that be A safe alternative?

  • wrote
    May 18, 2014 at 1:45 pm

    Nothing to do but wait and hope for the best.

  • wrote
    April 23, 2014 at 10:54 pm

    4 shots in each cheek about 4 ago no side affects but warmness

  • wrote
    April 23, 2014 at 10:47 pm

    Im scared now i just recently got my butt done wat should i do

  • wrote
    February 2, 2014 at 12:37 pm

    I do not think you are getting a blood clot after all those years.
    The hard lumps and pain going down your leg are probably due to the scarring that happens around hydrogel. If there is hydrogel near the sciatic nerve it could probably be pressing on the nerve and that is what creates the pain going down your leg.
    You should have an MRI of your buttocks done to see if they can detect scar tissue surrounding the sciatic nerve.

  • wrote
    February 2, 2014 at 4:58 am

    Hi doctor I had 3 session if hydrogel about 4 years ago and now one side is getting hard lumps and I often feel pain going down my leg and shortness of breath I’m really worry can I be getting a blood clot after so many years could the hydrogel have traveled? Help

  • wrote
    February 2, 2014 at 4:57 am

    Hi doctor I had 3 session if hydrogel about 4 years ago and now one side is getting hard lumps and I often feel pain going down my leg and shortness of breath I’m really worry can I be getting a blood clot after so many years could the hydrogel have traveled?

  • wrote
    September 17, 2013 at 3:51 pm

    Thank you again for the information

  • wrote
    September 12, 2013 at 3:30 pm

    Perhaps the rheumatologist may be able to help you, perhaps not. You will need an MRI scan to see where the inflammation and/or masses are.
    After that you may or may not nned surgical intervention, but that decision can only be made after specialist input.

  • wrote
    September 11, 2013 at 12:28 pm

    Thank you for you response its a releif to hear from you i really appreciate your information.now what kind of doctor should I go to I have been searching and found out that I need to see a rheaumotologist is that correct or seeing my primary care provider fine?

  • wrote
    September 9, 2013 at 1:56 pm

    Go to a Plastic surgeon in your city. They can initiate a work up. You will need an MRI scan to see where the injection is.
    But first off all you have to go to a Doctor in person, nobody can help you through the internet. Go see a doctor in person, he will be able to at least refer you to the right person.

  • wrote
    August 26, 2013 at 4:01 pm

    Dr I got the butt hydrogel injections about 2 months ago and I’m having painful side effects I had four injections in each total of eight the bruising are still there, itching never stops I feel painful pulses inside. my right side starting from my hip to my feet is feeling very sore as if i excersized alot but only the right side im very scared and need help to figure out what’s wrong would you now who I can see for help? I have no where else to look for help

  • wrote
    August 20, 2013 at 1:17 pm

    Trying to remove it now may be more trouble than it’s worth.
    The shooting pains are from pressure around the nerves.That will fade in time, massage to the area helps.
    I don’t think the gel will travel, and although I can’t predict the future, I think any serious problems would have manifested by now.

  • wrote
    June 24, 2013 at 9:39 am

    Horrific stuff.
    “It is not OK to look for bargains with surgery because you only have one body.”
    So many of the health problems facing society could be solved if people really took this thought to heart. When people overeat, overindulge in alcohol, etc., are they truly aware of what they are doing to their body? They may understand it in the abstract, but the reality of their only body being damaged, possibly beyond repair, generally escapes them. It’s tragic.

  • wrote
    June 20, 2013 at 11:38 am

    Dr. I got the biogel injections in my buttocks about 7 years ago… Although thankfully i have not had any serious side effects like disfigurement of the area… The area usually does feel sore somewhat even after 7 years and sometimes i feel sharp pains in my legs. I was wondering if there is a surgical way to remove the biogel?? Or if the issues im having now are indications of worse side affects to come.. Im truely very worried.. Can this gel travel from the but to elsewhere in the body? Any suggestions or help would really be appreciated