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Biopolymer removal

Biopolymer, also known as liquid silicone, is a permanent material that has been used for years to increase lip volume. Unlike hyaluronic acid fillers, biopolymer is not natural, biodegradable or gradually broken down by the body over time. Because of this, it can remain in the tissue for many years and may eventually cause both aesthetic and medical complications. The problem with biopolymer is not only that it can change the appearance of the lips, but also that the body treats it as a foreign substance. The body attempts to isolate it, which can lead to the formation of harder, scarred tissue around the material. Biopolymer may also migrate, distort the shape of the lips and cause discomfort when speaking, eating or touching the area. For this reason, biopolymer removal from the lips is, for many patients, both a medical and aesthetic necessity, not simply a matter of appearance.

Why is biopolymer removed from the lips?

Biopolymer can only be removed surgically because it binds to and spreads through the surrounding tissue. It is not a natural material and it is not biodegradable. Complete removal is usually not possible, but surgery can reduce lip volume and remove lumps, nodules and areas of thickened tissue.
The reason for biopolymer removal may be aesthetic, especially when the material causes deformity, migration, unnatural hardness of the lips, asymmetry, lumps, granulomas or nodules. In other cases, the reason may be medical, as biopolymers can lead to swelling, pain, inflammation, infection, leakage of silicone material and, in more serious cases, even tissue death, known as necrosis.

How does a Biopolymer granuloma form in the lip?

When biopolymer is injected into the lips, the body does not recognise it as a natural material. As it cannot break it down, the body attempts to contain and isolate it from the surrounding tissue. This is when a capsule of hard, scarred tissue may form, leading to the development of a biopolymer granuloma in the lip. Over time, biopolymer can shift position due to facial expressions, speaking, chewing and gravity. This often leads to lip asymmetry after biopolymer, thickened areas, nodules, hardness and distortion of the natural lip line. In such cases, surgical removal of biopolymer from the lips is the most effective way to address the problem and help restore a more natural lip shape.

What does preparation for silicone removal from the lips involve?

Before biopolymer, or silicone, is removed from the lips, it is necessary to have a detailed examination with a specialist in plastic, aesthetic and reconstructive surgery. During the consultation, the specialist assesses the amount of biopolymer, the degree of material migration, the presence of granulomas, the condition of the skin and mucosa, as well as the quality of the lip tissue itself. This is an important step, as it determines the surgical plan and helps assess how much material can be safely removed while preserving the best possible shape and function of the lips. The patient also receives clear preparation instructions, along with information about the procedure, recovery and expected results. Good preparation is important so that biopolymer removal can be planned safely and with the best possible aesthetic outcome.

How is biopolymer removed from the lips?

Biopolymer removal from the lips is performed under local anaesthesia or short intravenous sedation with analgesia. Based on the examination, the surgeon will determine the best place to make the incision. In most cases, the incision is made along the border between the lip skin and the mucosa, meaning the scars will not be visible.
Through this incision, the surgeon removes scar tissue, excess skin on the lips, silicone lumps and deformed tissue. The silicone is removed carefully, piece by piece. The area is then closed with absorbable surgical sutures, most commonly Vicryl. These stitches usually dissolve on their own, but if any small fragments remain, the surgeon can remove them during one of the follow-up appointments.

The procedure takes around 1 hour.

The aim of this procedure is not only to remove the foreign material, but also to preserve the best possible shape and function of the lips. During the surgery, the surgeon carefully assesses how much biopolymer and scarred tissue can be removed while maintaining the natural contours of the lips and achieving the best possible symmetry.
In addition to removing the biopolymer itself, the procedure also corrects irregularities caused by its presence, such as thickening, lumps and deformities. In this way, biopolymer removal from the lips is not only a way to resolve the problem, but also an important step towards restoring a more natural appearance, a softer feel and a more balanced lip shape.

What is recovery like after biopolymer removal from the lips?

In the first few days after surgery, swelling is expected, but it usually settles naturally within 5 to 7 days. Antibiotics are typically taken for 7 to 10 days, according to the surgeon’s instructions. If you experience pain, you may take pain relief recommended by your surgeon. The day after the procedure, you can brush your teeth as usual, but without sudden or forceful movements, to avoid irritating or injuring the treated area. It is also important to rinse the mouth regularly with special antiseptic solutions. During the first two days, soft or puréed food is recommended, and food should not be hot. Smoking and drinking through straws should be avoided until the wound has fully healed, usually around the fifth to seventh day. Most patients return to work the following day. The first follow-up appointment is usually scheduled for the second day after surgery. During recovery after biopolymer removal from the lips, it is very important to follow all of the surgeon’s instructions, as proper aftercare helps support calmer healing and a better final result. Mild swelling, tightness and sensitivity are expected during the first few days, while the final appearance of the lips can only be assessed once the tissue has fully settled and the swelling has completely gone down.

Visible results after biopolymer removal from the lips

The first improvement can usually be seen once the initial swelling starts to settle, most often within a few days. At this stage, the lips begin to feel softer, the unnatural hardness is reduced and the shape becomes neater

However, the final result should not be assessed immediately, but only after the tissue has fully recovered. The aim of the procedure is not only to remove the foreign material, but also to reduce the deformities, thickening and asymmetry caused by the biopolymer.

When the surgery is properly planned and performed, the result is a more natural lip appearance, reduced volume in areas where the lips were overly enlarged and a more balanced shape in relation to the rest of the face.

Patient experiences after biopolymer removal from the lips

Patient experiences after biopolymer removal from the lips most often show significant aesthetic and functional relief. Many patients say that, after the foreign material was removed, their lips felt softer again, chronic swelling improved and lumps and deformities were significantly reduced. Patients often describe the biggest change as the fact that their lips feel more natural again, both to the touch and during movement. In addition, reduced hardness, improved symmetry and a neater appearance can contribute to greater confidence and a stronger sense of comfort in everyday life.

Are there any risks associated with biopolymer removal from the lips?

As with any surgical procedure, there are risks of bleeding and infection. However, these risks are kept to a minimum when the procedure is performed in a fully sterile operating room and carried out strictly according to protocol by an experienced surgeon. It is also important to emphasise that the extent of the procedure depends on the amount of biopolymer present, the degree of material migration and the condition of the tissue. For this reason, every case is assessed individually. When the surgery is properly planned, the risks are carefully controlled, with the aim of resolving the problem safely while achieving the best possible functional and aesthetic result.

Biopolymer removal from the lips cost and appointments in Belgrade

The cost of biopolymer removal from the lips depends on whether one or both lips are being treated, how much material is present, whether migration has occurred and to what extent the tissue has become deformed or scarred. For this reason, the final price can only be determined after a specialist consultation. If you would like to know the exact cost of biopolymer removal in Belgrade, Georgijev Clinic offers the option of booking a specialist consultation in Dedinje by phone. During the consultation, you will receive a clear assessment, a surgical plan and all the information you need before deciding whether to proceed with the procedure.

Why choose Georgijev Clinic for biopolymer removal from the lips?

Biopolymer removal from the lips requires experience, precision and careful planning, as the aim is not only to remove the foreign material, but also to restore a more natural lip shape, better symmetry and a softer feel.
At Georgijev Clinic, every patient is approached individually, with a detailed consultation and a treatment plan tailored to the condition of the tissue and the level of complications present.
Call us to book a consultation and receive a professional assessment, a clear surgical plan and all the information you need before making your decision.

FAQ

How long does recovery take?

Recovery takes 5 to 7 days, after which significant improvement is expected.

No. The procedure is performed under anesthesia, minimizing discomfort during and after the surgery.

Yes, biopolymer removal provides permanent results and restores the lips’ natural appearance.

Biopolymer removal is a surgical procedure to extract permanent silicone materials from the lips to address both aesthetic and health concerns caused by their presence

Candidates include individuals experiencing complications such as swelling, granulomas, asymmetry, or pain, as well as those seeking to remove biopolymer for aesthetic or medical reasons.

Biopolymers can cause swelling, granulomas, infection, tissue necrosis, asymmetry, lip deformities, and migration of the material to other parts of the face.

Under local anesthesia or sedation, the surgeon carefully removes the biopolymer piece by piece, minimizing damage to the surrounding tissue. The procedure typically lasts about one hour.

Scars are minimal and located on the inner side of the lips, making them almost invisible.

Advantages include the removal of foreign material, reduced complications, restoration of the lips’ natural shape and volume, and improved health and appearance.

Risks include infection, swelling, bruising, tissue damage, and a prolonged healing period. Choosing an experienced surgeon significantly reduces these risks.

Patients should follow the surgeon’s instructions, adhere to prescribed therapy, avoid sun exposure, consume liquids on the first day, and maintain good oral hygiene.

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