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Removal of Silicone and Hyaluronic Acid Facial Fillers in Beirut


Juvederm fillers are manufactured by Allergan and have hyaluronic acid that is biocompatible with soft tissue. In some cases, the Juvederm filler can cause excess swelling and bruising that does not naturally conform within the soft tissue and skin. Dr. Karamanoukian is an expert in removing or dissolving Juvederm using an enzymatic injection to reduce filler bulk and volume. Juvederm removal is used commonly on the lips if the look is unnatural or poorly injected in the upper and lower lips. Juvederm injections are easily dissolved within minutes, but may require more than one treatment session to achieve success. 

Dr. Raffy Karamanoukian is a world-renowned and double board-certified plastic surgeon with offices in the United States and Lebanon. He is registered by the Lebanese Order of Physicians as a plastic surgeon and maintains active licensing in the United States. Fellow of the American College of Surgeons and active member of the American Society of Plastic Surgeons in the United States. Dr. Karamanoukian is available for consultation.

To learn more about world-renowned plastic surgeon Dr. Raffy Karamanoukian, or to visit our office for a consultation in Beirut Lebanon; please contact our patient care coordinator for details. Usually, patients who undergo Juvederm dissolution and removal may reinject softer hyaluronic acid facial fillers thereafter. These same techniques are used to remove unwanted lip fillers from Aliaxin, Filorga, Restylane, Radiesse, Belotero, Stylage, and other hyaluronic acid fillers. We sometimes use an enzyme called Hylenex or Hyaluronidase to dissolve the fillers that are made of hyaluronic acid.


Silicone biopolymers are commonly injected into the soft tissue of the face and body. There are few approved fillers that contain silicone biopolymer and these fillers somehow get into the hands of clinicians who inject soft tissue in non-accredited clinics. Our office is a leading center for the removal of silicone biopolymers from the face and buttocks. 

Liquid biopolymers are synthetic products that are mainly used for industrial or commercial applications. In some cases, biopolymers are used for breast implants and these are sometimes employed for injection. There are many dangers to using biopolymers as they can cause short and longterm reactions with chronic inflammation. Once the inflammation sets into the tissue, it can cause fibrosis, granulomas, and hardening of tissue. 

Dr. Karamanoukian is among a select few surgeons in the world who are proficient in the mitigation or removal of silicone biopolymer fillers. His approach is longterm and allows patients to sequentially heal from the tissue trauma. We advise patients to seek treatment early in order to reduce damage to the skin and soft tissue. 


The removal of liquid silicone fillers requires the expertise of Dr. Raffy Karamanoukian, a board certified plastic surgeon with extensive experience in the treatment of filler complications. Liquid silicone is a common permanent filler that is used to volume enhance the buttocks and facial silhouette. Dr. Karamanoukian has treated countless patients who have developed complications from silicone.