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Repair

Repair of Intimate Filler, Liquid Silicone and Foreign Substances

A good number of patients come to the doctor because filler, or some substance, injected elsewhere has become lumpy, migrated, turned uneven or inflamed. Intimate filler repair starts with finding out what is inside. Only then does the doctor plan whether to dissolve, treat with medication, monitor, or refer for surgery.

Medically reviewed by Asst. Prof. Dr. Borisut Sanmano (Thai Medical Licence 23173) · Last updated October 2026

HA fillerOil · Liquid silicone Stays togetherInfiltrates
Illustration: HA filler stays grouped in the fat layer beneath the skin and can be dissolved, while liquid silicone or oil spreads through the tissue and cannot be dissolved.

What problem are you facing?

Filler that is lumpy, migrated, uneven or too large

If it is HA, it can be corrected in clinic: targeted ultrasound-guided dissolving, then re-injection

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Previous liquid silicone, oil or unknown-substance injection

Hard lumps, inflammation that comes and goes, skin discolouration, or the substance migrating to the groin

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Not sure what was injected

An ultrasound first, to learn the type and extent of the substance

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Want new filler after repair

Once the repair is complete, the doctor plans new HA filler to suit your anatomy

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How the doctor repairs it

History and examinationWhat was injected, when, where, and what symptoms you have now
Ultrasound assessmentShows the type, location and extent of the substance. Some patients also need an MRI.
An individual planThe doctor explains the options, dissolving, medication, monitoring or surgery, with the pros and cons of each
Repair as plannedHA filler is dissolved in clinic. If surgery is needed, we arrange referral to a surgical team or hospital suited to your case.
Follow-upFollow-up visits until everything has settled, then we talk about whether to do anything further

Other common problems

Permanent or counterfeit filler

Chronic inflamed lumps, even years later. The substance is identified before any plan is made.

Darker skin after injection or inflammation

The cause is found first, then skin-tone treatment is planned alongside the repair

Uneven skin after repair elsewhere

Assessed to decide whether to add, adjust, or wait for the tissue to settle first

Why we always assess before any repair

HA filler can be dissolved with an enzyme. Liquid silicone, oil and permanent fillers cannot. Rushing into a repair without knowing what is inside can make the problem worse than before.

The information on this page is for educational purposes. Treatment plans and results depend on an individual assessment by the doctor.

Frequently Asked Questions

Will I look the way I did before after repair?

It depends on the substance, how much there is, and how long it has been in the body. The doctor examines you and tells you plainly, before starting, what result is realistic.

Does every case need surgery?

No. Most problems from HA filler are corrected by dissolving. Liquid silicone or oil that is causing symptoms usually needs surgery, for which we arrange referral to a surgical team.

If I have no symptoms, do I still need it removed?

Come for an assessment first. Some women have no symptoms yet, but the substance may cause problems later. The doctor will tell you whether to monitor it or correct it now.

Free consultation with Dr. Kate. No obligation.Send your questions on LINE. No real name needed. The doctor will tell you plainly whether to go ahead or wait.
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