WANT THE CONFIDENCE THAT COMES WITH KNOWING YOU LOOK YOUR BEST? GET YOUR FREE CONSULTATION Get Your Free Copy Today! Reviewer: Arian Mowlavi, MD FACS Author: Babak Moein, MD FACSBoard-certified, Fellowship trained in Cosmetic Surgery Call Us Consultation Buttocks Enhancement with Butt Implants CASE STUDIES SEE MORE PHOTOS Butt Implant Cost SEE MORE PHOTOS Creating the Perfect Butt Buttock Assessment Tool SEE MORE PHOTOS How Common is Buttock Implants SEE MORE PHOTOS Proper Buttock Implant Placement SEE MORE PHOTOS Round vs Oval Buttock Implants SEE MORE PHOTOS Buttock Implant Risks Buttocks Enhancement with Butt Implants Patients who present desiring significant enlargement of their central buttocks following moderate to severe deflation of their bottoms and/or who do not possess adequate fat reserves are ideal candidates for buttock implants. Buttock, of butt implants are made of semi-solid silicone and possess a smooth or textured surface. This semi-solid design makes the implants resilient to daily mechanical stresses exposed by sitting on our bottoms. The textured surface ensures adherence of the implant to the soft tissues and stabilizes implant position by prohibiting migration and displacement. Table of Contents Toggle WANT THE CONFIDENCE THAT COMES WITH KNOWING YOU LOOK YOUR BEST? Buttocks Enhancement with Butt Implants CASE STUDIES Choosing the right Butt implantsButtock Implant Candidates Choosing the right Butt implants Butt implants are inserted using well-hidden and limited-length inter-gluteal vertical incisions placed in a gentle arc to follow the natural curve of the buttocks cheek. Our Butt implant surgeons carefully dissect identical and symmetric intramuscular pockets where the silicone implants are to be positioned and inserted using minimal touch technique. Placement of the implant in an intramuscular (gluteus maximus) pocket provides several advantages, including an implant that is well cushioned so that its edges are not visible and not easily palpable, as well as minimizing the risk of infection or implant rejection. Minimizing the risk of infection is ensured by meticulous attention to sterile technique, non-traumatic surgical dissection, and multi-layered closure of the incision lines following the placement of butt implants. Avoiding extrusion is best accomplished by choosing an implant that is not too large for your buttocks cheek. This is often the biggest obstacle for patients desiring buttocks augmentation. Most clients want to go as large as possible. However, the buttock implant volume, specifically the diameter, must fit in your gluteus maximus muscle. The gluteus maximus muscle pocket can be best defined by measuring the distance from the vertical gluteal crease to the start of the lateral gluteal depression. This distance subtracted by 2 to 3 cm is the maximum implant diameter that your buttock can accommodate. Then this diameter is used to choose your buttock implant from the limited number of buttock implant sizes available. You see buttock implant surgery has not been universally accepted by board-certified plastic surgeons. There are several reasons for this hesitancy. First, there is a high extrusion rate nationally which results from implant size chosen that is inappropriately too large for your buttock and poor compliance postoperatively. This is because the recovery time is prolonged since patients must give adequate time, in the range of 6 to 8 weeks, for the incision line to heal before initiating physical activity. This limitation of butt implant surgery contrasts with the Brazilian Butt Lift, which only requires 2 to 3 weeks of recovery time. Our surgeon have evaluated several manufacturers of butt implants and are happy to discuss your options during your consultation. Buttock Implant Candidates Butt implant surgery is an alternative to the Brazilian Butt Lift, a buttock augmentation surgery that involves fat injections. Fat transfer surgical procedure has the advantage of being able to augment the butt cheeks globally but does have the disadvantage of limited central buttock filling. This is why buttock implant augmentation positioned in the gluteal muscles remains a viable cosmetic procedure for patients desiring maximum central buttock projection. A butt implant procedure may be considered if you are a strong candidate for butt implants. Candidates for butt implant surgery will often have a very low body mass index with a history of extreme weight loss and present with excess skin and minimal fat deposits. Plastic surgeons must counsel patients regarding the constraints of possessing butt implants, considered a less desirable alternative to Brazilian Buttock Lifts. Long-term butt implants can be prone to malposition years following implantation. Butt implant Surgery Postop Considerations Butt implant surgery patients will wake up from anesthesia to find themselves wrapped in a compression garment. Under the garment, they will have a customized foam in-lay positioned to protect the buttock from unnecessary compression. Following the placement of silicone butt implants, patients will feel moderate pressure over their buttock cheeks. They will also feel tight along their buttock crease where surgical incisions are positioned. Do not worry about popping your incision, as your incisions are well supported with multiple layers of stitching and sealed with a surgical tape called a Steri-strip. However, your post-surgery instructions are very strict with minimizing physical activity. Butt implant patients must remember that they have artificial implants made out of silicone. Ultimately, your body considers this a foreign element regardless of the type of implant. An alternative to butt implants is fat grafting injections that are completely autologous. Regardless, the benefits of buttock implants are unique in that they provide maximum central buttock projection, especially in patients with a void of fat volumes. Patients undergoing buttock augmentation with implants must commit to a prolonged recovery that involves the creation of scar tissue, called a capsule, that will form around what the body considers a foreign body. Once the capsule forms, the implant is protected from extrusion and malposition in the early postoperative period. Delayed complications of butt implants remain implant malposition. This complication results from the movement of implants from continual forces sitting on your implant. Years and even decades following your buttock implant procedure, you may observe deformity of your buttock shape as the implant migrates out of its intramuscular position. Augmentation with butt implants requires a commitment. This means being cautious every time you sit and avoiding exercises that strain the gluteus muscles, such as squatting. The buttock implant procedure is not for everyone, requiring strict compliance with postoperative protocols. Unfortunately, buttock implant malposition resulting from pocket dilatation can only be treated with butt implant removal. Patients who undergo butt implant removal may consider both partial refilling using fat as well as a gluteal lift intended to reduce buttock skin redundancy and sagging. Patients who favor buttock implant augmentation over a Brazilian butt lift procedure are urged to consider their daily and physical activity levels. FREQUENTLY ASKED QUESTIONS Am I a good candidate buttock implant augmentation surgery? You may be a good candidate for buttock augmentation surgery if you have a flat bottom in jeans/clothes or if you have lost your back/buttocks or lateral buttock silhouette. When observed from the side, patients may notice the replacement of the back buttock natural silhouette involving the gentle back curve of your back onto the buttocks with a more flattened silhouette. On the back view, the patient may notice a replacement of the lateral buttocks curve with a less desirable double hump appearance. Increasing flank and lateral thigh prominence following excess weight gain and concurrent loss of buttocks projection creates undesirable changes and increases buttocks droop. Individuals who have drooping of the buttocks region and flattening of the buttock cheeks due to aging can benefit from implant augmentation surgery Patients must be in good general health, both physically and emotionally, to pursue buttock augmentation surgery. What does buttock implant augmentation surgery involve? On your initial visit, your surgeon will evaluate your health status by obtaining blood work and requesting a preoperative clearance from your primary care physician. Patients with underlying medical conditions must optimize their health status before proceeding. Patients with difficulty breathing or underlying pulmonary conditions may not be found suitable for this surgery as it requires a prolonged duration of lying on your stomach. In addition, smokers will be asked to quit smoking for four weeks before and six weeks following surgery. Finally, you will need to arrange for a friend or a spouse to care for any small children who may need to be lifted since you will be sore for the first couple of days following surgery. How do I plan my buttock implant augmentation surgery? Since your surgery will require general anesthesia, you must take several precautions before surgery. First, you must avoid eating and drinking after midnight on the day before surgery. This precaution ensures that your stomach is clear of digested foods that could potentially be aspirated into your lungs during induction of anesthesia. Since you will have anesthetic medications administered throughout the case, you will remain groggy for several hours and require a ride to and from the surgery center. You should choose a conscientious caretaker who can spend the first night with you. As you will have to avoid sitting upright for the first two weeks, you should also ensure that your ride has a generous back seat that you can lay on your stomach for the ride home. What results can I expect after buttock implant augmentation surgery? Since your surgery will require general anesthesia, you must take several precautions before surgery. First, you must avoid eating and drinking after midnight on the day before surgery. This precaution ensures that your stomach is clear of digested foods that could potentially be aspirated into your lungs during induction of anesthesia. Since you will have anesthetic medications administered throughout the case, you will remain groggy for several hours and require a ride to and from the surgery center. You should choose a conscientious caretaker who can spend the first night with you. As you will have to avoid sitting upright for the first two weeks, you should also ensure that your ride has a generous back seat that you can lay on your stomach for the ride home. Where will my buttock implant augmentaiton surgery be performed? Buttocks augmentation surgery will lead to enhancement of the buttocks shape and improved projection of the buttocks contour. Patients are usually extremely satisfied with their immediate results and enjoy a lifetime of the aesthetically balanced lower back to buttocks silhouette. A thorough preoperative assessment, safe intraoperative course, explicit postoperative instructions, and monitoring with frequent visits ensure that patients experience a speedy recovery and a return to a more productive and rewarding life. Patients are extremely pleased with buttocks augmentation surgery and radiate increased physical and mental confidence. How do I prepare for buttock implant augmentation surgery? Since your surgery will require general anesthesia, you must take several precautions prior to surgery. First, you will have to avoid eating and drinking after midnight on the day before surgery. This precaution ensures that your stomach is clear of digested foods that could potentially be aspirated into your lungs during induction of anesthesia. Since, you will have anesthetic medications administered throughout the case, you will remain groggy for several hours and will require a ride to and from the surgery center. You should choose a caretaker who is conscientious and who can spend the first night with you. As you will have to avoid sitting upright for the first two weeks, you should also ensure that your ride has a generous back seat that you can lay on your stomach for the ride home. What type of anesthesia will be used for my buttock implant augmentation surgery? Since your surgery will require intra-muscular dissection and placement on your stomach for a prolonged period, general anesthesia will be required. What should I expect after buttock implant augmentation surgery? Patients can usually resume light activity several days following surgery. Patients may experience numbness of the buttocks skin overlying the implant that disappears over the first few days after surgery. Pain medication and antibiotics will be prescribed by your surgeon. Patients will wear both a specialized tape and garment over their buttocks region to secure the placement of the silicone implant during the swelling phase immediately following surgery. Patients may find most constraining the inability to sit upright for the first two weeks following surgery. In addition, patients are encouraged to sleep on their stomach for the first two weeks following surgery. Patients are allowed full physical activity and wearing of routine undergarment four weeks following surgery. PATIENT-SPECIFIC QUESTIONS How do I know if I need a Brazilian buttock Lift (fat grafting) or butt implant augmentation? Several factors can help you decide which procedure is the best option for your Buttocks Augmentation, and these include: Fat Grafting (Brazilian buttocks lift) will benefit patients with asymmetric buttock size or shape or those with generous body fat reserves. Ideal candidates desire moderate central buttock cheek projection enhancement. Buttock Implant augmentation will possess symmetric buttocks size and shape and possess a thin body habitus with minimal fat reserves. Ideal patients desire exaggerated central buttock cheek projection not achievable with fat grafting. The factors above will help you determine which buttocks augmentation procedure is the best option for you. Depending on your desired improvement, you may benefit from a combination of both procedures. A consultation with Dr. Babak Moein will allow you to select the ideal buttock augmentation procedure. We encourage you to call for your complimentary consultation today. How quickly will I see my Buttock Enhancement Results? Buttock augmentation surgery is unique in that your results are immediately visible. Post-surgical swelling will resolve within weeks, and your incision line will fade with time. We take great pride in optimizing your incision line healing by use of operative tapes (Steri-strips), followed by topical scar reduction creams (Biocorneum), and Intense Pulse Light therapy as needed. How much does Buttocks Augmentation cost in Orange County? The average cost of buttock augmentation with an implant starts at $10900. This fee will cover: Surgeon's fee Facility fee Anesthesia fee Garment fee Postoperative visit fees Surgical fees may be modified if you require the contouring of the areas surrounding the buttocks, which include lateral thigh/flanks/love handles/medial thigh. These areas may need liposuction contouring and/or a lateral thigh lift(buttocks lift) or inner thigh lift (medial thigh tuck). How do I know if I am a candidate for Buttock Enhancement surgery? Silicone buttock implants have proven to be safe, predictable, and maintain a low risk of complications. There have not been reported cases of allergic reactions involving silicone buttock implants. Additionally, buttock implants are made of solid silicone material and thus do not risk rupture and leak, as observed in breast silicone implants. Are silicone buttocks implants safe? Silicone buttock implants are made from solid silicone material customized to fit the size and shape of your buttock deficiency. Since the implants are placed intramuscularly and deep into the skin, patients do not feel the firmness of the implants as being unnatural. There may be transient buttock numbness following surgery, but this will subside over several months. Since buttock implants are customized for each individual, the surgeon can improve the look of your buttock region by correcting buttock deficiencies specific to you. How will my implant look and feel following surgery? Buttocks augmentation is recommended in patients with moderate to significant buttock deflation. For patients with minimal to moderate redundant buttock skin, buttock augmentation alone will suffice. In patients with significant, redundant buttock skin, a lateral thigh lift (buttock lift/tuck, as well as buttocks augmentation, may be suitable; the buttock lift can be combined with a tummy tuck and presented as lower body lift (Please refer to post-bariatric surgery chapter for more information). What if I have a sagging buttock with lots of redundant skin? Buttocks augmentation is recommended in patients with moderate to significant buttock deflation. For patients with minimal to moderate redundant buttock skin, buttock augmentation alone will suffice. In patients with significant, redundant buttock skin, a lateral thigh lift (buttock lift/tuck, as well as buttocks augmentation, may be suitable; the buttock lift can be combined with a tummy tuck and presented as lower body lift (Please refer to post bariatric surgery chapter for more information). Where are the incisions placed for the buttocks implant augmentation surgery? Buttocks augmentation surgery should utilize two separate incisions located over the upper part of the intergluteal crease (which separates the buttock cheeks) and shaped as a gentle arch around the buttock prominence. Using two separate incisions rather than a single one has decreased the incidence of implant infection and extrusion. HOW OUR PATIENTS FEEL ABOUT US: Sonia B. Mission Viejo, CA He made me feel very comfortable...I am so pleased with the work I had done with SurgiSculpt. He made me feel very comfortable with my decision to have a breast reduction. Its only been two weeks and I am feeling really good. I would recommend him to anyone looking for a plastic surgeon. Kayla S. Laguna Niguel, CA I am so happy with my results...I had my procedure with SurgiSculpt in March of this year. I am so happy with my results. He was kind and caring from the beginning to the end. His coordinator is the sweetest. I felt very welcome each time. The staff was always friendly. The office is beautiful and very high end. I would definitely recommend this surgeon. He is very skilled and knowledgeable. I would recommend him to all my friends! Kathy B. Laguna Beach, CA I think I looked 10 years younger almost immediately...I had a great experience at the office. I wanted to look a little younger and fresher for my daughters wedding day, so I booked an appointment not quite sure what I needed. My surgeon was wonderful he suggested a couple of procedures that I had not even thought of and were amazing. He plumped up my cheekbones and took away some of my crows feet. I think I looked 10 years younger almost immediately.