Buttocks Enhancement with Butt Implants

Who is considered

Ideal candidates want significant enlargement of the central buttocks after moderate to severe deflation and/or when fat reserves are inadequate. Buttock implants are made of semi-solid silicone and have a smooth or textured surface. Both surfaces stay. The semi-solid design is described as resilient to the daily mechanical stress of sitting. The textured surface is said to adhere to soft tissue and to stabilize position by prohibiting migration and displacement. Buttocks enhancement with butt implants is the operation offered to those candidates.

Incisions and the muscle pocket

Insertion uses well-hidden, limited-length inter-gluteal vertical incisions in a gentle arc that follows the natural curve of the buttock cheek. Identical, symmetric intramuscular pockets are dissected, and the implants are inserted with a minimal touch technique. The pocket is in the glute, the gluteus maximus. Placement there is said to cushion the implant so the edges are not visible and not easily palpable, and to minimize infection or rejection. Infection risk is addressed with sterile technique, non-traumatic dissection, and a multi-layered closure.

Diameter and two early recovery clocks

An implant that is too large can extrude. Most clients want to go as large as possible, and that wish is called the biggest obstacle. The diameter must fit the gluteus maximus. The pocket is measured from the vertical gluteal crease to the start of the lateral gluteal depression. That distance, minus 2 to 3 cm, is the maximum diameter the buttock can accommodate. The diameter is then matched to the limited number of sizes available. Buttocks enhancement with butt implants is limited by that diameter.

Buttock implant surgery has not been universally accepted by board-certified plastic surgeons. A high extrusion rate nationally is attributed to implants chosen too large for the buttock and to poor compliance after surgery. Physical activity waits 6 to 8 weeks so the incision can heal before activity is initiated. A Brazilian butt lift is given 2 to 3 weeks of recovery. Both clocks stay. The surgeons have evaluated several manufacturers and will discuss those options in consultation.

Fat transfer and central projection

Butt implant surgery is an alternative to a Brazilian buttock lift that uses fat injections. Fat transfer can augment the cheeks globally and has limited central filling. An implant in the gluteal muscles is the option named for maximum central projection. Candidates often have a very low body mass index, a history of extreme weight loss, excess skin, and minimal fat. Implants are called a less desirable alternative to a Brazilian buttock lift. Long-term implants can malposition years later. Buttocks enhancement with butt implants is that central-projection choice when fat reserves are low.

The garment, the capsule, and later malposition

Patients wake in a compression garment. Under it, a customized foam in-lay protects the buttock from unnecessary compression. They feel moderate pressure over the cheeks and tightness along the crease, where the incisions sit. The incisions are supported with multiple layers of stitching and sealed with a surgical tape called a Steri-strip.

Silicone is treated by the body as a foreign element, whatever the implant type. Fat grafting is the autologous alternative. A capsule of scar tissue forms around the implant. Once the capsule forms, it protects the implant from extrusion and malposition in the early period. The delayed complication remains malposition from the forces of sitting. Years and even decades later, the buttock shape can change as the implant migrates out of the intramuscular position.

Sitting is approached with caution every time, and exercises that strain the gluteus, such as squatting, are avoided. Pocket dilatation from that malposition can only be treated with implant removal. After removal, partial refilling with fat and a gluteal lift for skin redundancy and sagging may both be considered. Patients who favor an implant over a Brazilian butt lift are asked to weigh daily activity and physical activity before choosing.

Silhouette changes that prompt a consult

A person may be a candidate with a flat bottom in jeans or other clothes, or after loss of the back, buttocks, or lateral buttock silhouette. From the side, the gentle curve of the back onto the buttocks can be replaced by a flattened silhouette. From the back, the lateral buttocks curve can be replaced by a double hump. Greater flank and lateral thigh prominence after excess weight gain, together with loss of projection, increases droop. Droop of the buttocks and flattening of the cheeks from aging can benefit from implant augmentation. Good general health, both physical and emotional, is required.

Planning, smoking, and the night before

The first visit includes blood work and a preoperative clearance from the primary care physician. Underlying medical conditions are optimized before surgery. Difficulty breathing, or an underlying pulmonary condition, may make a person unsuitable, because the operation requires a prolonged time lying on the stomach. Smokers are asked to quit for four weeks before surgery and for six weeks after. A friend or spouse is arranged for any small children who need to be lifted, because soreness is expected for the first couple of days.

General anesthesia is required because the dissection is intramuscular and the patient lies on the stomach for a prolonged period.

Eating and drinking stop after midnight on the day before surgery, so the stomach is clear and digested food is not aspirated during induction of anesthesia. Anesthetic medications leave the patient groggy for several hours, so a ride to and from the surgery center is required, and a caretaker stays the first night. Upright sitting is avoided for the first two weeks, so the ride home uses a generous back seat where the patient can lie on the stomach.

What the result claims say

Augmentation is said to enhance buttock shape and improve projection. Patients are usually extremely satisfied with the immediate results and are described as enjoying a lifetime of an aesthetically balanced lower back to buttocks silhouette. A thorough preoperative assessment, a safe intraoperative course, explicit postoperative instructions, and monitoring with frequent visits are the steps tied to a speedy recovery.

The first weeks after surgery

Light activity can usually resume several days after surgery. Numbness of the skin overlying the implant is said to disappear over the first few days. Pain medication and antibiotics are prescribed. A specialized tape and a garment are worn over the buttocks to secure the implant during the swelling phase. Upright sitting is not allowed for the first two weeks. Sleep is on the stomach for the first two weeks. Full physical activity, and wearing a routine undergarment, are allowed four weeks after surgery.

Numbness is also said to subside over several months, beside the few-days clock. Physical activity is also withheld for 6 to 8 weeks, beside the several-days, two-week, and four-week limits. Buttocks enhancement with butt implants is followed on these clocks, and they are not averaged. A Brazilian butt lift comparison uses 2 to 3 weeks.

Fat grafting or an implant

• Fat grafting, also called a Brazilian buttocks lift, benefits patients with asymmetric buttock size or shape, or patients with generous fat reserves. Ideal candidates want moderate central buttock cheek projection.
• Buttock implant augmentation is for patients with symmetric buttock size and shape, a thin body habitus, and minimal fat reserves. Ideal patients want exaggerated central buttock cheek projection that fat grafting cannot achieve.

A combination of both procedures is possible, depending on the improvement wanted. The choice is made in consultation with Dr. Paris Sabo.

When the result shows, and what the fee includes

Results of buttock augmentation are immediately visible. Swelling resolves within weeks, and the incision line fades with time. Incision healing is managed with operative tapes called Steri-strips, then a topical scar cream called Biocorneum, and Intense Pulse Light therapy as needed.

The average cost of buttock augmentation with an implant starts at $10900. Buttocks enhancement with butt implants starts at that figure. The fee covers the items below.

• Surgeon's fee
• Facility fee
• Anesthesia fee
• Garment fee
• Postoperative visit fees

The fee may change if areas around the buttocks need contouring. Those areas are the lateral thigh, the flanks, the love handles, and the medial thigh. Contouring may be liposuction and/or a lateral thigh lift (buttocks lift) or an inner thigh lift (medial thigh tuck).

The American Society of Plastic Surgeons states that liposuction, sometimes referred to as lipo by patients, is a surgical procedure that involves the removal of excess fat from specific areas of the body. That sentence applies only to the surrounding liposuction. The $10900 fee, the 2 to 3 cm diameter rule, the capsule, the recovery clocks, and the solid silicone are not that sentence.

Safety of the solid silicone

Silicone buttock implants are called safe and predictable, with a low risk of complications. No allergic reactions to silicone buttock implants are reported. The implants are solid silicone, so they do not rupture and leak the way breast silicone gel implants can.

How the implant is said to feel

The solid silicone is customized to the size and shape of the buttock deficiency. Because the implant sits intramuscularly and deep to the skin, patients are said not to feel the firmness as unnatural. Transient numbness over several months stays beside the few-days numbness above. Customization is how a deficiency specific to that patient is corrected.

Deflation and redundant skin

Buttocks augmentation is recommended for moderate to significant buttock deflation. Minimal to moderate redundant skin is treated with augmentation alone. Significant redundant skin is treated with a lateral thigh lift, also called a buttock lift or tuck, together with augmentation. That lift can be combined with a tummy tuck and presented as a lower body lift. The text points to the post-bariatric surgery chapter for that combination.

A second incision description

A second description uses two separate incisions over the upper part of the intergluteal crease, which separates the buttock cheeks. Each incision is shaped as a gentle arch around the buttock prominence. Two separate incisions, rather than a single incision, are said to have decreased implant infection and extrusion. This description stays beside the limited-length inter-gluteal vertical incision description. The two patterns are not merged.