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I'm 5'6",125 Lbs but Have Been Told I Have Told I Have a Very Small Frame. However, I've Always Been Top Heavy. (photo)

I'm a 36 D. I need help ! I really want butt implants . I don't think I have enough fat to transfer .The problem is that I live in Louisiana and I can't seem to find any local surgeons that provide these services. I did find several that do butt lifts and transfer fat and inject fillers but not the actual implants . I have found several doctors in larger cities that perform this procedure on a daily basis . I am aware that this can be very dangerous ,therefore I want someone with a lot of experience !

Doctor Answers (2)

I'm 5'6",125 Lbs but Have Been Told I Have Told I Have a Very Small Frame. However, I've Always Been Top Heavy.

+1
Intramuscular implants can improve volume by 400 cc or so, depending upon the size of the individual. A significant amount above this volume compromises healing by creating more tension on the healing incision.

Kenneth Hughes, MD

Los Angeles, CA


Los Angeles Plastic Surgeon
5.0 out of 5 stars 191 reviews

Buttock Implant specialist

+1

Indeed, you are way too lean for fat transfer so buttock implants are your only reliable good option.

Allow me to share with you some information that you may not hear elsewhere. There are only two proven safe and relatively effective methods for Buttock Augmentation and Hip Augmentation: 1) Autologous Fat Transfer (using your own fat, transferring from one area of the body to the other) and 2) Buttock/Hip Implants (semi-solid silicone rubber implants that cannot rupture &/or leak). Both are very good options so what it comes down to, like any surgery, is proper patient selection. Indeed because at least 50+ % of the fat transferred will melt away within a year, most patients are not good candidates because they lack an adequate amount of fat to harvest. Another tip is that if you gain weight for the procedure, the fat that you lose first when you go back down to your baseline weight after surgery is in fact that fat that you originally gained and transferred into your buttocks...so don't fall victim to this recommendation.  Although using your own fat is relatively safe, the one serious complication that can rarely (< 1%) happen is "fat embolism" in which some of the fat gets into the blood stream and travels up into the lungs, heart, and/or brain causing serious problems. This complication is more likely to happen with the larger amount of fat being transferred. This can also happen when using fillers like PMMA and hyaluronic acids. Also fillers, when injected in large quantities, have a relatively high tendency to migrate away from the original area they were placed and tend to stimulate a lot of inflammation and subsequent scar tissue/hardening.


Thus buttock/hip implants become a very good, safe, and long term reliable option for most patients seeking buttock augmentation (at least in my practice). I prefer to insert the buttock implants through a single 2 ½ inch long incision over the tailbone (concealed within the crevice between the buttock cheeks) and the hip implants through a ~ 1 inch incision just below the beltline above the hip region. The buttock implant should always be placed under or within the gluteus maximus muscle. In this position, the implant is less palpable, less visible, and does not sag or shift/migrate over time unlike implants placed on top of the muscle. Therefore it is extremely important to seek consultation with a board certified plastic surgeon who specializes in this procedure. And in this case too, at least in my surgical practice, the infection rate is minimized to ~5%. Glad to help… 

Ryan Stanton, MD
Beverly Hills Plastic Surgeon
4.5 out of 5 stars 16 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.