Long-Term Complications and Risks of Silicone Butt Implants?

From your pictures and your mentioned goals, you are an ideal candidate for a combined approach using both silicone implants and fat grafting for a complete Brazilian Butt Lift. Liposuction and fat grafting will help shape you and the implants will provide you with the extra projection and roundness you desire. Be wary of surgeons that do not offer all the options for buttock enhancement, they will often discard the procedures they are not comfortable with as good options. 

Brazilian butt lift (fat transfer to the buttock) is the
best procedure to enhance your buttock because it enables your plastic surgeon
to transform your entire shape.
Liposuction is performed over several areas depending on the individual
patient needs, but typically of the flanks, abdomen, back and thighs. This is an amazing procedure because it
allows your surgeon to tailor your results to your individual needs and
desires!

In your particular situation you are a perfect candidate for
a Brazilian butt lift as it will shape your waist and enhance your
buttock. The implants will not improve
your waist.

From your pictures it looks like your body can handle a much
more than a 200cc buttock implant.

The amount of fat needed depends on the shape and needs of
each individual patient, however in general at least 500cc per buttock need to
be placed to see a significant difference. On average patients typically
receive around 800cc per buttock side for a total of 1600cc of fat transfer. However just like a breast augmentation the
amount of fat needed various from patient to patients. Also the sculpting done with the liposuction
is a big part of the procedure to improve the overall shape.

Some patients have both the fat transfer and implants as
this helps improve the overall shape and give them more augmentation than would
be possible with either procedure alone.

It is important that you discuss your buttock augmentation
options with a board certified plastic surgeon.

You look very young.  All those potential problems can occur in the short and long-term with buttock implants.  Once the fat grafting is stable (usually at 6 months), however, the new shape of your buttocks is permanent and very unlikely to create any future problems for you.  Best of luck!

Dear zoe bunny,

The only safe options for performing buttock enlargement are using your own fat ("Brazilian butt lift") and using implants.

If you a thin person and desire significant buttock enlargement, using your own fat is not a good option because you do not have enough fat to produce the desired augmentation. In this situation, buttock augmentation using implants is your only option.

Having said that, it is important to know that buttock augmentation using implants has potential risks including infection, bleeding, scarring, nerve damage, firmness, implant rupture, implant migration, seroma, etc.

I would discuss your concerns with an experienced plastic surgeon who performs both the Brazilian butt lift and buttock implants.

As an aside, I would warn you about using fillers such as hydrogel, silicone, etc. to perform buttock augmentation. Tempting as they are, they have not been approved for use in the US by the FDA and are associated with significant risks.

Warmest wishes,

Larry Fan, MD

In the Brazilian butt lift, I not only do liposuction to sculpt the buttock and hips and then inject it into where it will help but also add a silicone butt implant.