Gummy Bear butt implants + BBL? 6'0", 155-160 lbs, late 20's. (photo)

 In short, silicone gel buttock implants are not FDA approved and thus not legal for buttock implantation in the USA. I actually see about one patient a month that had gel implants done in another country and, although they looked a felt great at first, they are now seeking revision because the implants are either visible on top of the muscle and/or grossly deformed by scar contracture or a ruptured implant. The soft semi-solid silicone rubber implants used in the USA are much less likely to have these problems if placed correctly under the gluteus muscle AND are considered permanent implants because they cannot rupture and leak silicone gel.  Breast implants can rupture and leak thus replacement every ten years is the general recommendation.  I personally prefer Spectrum Design implants. Similar to breast implants, as long as the appropriate implant size/shape is selected and the implant is placed in the correct anatomic plane, the end result should  look and feel natural - like a fit athletic buttock in this case.  If you are wanting to utilize fat to further augment your buttock/hips in addition to implants, then I caution you against this. The reason being that the fat needs to be placed into the buttock muscles for optimal survival. However, this is exactly where the implant needs to reside and thus risks infection and/or death of the fat necessitating removal of the implant as well.  Because of this risk, I frequently avoid fat grafting into a buttock/hip that has an implant. Glad to help

Hello break,Thank you for your question and photos.  It is a bit confusing, but silicone gel (gummy bear) implants are used for breast surgery only.  The FDA approved implants for butt augmentation are a soft, but solid implant and are not referred to as gummy bear.  You are correct that placing fat over top and putting the implants behind the muscle instead of the fascia will likely "soften" the feel.  Please visit your local board-certifiede plastic surgeon for further advice.

What you are desiring is a drastic change in your waist to buttocks ratio; for your body type, you must consider both an implant as well as fat transfer which will provide you both buttocks projection as well as lateral buttocks and hip filling which is what you need to get a bubble butt.