Butt implant; Subfascial vs. Intramuscular & shape? (photos)

To answer your questions and concerns, please read below: Buttock/hip implants are a very good, safe, and long term reliable option for most patients seeking buttock/hip augmentation (at least in my practice). I prefer to insert the buttock implants through a 1 1/2 inch long incision along the inner curve of each upper buttock cheek at the level of the tailbone, similar to two opposing parentheses ")(" (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 (NOT "subfascial" as this is no different than subcutaneous or "on top of the 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. On the other hand, hip implants are placed under just the fascia because no significant muscle exists in this region. However, because they are much smaller and lighter, their likelihood of migration is relatively low. Because all of this, it is extremely important to seek consultation with a board certified plastic surgeon who specializes in this procedure so that the implant placement is precise for both locations. And in this case too, at least in my surgical practice, the infection rate is minimized to <2% (much lower than and contrary to popular belief by many other surgeons not experienced in buttock implants).Traditionally, teardrop oval implants have a 20+% risk of rotation and thus change in buttock shape/appearance.  However i have recently created and patented a new oval shaped implant that avoids this issue. The benefit of this is the fact that ~80% of women patients have more of an oval shaped buttock cheek than round. Glad to help. 

A lot depends on how much soft tissue coverage (how much buttock fat you have) over the buttock implants. If sufficient the subfascial plane is less painful and has a quicker recovery time. The concerns you mentioned are uncommon complications. I agree with you about perhaps finding another plastic surgeon to help clarify your questions.  Most important is selecting your plastic surgeon wisely. See the below link for helpful hints.

The placement of the implant depends on the patients body type.  I use but Submuscular and sub facial placement for my buttock augmentations.  I can assure you theat implants placed in the sub facial placement will not slide down your leg.  Sometimes submuscular placement prevents the implant from dropping causing a high riding implant with an artificial look.  Again, this depends on the patient body type.  Be sure you are chosing a board certified plastic surgeon with extensive experience with buttock implants.