Are butt implants heavy and uncomfortable? Do they feel real and do they jiggle?

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: 1) Autologous Fat Transfer (using your own fat, transferring from one area of the body to the other) and 2) Buttock Implants (very soft pliable 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.  Although using your own fat is relatively safe, the one serious complication that can rarely happen is "fat embolism" in which some of the fat gets into the blood stream and travels up into the lungs causing serious problems breathing. 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 inflamation and subsequent scar tissue/hardening.

 

Thus buttock 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 implants through a single 2 ½ inch long incision over the tailbone (concealed within the crevice between the buttock cheeks).  The implant should always be placed under or within the gluteus maximus muscle.  In this position, the implant is most natural - less palpable, less visible, and does not sag or shift/migrate over time unlike implants placed on top of the muscle. It may feel somewhat heavy at first because of aditional sweeling but over time your body and mind will accomadate it as its own just like breast implants.  Because relatively few surgeon do many buttock implants (especially placing it under the muscle) 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%.  Hope this helps…RAS

 

Like breast implants, at the begining you will feel the implants to be heavy, gradually the feeling of heaviness will disappear.

If the implant is of reasonable size and put intramuscular, then you will not feel it. If you are very thin and have little fat in the buttocks then you may feel the implant.

The implants can be made of silicone rubber, very soft. but you may need to custome make the implants, and request the softest silicone available.