4 months post butt implants - what can I do to correct visibility, pain, and scarring? (photo)

The great majority of the plastic surgeons in the United States do not offer gluteal implants.
There are good reasons why most plastic surgeons don’t offer this procedure.
It is an inherently bad operation that has an unfortunate high complication and a high patient to satisfaction rate.
There are a handful of plastic surgeons who specialize exclusively in doing gluteal implants and in the hands of someone who really knows this procedure well it is possible to have improved outcomes with reduced complications and undesirable side effects.
The preferred method is a generally intramuscular placement of implants that are of appropriate size to adequately fit within the gluteus muscle.
Implants placed on top of the muscle will inevitably shift position and not look natural.
Simply choosing to have gluteal implants was not a good choice.
If you ask 10 plastic surgeons what their opinion is of this procedure you’ll get 10 different answers. most likely the majority would recommend against having gluteal implants placed.
At this point you have three choices.
You can either leave me in plants as they are and accept everything that comes with having gluteal implants placed above the muscle. The second option is to have the implants removed. Recognize that the process of placing an implant above the gluteus muscle creates a separation between the muscle and skin and fat layer. This allows the skin and the fat layer to have a sense of mobility that was previously not possible due to connective tissue holding the skin in place. The process of removing implants can cause the skin to drop into a different anatomic position. For that reason the choice of provider for explantation or removing gluteal implants is important. The skin and the fat layer needs to be held in place in the correct anatomical location with suture fixation to minimize the chance of the skin sliding down due to gravity and healing in an anatomic incorrect position.
The third option is to convert the procedure to an intramuscular placement of the implants.
There are usually a couple of plastic surgeons who respond to patients questions regarding gluteal implants who seem to have a lot of experience on this topic. realself does not promote providers referring to other providers by name in our responses.
You can read through some of the other questions patient has posted regarding issues with video implants and may be able to find some of the providers who seem to excel at this procedure to get more expert advice.
I do recommend patients have in person consultations whenever possible and generally recommend patients have multiple in person consultations before committing to any procedure.
I also generally recommend people avoid traveling long distances for elective surgical procedures though there are times for local talent may simply not be available.
Good luck,
Mats Hagstrom MD