I'm looking at getting butt implants. Will it give me the projection I am longing for? (Photo)

Question

I've had lipo 360 and bbl 8 mths ago. I am really not happy with the fat transfer. As you can see I have no projection to the bum and my hip dips I would like smoother . All up 2lt of fat was harvested. I a now looking at getting butt implants to get that projection I am longing for . Are butt implants popular? I don't see much about them.

Paul E. Chasan, MD, FACS · Answer

Thank you for your question.  You are an excellent candidate for buttock augmentation with implants.  It is the only way to get the buttock projection that most women look for.  Fat transplantation-Brazilian Butt Lifts can be very effective in making the buttock larger, but often fail in giving projection.  It is a very straightforward procedure in experienced hands.  Not many surgeons do buttock augmentation with implants on a regular basis.  Best wishes to you.

Ryan A. Stanton, MD · Answer

Again, allow me to answer your question as best i can based upon your photos. However, please keep in mind that an in-person, or at least a virtual, consultation with physical exam is first necessary before any legitimate evaluation or final surgical recommendations can be made.

There are currently only two FDA approved surgical options for augmenting the buttock/hip area:  1) Buttock and cosmetic Hip Implants (which are soft semi-solid silicone rubber implants that cannot rupture &/or leak) and 2)Brazilian Butt Lift (aka BBL) - which utilizes the patients own fat from liposuction then transfers this fat into the buttock. On the other hand, BBL using fillers such as hyaluronic acids, Sculptra, etc… is a dangerous, guaranteed waste of money, and is NOT FDA approved. So what it comes down to, like any surgery, is proper patient selection and long-term results. Implants provide the only guarantee for a sustained permanent result and tend to be ideal for perking up not only lean or deflated buttocks but also providing substantial projection to any butt, which is what every single patient wants. Typically a combination of sculpting the waistline with liposuction and augmenting the buttock with implants +/- the hips with implants provides the best chance for a long lasting and desirable "hour-glass" figure.  Based upon your photos, a Stanton Anatomic®️ shape buttock implant may serve you best.

Unfortunately, fat typically melts away leaving disappointing results after 12 months, often sooner.  Unless your BBL surgeon is injecting only 200 to 300 ccs of fat into each buttock cheek, a large percentage of that fat is going to die.  Dead fat leads to dents and dimpling like cellulite, unevenness, loss of projection, and fatty necrotic oil cysts which are hard marbles and can be very tender 
Unfortunately, because ~70+ % of the fat transferred will melt away within a year or two, most patients are not good candidates for BBL because they lack an adequate amount of fat to harvest. Beware, if a surgeon asks you to purposely gain weight (i.e. fat) before BBL, know that the fat you lose first as you get back to your baseline weight after surgery is that very same fat that was transferred into your buttock, hence your new buttock shrinks first, the fastest, and the most...so please do not fall victim to this recommendation. Even those patients that had adequate amounts of fat pre-operatively, still end up seeking buttock implants after a year or so because most of the fat transferred melted away leaving them with minimal result.  Fillers such as Sculptra are cost prohibitive, provided enough volume is injected (i.e. at least 400 cc of active ingredient costing over $300,000) and last only 12 - 18 months.  Additionally, any physician promoting “biostimulators” for buttock enhancement is just a joke, and any board certified plastic surgeon promoting such, should not be trusted with your butt.  So, if you're looking for a reliable, predictable, and long-term permanent option that also provides projection in the central buttock and hips, buttock and hip implants are your solution. Please note that an extremely few number of board certified plastic surgeons specialize, and even fewer are experts, in buttock or hip implants, so you may need to travel far and away from home to find this particular surgeon.  Glad to help.

I'm looking at getting butt implants. Will it give me the projection I am longing for? (Photo)

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I'm looking at getting butt implants. Will it give me the projection I am longing for? (Photo)

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Everything you need to know about Butt Implants

Our mission is to create a world where every investment in modern beauty is Worth It.