Can you tell someone has a butt implant by grabbing their butt? Is the complication/redo rate high? (Photos)
Doctor Answers 6
Choosing the proper size is key for someone of your stature. Also, sub Muscular placement of the implant will hide the edges and create a more natural look. You wont jiggle though. Unlike breast implants, The buttock implants used in the US are a semi solid silicone made to mimic buttock muscle. Be sure to choose a board certified plastic surgeon who specializes in buttock augmentation and has an extensive photo gallery.
Buttock implant placement
Proper placement of the buttock implant will help you prevent both infection and feeling the implant edge. This position entails placement of the implant in the superficial aspect of the intra muscular plane which protects it from movement, feeling of the implant edge, and infection. We have been performing buttock implant augmentation for over 10 years and have not needed to remove any implants. Choosing an implant size is critical to avoiding complications as the implant has to fit on your buttock cheeks and not extend over to the midline nor the lateral buttock cheek dimple. Consultation is critical to providing you with the maximize buttock implants size that you can have safely. Out of town clients are accommodating as well. Please see examples below.
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The facts about buttock augmentation
Indeed because at least 80+ % 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. Another tip is that if you purposely gain weight (i.e. fat) for the procedure, the fat you lose first as you get back to your baseline weight is that very same fat that was transferred into your buttock...so don't 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. Although overall using your own fat is relatively safe, it not infrequently melts away unevenly leaving one butt cheek bigger than the other or with dimpling or hard fat cysts. The one serious complication that can rarely (< 1%) happen is "fat embolism" in which some of the fat gets into the blood stream and travels up into the lungs, heart, and/or brain causing serious problems. This complication is more likely to happen with the larger amount of fat being transferred. This is even more likely to happen when using fillers like liquid silicone, PMMA, Sculptra, and hyaluronic acids. Also fillers, when injected in large quantities, have a relatively high infection rate, guaranteed tendency to migrate away from the original area they were injected, and almost always stimulate a lot of inflammation with a subsequent and disastrous amount of scar tissue/hardening.
Thus buttock/hip implants become 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 (muscle thickness permitting) the gluteus maximus muscle. In this position, the implant is much less palpable & visible (ie feeling and looking like an Olympic sprinter's butt), and does not sag or shift/migrate over time unlike implants placed on top of the muscle or "subfascial". 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
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.