What cc would you recommend to give me the results that I want? (photos)
Doctor Answers 5
Buttock augmentation options and sizing
The largest buttock implant currently available in the USA is a 690cc round implant. Indeed custom implants can be ordered larger, not only at a premium price but at a premium risk for most patients'. Unlike breast implants which are placed under the very expandable tissue of the breast and half of the pectoral major muscle, buttock implants are (most preferably) placed under (or at least within) the largest strongest muscle of the body, the gluteus maximus muscle, which is not nearly as expandable or forgiving. Thus most patients simply do not have a large enough native buttock muscle to fit an implant over even 500 ccs', without leading to significant complication such as wound breakdown/opening &/or implant exposure...necessitating removal.
Thus some of those sought after video-vixen and celeb-types (without mentioning names) with cartoonish bottoms could have either gotten extremely lucky with a huge oversized implant, had a very large volume of filler injected such as silicone or hydrogel (all highly NOT recommended because of possible risk of severe infections and even deadly complications), and/or have been genetically "blessed".
I generally do not recommend fat grafting at the same time as placing buttock implants because of a significantly increased risk of infection. For fat to survive, it must be grafted into muscle, however that is also where the implant sits. Thus, if fat it injected into the implant or implant pocket then it will die and almost assuredly get infected - necessitating removal of the implant as well.
Nonetheless, buttock implants are a proven safe and effective method of buttock augmentation as long as the recommendations of a board certified plastic surgeon specialist are adhered to.
Glad to help.
Thanks for submitting your picture and your goal pictures. Fat injection to the butts will disappoint you because the fat disappears completely or almost completely after 6 - 12 months. I have seen it on many patients who came to my surgery center after being disappointed from fat injection to the butts by other surgeons. Butt implants are your only option because they do not disappear and they look and feel natural. It is very important that you do it with a board certified plastic surgeon who uses the right technique, size and shape of implants. I would recommend for you the subfascial technique ( the submuscular or intramuscular are limited in the size of implants, are more painful and have more complications ) with oval round very soft silicone implants and 565 cc size implants. I have been in practice for over 27 years, been doing butt implants surgery for over 11 years and operated on hundreds of patients. Experience is paramount so do you due diligence.
Best of luck,
Buttock augmentation recommendation
Given the costs, the risks, and your already lovely contours I would advise you to avoid this procedure. Clearly this is not what you want to hear, but I think cosmetic surgery should be used to limit distractions, not to create new ones.
If you decide that you MUST HAVE A BIG BUTT please be sure to see a surgeon Certified by the American Board of Plastic Surgery who has had significant experience with this operation. Make sure to review his/her comprehensive portfolio of pre- and post-op pictures to gauge his/her level of expertise and to see the types of results that are reasonable to expect.
REMEMBER: surgeons make money when they operate, so the bias is always in favor of doing something. In my estimation, based solely on the photos you sent, you should not do this.
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What cc would you recommend to give me the results that I want?
Find a board certified plastic surgeon who performs hundreds of Brazilian buttlifts and liposuction procedures each year. Look for great reviews and great before and after pictures.
Kenneth Hughes, MD
Los Angeles, CA
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