Trans woman, 27 years old, 6ft1, 160 pounds - Hello, I am considering buttock augmentation using silicone implants as I do not have enough fat to create desired results I read some articles and am really torn on picking a surgeon that does the correct placement. I would like submuscular as I read that cutting the gluteus muscle will damage the muscle and change its function long term where as the risk in submuscular is the sciatic nerve damage. Can you help by explaining which placement is best.