Dear fdbashar, Any surgery carries with it the possibility of complication that you have to be knowledgeable about. The goal, obviously, is to have a smooth recovery and preserving the long term nice result. However, different factors like tissue elasticity, pregnancy, aging may have negative impact on the long term outcome. Also, quality of surgery is critical for the long term result. The 2 most common technique for butt implants are sub fascia (on top of the muscle) and intra muscular (inside the muscle) . Sub cutaneous (on top of the fascia) and sub muscular (under the muscle) are not popular , because the skin and fat alone, without the fascia, are not strong enough to stabilize the pocket with the implant and the sub muscular technique allows for a small implant, placed only up high on the butt to avoid damage to the Sciatic nerve. My preferred technique is sub fascia, because it is a natural plane that is strong and allows for the placement of large implants in an attractive and natural looking way. It creates nice 'S' curve, nice projection, round hips and I use single incision between the cheeks. The intra muscular technique does not have these features and recovery is more painful and longer. I have performed butt implants surgery on about 600 patients, and the overwhelming majority of them are happy with the outcome, even years after surgery. As long as the patients follow up my recommendation for post operative instruction and behavior, recovery is free of complication and the result is beautiful. Always, consult with experienced board certified plastic surgeons who operate in accredited surgery center for your safety. Most importantly, check the before and after pictures in the photo gallery, to make sure that they are numerous, consistent and attractive with the above mentioned features. Best of luck, Dr Widder
