Butt implants look weird. What are my options?

Thanks for your question. I am sorry you are feeling down after your plastic surgery. It is difficult to give you next steps without photos or examining you myself. I would recommend you consult with a board certified plastic surgeon so he/she can go through each of your options and figure out what works for you. Good luck!

Allow me to answer your question as best i can without any 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.

That being said, it sounds as though your buttock implants did not settle into the correct location and therefore leads me to believe that they may not have been properly placed within the gluteus muscles (a.k.a. “intramuscular”). If this is indeed the case, then they need to be removed and repositioned into the intramuscular tissue plane. When they are properly intramuscular they should stay in place overtime.

Please note that an extremely few number of board certified plastic surgeons specialize in buttock implants, so you may need to travel far and away from home to find this particular surgeon. Glad to help.

You need a simultaneous butt implant removal and fat grafting transfer. This procedure is technical and requires advanced tools and expert technique. First, an ultrasound probe must be used to ensure that the transferred fat does not get into the pocket created by the implant once the implant is removed as this will result in the death of all the fat. Second, use of VASER liposuction to harvest the fat will be required since you probably don’t have much fat to begin with since you elected to have a butt implant rather than a BBL the first time go around. Additionally, VASER allows for thinner layer of fat grafting that is required for refilling of the area where the implant was previously positioned. This is because this layer has been thinned out and can only accept liquified fat that is harvested using VASER technology. Fat should also be harvested with 1) a closed looped system to process the fat in order to optimize transfer time and avoid your fat from becoming contaminated and 2) strategic micro-packet transplant technique that maximizes graft take. These processes have demonstrated over 90% fat graft take. Finally, we must consider whether you will need a skin tightening maneuver such as a lateral thigh and buttock tuck that might be required if you have sagging buttock skin. Last but not least, attention must be given to providing you the buttock shape that YOU desire. This means using our proprietary BBL assessment tool.One of the most common reasons for disgruntled Butt implant patients is that patients are not able to accurately communicate their desired buttocks goals to their surgeons. Our buttock assessment tool can be an invaluable tool to communicate to your surgeon the exact buttocks size and shape you are desiring. A Skype or FaceTime consultation with a BBL specialist can help you get an accurate recommendation and pricing.

Respectfully,
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee

Most plastic surgeons do not offer gluteal implants. There’s a reason for that.

The procedure has a long list of complications and undesirable side effects creating low long-term satisfaction with patients.

I recommend most patients not get this procedure done but if they’re going to I recommend patients choose one of a handful of plastic surgeons in the United States they specialize exclusively in this procedure and who will offer intramuscular placement of implants.

If the implants are not placed inside the gluteus muscle they have a high likelihood of rotating, flipping, moving or showing through the skin.

In the end your surgeon is responsible for the outcome of the procedure and you are responsible for choosing that surgeon.

Follow up with your provider and ask him to address your concerns either revising the procedure for removing the implants.

Alternatively you can seek proper second opinion consultations from other local board-certified plastic surgeons but recognize that most surgeons don’t do this procedure.

Best,

Mats Hagstrom MD