How big can i go with butt implants the first time?

Other than placing buttock implants within the gluteus maximus and medius muscles (aka “intramuscular”), NOT on top of the muscle, “subfascial” or “dual plane”, the most important factors in creating the perfect derriere and/or hourglass figure with implants is indeed selecting the right size AND shape. I have found the best way to assure this is to simply measure the actual dimensions of the patient’s gluteus muscles (not butt cheek fat pad, which may appear “round”) and quantity and quality/density of these muscles. With these anatomical measurements, I can select an implant that not only significantly augments the buttock but also supplies the correct 3-dimensional enhancement to look as real as possible...with positional changes (eg. bending over and squatting down) and even in the most petite patients that have small/lean muscles and minimal overlying fat. The fact is, nearly 100% of the human population has a more oval shaped gluteus muscles not round. Therefore an oval shaped implant such as the Stanton Anatomic®️ buttock implant conforms best and produces a more realistic contoured outcome, especially when compared to round implants. Contrary to what many think, a round implant placed correctly within the muscle often sits up at the top of the butt cheek, creating an unnatural pointy or “gum-drop effect”, not at the lower part of the butt cheek and thus does not contribute to filling or rounding out any of the lower buttock pole. Height and weight are considered but not nearly as relevant as the above measurements. Final note, because an extremely few number of board certified plastic surgeons specialize in buttock implants, you may have to travel away from your local area to seek consultation with this particular type of surgeon. Glad to help.

Thank you for your question. There definitely is a limit on how large you can place buttock implants based on your anatomy. If you place too large of an implant, the tissue thins out towards the side, and the implant then becomes visible. I have found that a composite buttock augmentation is the best option for those who want a larger buttock. That includes a buttock implant AND fat grafting-Brazilian Butt Lift. Definitely make sure that your surgeon has a considerable amount of experience with buttock augmentation with implants as this is a very nuanced surgery. Best wishes to you.

The majority of plastic surgeons in the United States do not offer gluteal implants for good reason.
The procedure has a very high complication rate, and even higher rate of patient dissatisfaction. Using larger implants increases the already high complication rate.
I recommend patients avoid go to your implants. If patients insist on having the procedure, then try one of the few plastic surgeons who focus exclusively on this procedure.
Best,
Mats Hagstrom, MD