Non-binary (male at birth) - want a very big butt with implants, is my goal possible? (photos)

Typically a combination of sculpting the waistline with liposuction and augmenting the buttock with implants +/- the hips with implants provides the best chance for a long lasting and desirable "hour-glass" figure. Based upon your photos, a Stanton Anatomic shape buttock implant may serve you best.

 Make no mistake, it is indisputable that the best position (aka “placement”) for buttock implants is in the total intramuscular tissue plane, not half and half within and on top of the muscle (aka “biplanar”), not completely on top of the muscle and not “sub-fascial" which is exactly the same as on top of the muscle - so please do not be fooled by this terminology. Also, supercharging with adding fat over the implant is also likely to not make any difference other that costing you more and setting you up for more potential complications. The implant life and longevity of good, tasteful, and realistic results are all best with the “intramuscular” technique, period.

Other than placing buttock implants within the gluteus maximus and medius muscles (aka “intramuscular”) NOT on top of the muscle
or “subfascial”, 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, over 95% 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 better than round implants. Contrary to what many think, a round implant placed correctly within the muscle actually 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 of any of the lower buttock pole. If you want dramatic hip curves then you may also cosmetic hip implants. 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.

Usually the skin requires consideration to produce the best results. Buttock implants of a reasonable size placed in an intramuscular position tend to produce the result with the fewest number of complications. This approach tends to minimize palpability and visibility as well. This depends upon many factors including the amount of soft tissue coverage, plane of placement for implant, amount of fat grafted that lives, etc. Intramuscular implants can improve volume by 400 cc or so, depending upon the size of the individual. A significant amount above this volume compromises healing by creating more tension on the healing incision. Schedule a consultation with a board certified plastic surgeon who performs hundreds of these surgeries annually with great patient reviews.

Thank you for sending your photos. You seem to have the frame for a larger implant. I would also suggest some liposuction of back and flanks and fat transfer at the same time as the implant. This will give you a very nice shape and is my specialty. Please be sure to choose a board certified plastic surgeon that specializes in this procedure and has a proven history of successful buttock implants.