Would butt implants cover my tail bone that's sticking out? (photos)

Question

I'm 5'5 98 lbs. I have no fat to do fat transfer and I want to get a bigger butt and some hips and cover my tail bone that's sticking out. What options do I have?

Shlomo Widder, MD · Answer

Dear sjmicha,   Thanks for submitting your pictures. Indeed your tail bone is sticking out more than average. The butt implants create cleavage that can mask the bulging tail bone. If that is not sufficient,  trimming of the protruding bone is possible during surgery, since the bone is exposed anyhow.  Word of caution. Not all results of butt implants surgery are the same, because there are different techniques and different implants. Additionally, surgeon's  experience, skills and aesthetic eye are critical for good and satisfying outcome.   Always, consult with experienced board certified plastic surgeons , who do lots of butt implants surgery in accredited surgery center for your safety. Most important, check the before and after to make sure that they are numerous, consistent and attractive  with nice 'S' curve, nice projection and natural look.                  Best of luck,                                    Dr Widder

Ryan A. Stanton, MD · Answer

Many patients have this same concern/query.  Indeed often times placement of buttock implants not only augments the buttock shape and projection but also helps conceal a prominent tailbone. Please read on for more surgical details:Regarding buttock augmentation, let me start off by saying that I currently see at least 2 - 3 patients per week that failed "brazilian buttock lift" (i.e. the fat melted away after 10 - 12 months) and are now seeking a more reliable and permanent option (i.e. buttock implants). One of the most important factors in creating the perfect derriere 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 buttock cheeks. 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. Traditionally, teardrop oval implants have a 30+% risk of rotation and thus unnaturally change the buttock shape/appearance when doing so.  However i have recently created and patented a new "Stanton Anatomic" shaped implant that avoids this issue. The benefit of this is the fact that ~80% of women patients have more of an oval shaped buttock cheek than round, thus creating a much more natural and harmonious buttock contour. Thus, the only way for you to know what implant works best is to consult with a board certified plastic surgeon specializing in this procedure and have him/her take your measurements before selecting an implant and proceeding with surgery. The largest stock buttock implant currently available in the USA is a 690cc round implant. Indeed custom implants can be ordered larger, not only at a premium price but at a premium risk for most patients'. Unlike breast implants which are placed under the very expandable tissue of the breast and half of the pectoral major muscle, buttock implants should only be placed under or at least within the largest strongest muscle of the body, the gluteus maximus muscle, which is not nearly as expandable or forgiving. However, the so called "subfascial" pocket is not a real space in the gluteus and therefore is no different than subcutaneous placement of the implant (aka - on top of the muscle) which should be avoided at all costs. Thus most patients simply do not have a large enough native buttock muscle to fit an implant much over 500 ccs', without leading to significant complication such as wound breakdown/opening &/or implant exposure...necessitating removal. Some of those sought after video-vixen and celeb-types (without mentioning names) with cartoonish bottoms could have either gotten extremely lucky with a huge oversized implant (very unlikely if properly placed under the muscle), had a very large volume of filler injected such as silicone, PMMA, or hydrogel - all NOT recommended because of high risk of severe infections, migration and/or hardening over time,  and even deadly consequences in rare but significant instances (if mistakenly injected into the blood stream); and/or have been genetically "blessed" - although quite unlikely.I generally do not recommend fat grafting at the same time as placing buttock implants because of a significantly increased risk of infection. For fat to survive it must be grafted into muscle, however that is also where the implant sits. Thus, if fat it injected into the implant or implant pocket then it will die and almost assuredly get infected - necessitating removal of the implant as well. Fat transfer later on must be done very carefully and cautiously, preferably by the original surgeon, for the very same reasons as above. In both instances, the risk/reward ratio is very high (meaning high risk to very low potential reward) because over 80% of the fat is likely to melt away yielding very small gains in augmentation. Nonetheless, buttock implants are a proven safe and effective method of buttock augmentation as long as the recommendations of a board certified plastic surgeon specialist are adhered to.Glad to help.

Barry L. Eppley, MD, DMD · Answer

The placement of buttock implants may produce some mild masking of a coccygeal protrusion but it will not 'cover it'. The coccygeal prominence can be reduced at the time of buttock implant placement but it often becomes the more persistently uncomfortable part of the procedure afterwards.

Daniel Krochmal, MD, FACS · Answer

Thank you very much for your question.Unfortunately, buttock implants or fat grafting will not cover this.  In order to have this dealt with, it will likely need to be removed surgically.  I recommend seeing a spine surgeon to discuss your options.

Steven Wallach, MD · Answer

The tail bone unfortunately can not be treated by covering it with fat, and you do not have any to augment your buttocks.  Best to see an orthopedist or spine specialist. Good luck. Implants can augment your buttocks.

Would butt implants cover my tail bone that's sticking out? (photos)

Answers (5)

Answer: Tailbone

Answer: Tailbone

Answer: Buttock concerns

Answer: Buttock concerns

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Everything you need to know about Butt Implants

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Would butt implants cover my tail bone that's sticking out? (photos)

Answers (5)

Answer: Tailbone

Answer: Tailbone

Answer: Buttock concerns

Answer: Buttock concerns

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Recommended reading

Everything you need to know about Butt Implants

Our mission is to create a world where every investment in modern beauty is Worth It.