Considering butt implant removal — what option would offer the best results?

Question

I have 360cc intramuscular butt implants and have had them for several years. I like the size/projection, but they are very firm and have become asymmetrical over time. They do/somewhat move and some areas feel softer, but they don’t feel natural to me. If I sit for a long time, I sometimes feel uncomfortable and need to stand. I’m considering Lipo 360 because my biggest goal is a smaller, snatched waist. I don’t want a huge butt or dramatic BBL—just a petite, proportional, natural-looking shape. I’m torn between: 1. Keeping implants + Lipo 360 + possibly fat grafting over them. Would fat actually make them feel softer, or would they still feel firm underneath? Could it worsen asymmetry? 2. Removing implants + Lipo 360 and healing first. I’m nervous about looking flat afterward since I had very little butt before implants, although I’ve had a child and gained weight since then. 3. Removing implants + Lipo 360 and eventually doing a small fat transfer or Sculptra/filler. Several surgeons have told me they prefer waiting to do a BBL after implant removal, especially if a capsule needs to be removed, while another said everything could be done together.

Ryan A. Stanton, MD · Answer

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.

Before removing your implants and replacing them with BBL fat, first consider this. You stated that you are happy with the size and projection but over the years, they’ve become asymmetric and hard. Should you remove the implants, mark my words, you will never get a sufficient amount of fat to survive and replenish the volume and projection loss from the implant. On the other hand, it’s possible that the problem with your implants is that they are not of the optimal shape or in the best tissue plane…are your current implants round shape and/or completely intramuscular? Typically in cases like you are describing, the much more reliable, predictable and permanent option is to remove your current implants, create a new fully intramuscular pocket and replace them with Stanton Anatomic®️ buttock implants, which are more anatomically correct in design and shape.

Important note, whatever you decide to do, do not waste your hard earned money on any fillers, such as Sculptra, hyaluronic acids, or alloclae fat. You’ll have to spend hundreds of thousands of dollars on these type of products, only to get short lived results anywhere close to what buttock implants can provide.

Please note that an extremely few number of board certified plastic surgeons specialize in buttock or hip implants, so you may need to travel far and away from home to find this particular surgeon.  Getting it done right the first time around is not only the best chance for success, but also will save you from a lot of headaches and money in the future. Glad to help.

Considering butt implant removal — what option would offer the best results?

Answers (1)

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