Hi, What is the biggest bum implants I can get from my picture? I would like 600cc or bigger (photos)

The size and placement of the implant has a lot to do with possible complications. The key to this surgery is to select an implant that is not so large that the muscle cannot cover it reliably. You want a nice result, but you want to avoid the complications (need for removal, infection, extrusion, fluid collection, implant migration, implant visibility, and capsular contracture among others). Studies have demonstrated that sizes above 350 cc have a greater rate of complications, but most women choose an implant volume in the 350cc to 400cc range. The intramuscular placement also reduces the risk for capsular contracture and sciatic nerve damage.

 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. 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.

Choosing gluteal implant size is some thing that needs to be done in conjunction with the plastic surgeon performing the procedure. This procedure should be done with intramuscular placed implants that fit within the parameter of the gluteus muscles. Using implants that are larger than what the gluteus muscle can accommodate leads to undesirable outcomes and increased complication rates.

The majority of plastic surgeons in the United States do not offer gluteal implants and there’s a reason for that.

The procedure has a high complication and undesirable side effect profile.

If patients are going to opt for this procedure then they should choose one of the few surgeons who specialize in gluteal augmentation with intramuscular implants.

Larger implants increase complication rates and other problems so patients should listen to their surgeon and per one that fits their body.
This procedure is very different than breast augmentations where patients can more or less pick whenever slice they want.

Best,

Mats Hagstrom MD