What Butt implant shape would you recommend for me? (photos)
Doctor Answers 3
Buttock implant sizing
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 are (most preferably) 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. Thus most patients simply do not have a large enough native buttock muscle to fit an implant over even 500 ccs', without leading to significant complication such as wound breakdown/opening &/or implant exposure...necessitating removal.
Thus 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, had a very large volume of filler injected such as silicone or hydrogel (all highly NOT recommended because of possible risk of severe infections and even deadly complications), and/or have been genetically "blessed".
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.
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.
Find a Board Certified Plastic Surgeon who is Up to Date in Current techniques for Butt Augmentation.
Best of Luck,
Dr. Luis Redondo