Why do so many butt implants get rejected by the body?

Question

I always hear of girls who get butt implants, but then have to remove them because of complications and the body rejecting the implant. What causes this? What are risks and complications of butt implants?

Kenneth Hughes, MD · Answer

The two main causes for removal of implants are intractable fluid collection and infection.  In the vast majority of patients this is not an issue.

Dallas Buchanan, MD · Answer

Thank you for your question. This is one of those urban legend type of concepts that is from a misunderstanding of the real story. No one has a body that "rejects" the implants. But people do have complications from surgery such as infection that require removal of the implant. When this happens, laypeople explain this by saying that their body "rejected" the implant. For you to understand the risks and complications of buttock implants, you need to see a local board certified plastic surgeon for a consultation.Best of luck!

Daniel Barrett, MD · Answer

Dear BrittE92,there are not so many cases of implant rejection but the complication rate is high and patient satisfaction rate is lower than in case of BBL. If you are considering buttocks augmentation, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.Daniel Barrett, MD, MHA, MS 
Certified, American Board of Plastic Surgery  
Member, Am. Society of Plastic Surgery

Michael Constantin Gartner, DO · Answer

I've never seen a case of implants being rejected by the body. Buttock implants have a high risk of complications that's why they are many times removed. Throughout the country there is anywhere from 8:15 to 30% risk of infection bleeding scarring and the wound opening up exposing the implant and therefore it would have to be removed. In general the larger the implant placed the larger the risks. I find you a void all these problems with fat grafting in the operation known as the BBL. I would recommend you find a board-certified plastic surgeon by the American Board of plastic surgery who specializes and has a large experience in these procedures. Best regards, Dr Michael Gartner

Francesco Campanile, MD · Answer

Thank you for your question. With the right surgical technique and expertise, butt implants can be very successful. That said, because they are placed in an area of your body that is involved in virtually all movements you make, plus sitting, it can be more difficult for implants to “take” in this area. An alternative is a Brazilian butt lift, with does not use a synthetic implant at all. Instead, it takes unwanted fat from another area of your body and then carefully injects that into the buttocks. Many people find that the BBL offers more natural-looking, feeling and moving results than butt implants.

Erika Sato, MD, FACS · Answer

The high risk of complications that comes with butt implants is not always that the body rejects the implant. There is a >50% complication rate with buttock implants. These complications include: infection, seroma, hematoma, rotation of the implant/malposition, etc. The answer to treat these type of complications just happens to be removal of the implant. Be very careful if you are considering buttock implants. Find a board certified PS that does a large number of these and make sure there is a plan in place for complications. Make sure you are aware of what the on-going treatment cost of any complications should they arise. I do not place buttock implants but get a lot of women who want them removed.

Arian Mowlavi, MD, FACS (license on probation) · Answer

Most of the complications regarding buttocks implants is caused by using an implant that does not fit in the gluteus muscle. As long as you choose an implant that fits in your muscle, you should be trouble free. We have been placing buttocks implants for over 10 years and never had to remove one. Its not that they are being rejected, its just that they are too large to be accomodated by gluteus muscles thus resulting in malposition and extrusion.

Why do so many butt implants get rejected by the body?

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