Would buttock implants fix these issues? (photos)

Hi. My butt is pretty much flat, the sides dip in to the point where I can see the outline of my muscles, and my buttock creases are slightly uneven as well. My main question here is, would implants be able to correct such things? I know fat transfer is an option, but I am only 5'4 and 99 pounds. Based upon my height and weight (if implants were to benefit me) what size and shape would you personally recommend? I thought round, but I also read most get oval because they look more natural.

Doctor Answers 3

I am concerned with the flatness and lateral hollowness of my butt, however I am very thin, would butt implants help correct the

This is a great question as many of my patients that are very thin also have a small buttock.  The lateral hollowness is present in most patients that present for a butt augmentation.  The hollowness starts where the gluteus maximus muscle ends.  The flatness, volume and lateral hollowness can all be improved with a silicone butt implant in patients that do not have enough fat for a Brazilian Butt Lift (fat transfer).  The implant will help improve the overall shape of the buttock and hips.  I typically use a round silicone implant, as it will improve the lateral hollowness that most patients are concerned with in their buttock.  The two implants that can improve this and still give you a natural appearance are the 379cc and 548cc round buttock implants.  These two implants have a gradual slope that gives the butt projection, but a natural contour.  This range of implants gives patients an amazing augmentation, but still keeps people guessing if you had an augmentation or not.  Please consult with your board certified plastic surgeon that performs a high volume of butt implant surgeries about your options.  

Buttocks implants

Buttocks implant is the ideal option for you and will provide you fullness and projection; I would combine this procedure with fat grafting to the lateral buttocks region while contouring the rest of your flanks, lower back, and lateral thighs. We perform this surgery routinely. Please make a consultation to determine maximum safe buttocks augmentation size.

Arian Mowlavi, MD
Orange County Plastic Surgeon
4.9 out of 5 stars 41 reviews

Buttock augmentation options and implant sizing

In short, a combination of sculpting your waistline with liposuction and augmenting your buttock with implants provides the best chance for a long lasting "hour-glass" figure. 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, from around the world, 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...even in the most petite patients. 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. 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.  Be aware, the "subfascial" space that is sometimes talked about is not a real potential space to place a buttock implant. It is essentially the same as a subcutaneous pocket (ie under the skin only) and therefore should be avoided at all costs. 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, Sculptra, 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.

Ryan Stanton, MD
Beverly Hills Plastic Surgeon
4.8 out of 5 stars 101 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.