173cm, 56 kg, 41 y/o, 360cc - how can I improve butt after gluteal implants? (Photos)

Question

I am 173 cm, 56 kg, 41 y.o. Ihad gluteal implants 6 monthsago (fully intramuscular, 360 cc, round). I didn't have fatgraft so the borders are visible, especially in the left side (lower pole and lateral), where the implant also moved a little bit up. In left side I had 2 HA syringes and 80 cc fat and it improved. I still can use 2 syr. more for left side. In the right side there’s skin laxity and perhaps excess fat? Surgeon said he could make the left implant descend through incision (new

Ryan A. Stanton, MD · Answer

First, stop wasting your money on fillers such as hyaluronic acid because the results will be relatively short-lived and never substantially correct your problem. Second, as well, fat transfer will not work and would not have made a difference in the long run. If your implants are truly intramuscular and then the sole problem rests with the type of implant. Round implants are not the natural shape of the buttock muscles.  Thus, a contour deformity such as you are experiencing often exists, especially in lean patients. Furthermore, silicone gel implants tend to ball up more with positional changes such that this problem is made worse when the patient flexes there gluteal muscles, bends over, squats down, or sticks out their butt. The best way to fix this problem is to exchange your implants for a more anatomically shaped buttock implant that matches the natural shape of the gluteus muscles. Stanton Anatomic™️ buttock implants have been created and utilized to serve this exact purpose. Glad to help.

Gabriel Mecott, MD · Answer

Hi Horaria! This is a difficult case, but it is possible to improve it. First, you need an MRI of the gluteal area, in order to see if the implant got superficialized after the surgery. If that is the case, you might need to replace them in a deeper plane. On the other hand, It seems that it is skin excess. if you pull the gluteal skin upwards, and that appearance improves, you might need a gluteal lift (like a posterior tummy-tuck). If no improvement is seen, or, if there are still skin folds in the lower pole, the surgery would be removing that skin in the infragluteal sulcus. Fat can help, but I dont´see how I could remove any in your case, so I think that´s not an option for you

Mats Hagstrom, MD (license on probation) · Answer

If your implants were intramuscular then you wouldn’t be able to see the edges of the implant. Your implants are not intramuscular. That’s why you see the edges.

This is why implants need to be placed inside the muscle and the size needs to be adjusted so it fits inside the gluteus muscle.

Visible edges is one of many drawbacks and reasons most plastic surgeons don’t offer this procedure.

The number of patients who have complications and poor outcomes is extremely high.

In the end many people end up regretting having had the implants and end up having them removed.

Compensating with fat and fillers for incorrectly placed implants is just wasting your money on secondary procedures that aren’t fixing the problem.

For the most part I steer patients away 100% from gluteal augmentation with implants. Iron and the great majority of plastic surgeons have seen too many failures and bad outcomes to get involved with this procedure.

Your surgeon is responsible for the outcome of the operation and you’re responsible for choosing that surgeon.

Gluteal implants is simply a very difficult operation that even in the hands of the best surgeons has a lot of problems.

Would you are showing our standard results for subcutaneous placed implants.

Best,

Mats Hagstrom MD

173cm, 56 kg, 41 y/o, 360cc - how can I improve butt after gluteal implants? (Photos)

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Everything you need to know about Butt Implants

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173cm, 56 kg, 41 y/o, 360cc - how can I improve butt after gluteal implants? (Photos)

Answers (3)

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Everything you need to know about Butt Implants

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