Do intramuscular butt implant pockets stretch out making implants shift?

Question

I've read some RS reviews and some intramuscular butt implant patients say their pocket has stretched out and implants are now shifting and rotating. Do they really stretch out? They're saying it started happening 10+ months after surgery. Why does this happen & what precautions can you take to reduce this risk? Do and/or why do oval (not teardrop) have a high risk of rotating? Really want intramuscular oval but can't make it out to the west coast for surgery. Any info greatly appreciated!!

Ryan A. Stanton, MD · Answer

Bar none and make no mistake, buttock implants are best placed within the muscle (a.k.a. “intramuscular” pocket).  Although just like breast implants, buttock implants tend to be smashed and appear high for the first month or two after surgery then gradually drop and settle into position and “fluff” out thereafter until they reach their final destination in projection at around six or seven months postop.  For those patients who have further dropping, sagging, visibility, or flipping issues with their implants thereafter, unfortunately, their implants were likely put on top of the muscle or “subfascial” and not intramuscular...even if their surgeon told them they were placed “intramuscular”.  At least once a week I consult with a patient whom was told by their surgeon that their implants were placed “intramuscular” but in fact they were instead actually placed on top of the muscle. Bottom line and because there are an extremely few number of board certified plastic surgeons that specialize in buttock implants, it is crucial to seek consultation with a reputable and experienced buttock implant specialist, even if you have to travel a long distance to get the procedure done correctly the first time around. Revision surgery almost never turn out as good as the first time around and is often very costly as well. Glad to help.

Kenneth Hughes, MD · Answer

Buttock implants placed within the muscle should be measured to fit your anatomic constraints. I place both round and oval implants in an intramuscular position with a preference for round implants if possible to improve projection, improve roundness and fullness laterally, and prevent rotational deformities associated with oval implants. Oval implants may be more useful in some anatomic conformations. You would need to be examined in person to determine if round or oval would be best for your anatomy.

Douglas M. Senderoff, MD, FACS · Answer

If performed correctly and by a qualified plastic surgeon you shouldnt have any issues. Please be sure to choose a board certified plastic surgeon who specializes in this procedure and is well know for their work in this field.

Do intramuscular butt implant pockets stretch out making implants shift?

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