What type of Butt Implant is right for me and how many CC as are required for implants? I am 5'7 ans 155 lbs. (photos)

Doctor Answers 5

Buttock augmentation

I perform buttock implants daily.  Based on your photos, you seem like an ideal candidate for this procedure. If you were my patient, I would suggest an AART style 3 size 3 implant for you.  Of course, the type of implant depends on your desired result.  This is something that is discussed at your free consultation.  Feel free to contact me at my office 212-481-3939 to discuss in further detail and/or to schedule a free consultation. 

What type of Butt Implant is right for me and how many CC as are required for implants?

Most patients are great candidates for buttock implants, buttock fat grafting (Brazilian Butt Lift, BBL), or a combination of both. This is why I would recommend focusing less on the cc volume of the implants. Specific measurements need to be taken in your consultation and your aesthetic goals assessed to provide you an adequate answer. If fat volumes are very limited, it is possible to utilize a combination of gluteal implants, with fat grafting to the hips. You need to definitely see a plastic surgeon that is extremely comfortable with all forms of implants and grafting techniques to assure you are given all the options available to you. Get a consultation so that you can best understand what will help you achieve the look you want. Good Luck!

What size of implant good for me?

The size of the implant is determined by your buttocks shape and dimensions. You can learn more about the specifics on the link below.

Arian Mowlavi, MD
Orange County Plastic Surgeon
4.9 out of 5 stars 48 reviews

Buttock implant sizing

 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, one year ago I created and patented a new "Stanton Anatomic" shaped implant that avoids this issue - not a single rotation problem in 200+ patients. 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 750cc round implant. For the implant brand i prefer and my Stanton Anatomic Oval implants, the largest is 600cc. 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. If a patient wants larger implants, 9-12 months after the initial implants have settled in to place and the muscle relaxed/stretched, then a second operation can be performed to replace them (similar to the process of going bigger with breast implants).   

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 on top of the muscle/under the skin and fat layer 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 108 reviews

Buttock implants

You would have to be seen in person to determine what would be appropriate for you.  Best of luck....

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 24 reviews

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