Dear Rae, Thanks for submitting your goal pictures. I have operated on over 500 butt implants patients. The overwhelming majority of them had it done under epidural or spinal anesthesia and IV sedation. This is the safest way to do the surgery, since you are laying prone ( on your stomach ). Very few patients who had difficulty in the past or in my surgery center with spinal anesthesia, had the surgery under general anesthesia. Additionally, I inject the butts with long acting local anesthetic ,which can last 6-10 hours, which means that you go home or to the hotel painless. The technique that I use - sub fascia (on top of the muscle) , is the only technique that can allow for large size butt implants . The biggest implants that I have used (very popular lately) is 660 cc . Bigger implants can be used for larger patients, however , they are special order and it takes 2-3 weeks to deliver by the manufacturer. Please, realize, that not all results are the same, because there are different techniques and different implants. Also, experience, skills and aesthetic eye are critical for good outcome. So, do your due diligence and choose wisely. Always, consult with experienced board certified plastic surgeons who do lots of butt implants surgery in accredited surgery center for your safety. Most importantly, check the before and after picture in the photo gallery, to make sure that they are numerous, consistent and attractive. Best of luck, Dr Widder
