If you are happy with your buttock implant surgeon then I would first turn back to him or her and for sound advice. Every surgeon has different opinions on this but I typically caution my patients against doing fat grafting after successful buttock implants. Please read below: I generally do not recommend fat grafting at the same time as placing buttock implants, or after, 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. And even if an infection is avoided, the the long term survival of the fat is quite poor (20 - 30% at best)....to me, it's just not worth the risk. Instead I typically recommend up-sizing the implant after a year. Glad to help.