Implant Revision - Is there a risk of seroma or future displacement if my buttock implant does not fit snugly into the pocket?

The crucial part is to make sure the implants are placed intramuscular and are of proper oval anatomic shape such as Stanton Anatomic™️ buttock implants. If so, step-offs typically do not occur nor does “future displacement”.

Gluteal implants should ideally be placed intramuscularly. This puts them in the correct position and prevents them from moving. It also prevents the edges from showing.If not placed in an intramuscular position the implant will be pushed upwards any time you sit on it.
Typically ones gluteal implants start having problems correct in the problems becomes more and more difficult.
If your surgeon is sufficiently experienced to know what he’s doing then this may work bud most of their plastic surgeons who specialize exclusively on this procedure do intramuscular placement.
Most plastic surgeons don’t offer gluteal implants and there’s a good reason for that.
The complication rates and secondary side effects are simply too high.
If it’s going to be done it should be done by someone who uses correct technique and this also includes choosing implants that properly fit within the gluteus muscle boundary.
Personally I stay away from the procedure.
Best,
Mats Hagstrom MD

Hi and welcome to our forum!From the information you provided, it appears that you have suffered implant malposition, not an uncommon complication. A capsule of connective tissue develops around the malpositioned implant, maintaining the deformity. Cutting through the capsule (capsulotomy) or removing the capsule (capsulectomy) will free the implant from surrounding tethering restriction and it should fall into position after the inferior portion of the flap is freed up from constricting scar. The operating surgeon will determine the tightness of the pocket. If the pocket is excessively large, drains can be inserted as a preventative measure. Some surgeons will place sutures into the superior buttock (superior capsulorraphy), to close the superior aspect of the pocket to prevent superior implant migration. Any surgical procedure carries a small hematoma and seroma risk. The potential benefit outweighs the potential risk. Best wishes...