Implant revision to fix sagging. Round or anatomical implants? (Photos)

Question

Aloha! I had 440cc anatomical implanrs that had to be removed. My doctor is going to redo them for me once im healed. It was the left side that I was having problems with so I'm mostly talking about what's going on with the right side I'm posting a photo showing the empty space I had between the bottom of the implant and my crease. These were half under and half over the muscle. I don't know which direction or how that works but that's what he told me. I had fat transfer as well which is why he did it like that but I didn't hold any of the fat. He said I have that space because my booty is saggy. I never thought that it's saggy before but whatever lol Anyway my question is, I know the round implants protrude more so I'm wondering if i do the round ones next time, is there a chance it will pull out far enough to hide my "saggy booty? lol Thank you!

Ryan A. Stanton, MD · Answer

Allow me to answer your question as best i can based upon your photos. However, please keep in mind that an in-person, or at least a virtual, consultation with physical exam is first necessary before any legitimate evaluation or final surgical recommendations can be made.

Typically a combination of sculpting the waistline with liposuction and augmenting the buttock with implants +/- the hips with implants provides the best chance for a long lasting and desirable "hour-glass" figure.  Based upon your photos, a Stanton Anatomic®️ shape buttock implant may serve you best.

Please read on:

Make no mistake, it is indisputable that the best position (aka “placement”) for buttock implants  is in the total intramuscular tissue plane, not half and half within and on top of the muscle (aka “biplanar” or “dual plane”), not completely on top of the muscle and not “sub-fascial" which is exactly the same as on top of the muscle - so please do not be fooled by this terminology. Also, “supercharging” by adding fat over the implant is also likely to not make any difference other that costing you more and setting you up for more potential complications. The implant life and longevity of aesthetic, tasteful, and realistic results are all best with the “total intramuscular” technique, period.

Other than placing buttock implants within the muscles, again “intramuscular”, 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 gluteus muscles (not butt cheek fat pad, which may appear “round”) and quantity and quality/density of these muscles. 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 with positional changes (eg. bending over and squatting down) and in the most petite patients that have small/lean muscles and minimal overlying fat. The fact is, nearly 100% of the human population has oval shaped gluteus muscles, not round.  Therefore an oval shaped implant such as the Stanton Anatomic®️ buttock implant conforms best and produces a more realistic contoured outcome, much better than round implants.  Contrary to what many think, a round implant placed correctly within the muscle actually sits up at the top of the butt cheek, creating an unnatural pointy or “gum-drop” deformity, not at the lower part of the butt cheek and thus does not contribute to filling or rounding out of any of the lower buttock pole.

Final note, because an extremely few number of board certified plastic surgeons specialize in buttock implants, you may have to travel away from your local area to seek consultation with this particular type of surgeon.  Getting it done right the first time (or second time, in your case) around is not only the best chance for success, but also will save you from a lot of headaches and money in the future. Glad to help.

Implant revision to fix sagging. Round or anatomical implants? (Photos)

Answers (1)

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