Want to even size and shape - Buttock augmentation size recommendation? (photos)

Thank you for your inquiry! I recommend scheduling a consult with a board certified plastic surgeon like myself and we can create a surgical plan to best achieve your goals!

 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.
Other than placing buttock implants within the gluteus maximus and medius muscles (aka “intramuscular”) NOT on top of the muscle, “subfascial” or “dual plane”, the most important factors in creating the perfect derriere and/or hourglass figure 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...with positional changes (eg. bending over and squatting down) and even in the most petite patients that have small/lean muscles and minimal overlying fat. The fact is, over 95% of the human population has a more 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 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 effect”, 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. Height and weight are considered but not nearly as relevant as the above measurements. 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. Glad to help.

Dear Enthusiastic222177,
it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Gluteal augmentation with implants comes with a long list of complications and somewhat disfavorable numbers when it comes to failures and unfavorable outcomes.

The majority of plastic surgeons in the United States don’t offer the procedure and there’s a reason for that.

Fat grafting is another option often referred to as a Brazilian butt lift or BBL.

The advantage to the BBL is that it contours the whole body not just focusing on the buttocks out of context.

I’m assuming you are fully ambulatory and do not use a wheelchair.

If you rely on a wheelchair then I would highly recommend against getting gluteal implants.

The best success comes from placing gluteal implants inside the gluteus muscles. In regards to size it should be based on what will fit in each persons gluteus muscle based on muscle size and pelvic dimensions. The surgeons to do these Procedurs frequently and with high success typically take measurements to get the actual size of the muscle and pelvic dimensions and choose the implants based off of that.

In general I steer people away from gluteal augmentation with implants. For those who opt for having the procedure my best recommendation is to use only those providers who have many years of experience with a proven track record and use intramuscular placement of implants.

There aren’t that many plastic surgeons in the United States whose practice has been developed doing this procedure in this way and for many people it may require needing to travel.

Typically I do not recommend patients travel long distances for elective surgical procedures but sometimes there may simply not be local talent sufficient and travel is justified.

Most patients to travel for cosmetic surgery do so to try to save money.

Regardless the process should always begin by having multiple in person consultations when possible with local board-certified plastic surgeons who have extensive experience with the procedure.

You need to discuss the alternatives which includes fat transfer A.k.a. fat grafting

The human body is fairly asymmetrical and I’m guessing having below knee amputation would add its own level of muscular asymmetry beyond the obvious.

Find the right plastic surgeon and everything false into place.

Best,

Mats Hagstrom MD