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

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