Gluteal implant augmentation is not offered by the majority of plastic surgeons in the United States for good reason. The procedure has a very high complication, side effect rate. It also has a fairly low long-term patient satisfaction rate. There are a number of reasons why the procedure has so many problems and so few patients have quality long-term outcomes. Rather than going into all of the technical aspects of why the procedure tends to fail it simply better to recognize the number of patients who are happy after gluteal implant augmentation, long-term is very low. The majority of patients will have revision surgery or have the implants removed. If somebody still wants to move forward and have the procedure, then increasing the chance of long-term success, is best done by finding providers who have the greatest amount of experience with the procedure. Look for plastic surgeon soup been doing the procedure for more than a decade, and have honest in person consultations with a good understanding of the most common reasons for implant failure, revisions, and what the revision policy entails. Each provider will have their own set of postoperative instructions, most likely, including when or when not to do certain movements or exercises. First and foremost, I generally don’t recommend patients have this procedure, but if they do make sure you find the right provider, then address your questions, or concerns to that provider since each provider will have a different set of postoperative Instructions. Best, Matt Hagstrom, MD