In a previous blog post entitled “Butt Augmentation Part 1: what makes a great butt & which fillers to use to augment it” we looked at what a ideal butt looks like and what fillers are used to augment it. Now let’s look at 3 other techniques plastic surgeons use for butt augmentation:
1) BUTT IMPLANTS
Typically involves an incision made between the midline of the buttocks. The plastic surgeon creates a pocket for the silicone butt implant and inserts it through this incision. The implant is positioned between muscle and fat or within the main buttock muscle. This area will form scar tissue that should help keep the butt implant in place. Butt implants come in different sizes and shapes, and can even be customised. In general, these natural-feeling implants help round out the upper and outer parts of the buttocks; but not the lower parts. This procedure is suitable in thin patients who wear size 2-4 dresses where fat grafting is not possible because they do not have any fat to spare. Butt implants are performed under general anaesthesia, typically as an overnight stay in hospital. After placing the implants, the plastic surgeon must assure that both buttocks are symmetrical and look natural before stitching up the incisions. The procedure usually takes about 2-3 hours to complete. Sometimes butt implants are paired with butt lifts and liposuction of the lower back to yield more balanced results. Other times, liposuction with fat injections are used to shape and contour the entire buttock area. The latter procedure should not be done at the same time as butt implant insertion because the fat injections can contaminate the implant, resulting in infection. Furthermore, the pressure from the implant can destroy the fat. In the beginning, butt implant augmentation had a 30% complication rate which has now reduced to < 5% by largely refining our techniques, choosing the right patients, and learning how to select the correct implant shape, size and texture. The main complications that can arise from butt implants are:
- the wounds opening up (dehiscence)
- implant infections that may require intravenous antibiotics or , at worse, removal of the implants
- the implant my become hard (capsular contracture)
- the implant may shift over time
- the implant may be rejected (extrude)
- the patient may develop fluid around the implant (seroma)
- the buttocks may look asymmetrical
Remember that butt implants stretch the tissues, which can be painful, especially if the implants are placed within the muscle. Your plastic surgeon will prescribe an antibiotic and anti-inflammatory medication to reduce the risk of infection and help with the pain. Some plastic surgeons use temporary drains to remove excess fluid buildup during recovery. You will also need to wear a compression garment for support for a few days after your buttock surgery. Given the risks and complications above, I would rarely, if ever, use a butt implant now. Most butt augmentations I perform today involve a combination of fat transfer/grafting, butt lift surgery and liposuction.
2) BUTT LIFT SURGERY
A butt lift surgery removes excess skin and fat that may cause sagging buttocks to add contour to the waist, hips and back of the thighs. The incision is made along the lower back, spanning from hip to hip. The plastic surgeon then pulls the excess skin below the incision to lift the buttocks and outer thighs. The extra skin is then removed. Sometimes, the skin only is removed and the fat is left attached to the underlying muscle but moved lower in the butt for added butt projection. A butt lift is often part of a total body lift, which is common after weight loss (bariatric) surgery. It can take about 2-3 hours to perform by itself, under general anaesthesia. Most people who have butt lifts go home in 2-3 days, however, the hospital stay may be longer if other procedures are performed simultaneously like a tummy tuck. Swelling may last for up to 3-6 months, and the full cosmetic results are visible within a year. The main complications concerning butt lifts are:
- unsatisfactory cosmetic results
- excessive bleeding
- anaesthesia problems
- and the need for revision surgery
These problems are infrequent and can occur even when the plastic surgeon has performed the operation with the utmost skill. Currently, this is a popular technique in my practice along with fat transfer/grafting and liposuction to enhance the buttocks.
Another way to enhance the buttocks, is to do liposuction to the hips and thighs around it. This essentially makes everything around it smaller, and can indirectly make the buttocks look bigger and rounder compared to the rest of the body. The main benefits are decreased surgical time, fewer complications, and the fact that the patient can sit down immediately. Needless to say, choosing the correct plastic surgeon can play a major role in your satisfaction with the results of your buttock surgery. Plastic surgeons should be board certified as this ensures that they have extensive training and are up-to-date on new technology and techniques. Also, consider viewing before-and-after photos of a potential surgeon’s previous buttock surgery patients for a better idea of what you can expect.
Question: What can you do to correct your butt? You can leave a comment below.