The implants that are used for buttocks augmentation may be either

• A silicone shell filled with silicone gel or
• Fat grafted from other parts of the body

• Candidates who are physically healthy, psychologically healthy and have realistic expectations from the procedure
• Candidates who wish to enhance their appearance
• Candidates who seek improvement rather than perfection

Though risks of complications occur in very rare cases, they may include

• Bleeding or infection
• Rupture of the implants
• Shifting of the implants giving an unsymmetrical appearance

• During the initial consultation, a thorough discussion on the expectations of the patient is understood
• The patient may seek a copy of the manufacturer’s brochure for the implant
• Photographs are taken for further comparison after procedure.
• The doctor discusses and advises on options of anaesthesia, implants, type of facilities and cost with the patient.
• The doctor provides guidelines on eating and drinking, smoking, taking or avoiding certain vitamins and medications
• The patient must arrange for transportation and assistance to leave for home after the surgery.

• The patient is given either a local or general anaesthesia before the surgery and made to lie on his stomach. If local anaesthesia is to be given, the patient is given a sedative to relax through an intravenous line after which the local anaesthesia is injected to numb the area.

Buttock augmentation with implants

• An incision is made either
  • where the cheek meets back of the thigh or
  • down the buttock crease
• The buttocks tissue and skin are lifted to create a pocket either directly under the gluteus maximus muscle, or on top of it.
• The implants are placed above the sitting area of the buttocks to prevent sitting on them and to reduce the possibility of the implants shifting.
• The procedure is repeated for the other cheek after which the doctor affirms the symmetry and appearance of the buttocks.
• Finally the incisions are sutured, and a bandage is placed that provides compression to the buttocks which in turn helps reduce discomfort and swelling.

The surgery usually takes 2-3 hours to complete

Buttock augmentation with fat injections

• The buttock is first contoured by performing liposuction in the areas around the buttocks to make them stand out more. Common areas suctioned include the back- directly above the butt, the waist, and the thighs.
• The fat suctioned from these areas is carefully processed in a special centrifuge and then injected into the areas of the buttock needing augmentation using special cannulas and placed in different areas at different depths to give a uniform, smooth, natural appearance.

The surgery is mostly done on an outpatient basis except for rare complex cases where a short stay in the hospital is required after surgery.

• The patient may be very uncomfortable the first several days. Medication is prescribed to provide relief from any discomfort.
• The taped dressing that is applied during surgery to provide compression and support is usually removed two to three days following surgery.
• The patient feels tired and sore for a few days following the surgery though she will regain normalcy in 24 to 48 hours.
• The stitches are removed after 7- to 10 days
• The swelling in the buttocks may take three to five weeks to disappear.

• Sitting can be done from the next day after surgery but the patient must not sit directly on the buttocks for 1-2 weeks.
• The patient must wear a special body garment to control swelling for about 3-4 weeks
• The patient may return to work in about 3-5 days, but it will take one month before to feel completely normal.
• The patient can now take showers and begin to move around more normally.
• Full activities including gym work, bicycling, and running can usually be resumed about four weeks following surgery.
• The results can be seen immediately but the buttocks look more natural and become softer as the muscle stretches during the several months after surgery.