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Patient Specific Questions
- What is buttock augmentation surgery?
- Are silicone buttocks implants safe?
- Do buttock implants look and feel normal?
- What if I have a sagging buttock with lots of redundant skin?
- Where are the incisions placed for the buttock augmentation surgery?
- What if I don’t want to use silicone for my buttock augmentation surgery?
Buttock augmentation surgery involves correction of moderate sagging and deflated buttocks prominence and shape by insertion of a solid silicone implant. This surgery can significantly improve the balance of your back to buttocks silhouette. This improvement in buttock to back silhouette is most appreciated in the profile view. Additionally, the buttocks to lateral thigh proportions are also improved especially when buttock augmentation is combined with liposuction of the thighs; this improvement is most appreciated in the direct view of the buttocks (posterior to anterior view).
Silicone buttocks implants have proven to be safe, predictable, and maintain a low-risk of complications. There have not been reported cases of allergic reactions involving silicone buttock implants. Additionally, buttock implants are made of solid silicone material and thus do not risk rupture and leak as observed in breast silicone implants.
Silicone buttock implants are made from solid silicone material customized to fit the size and shape of your buttock deficiency. Since the implants are placed intramuscularly and deep to the skin, patients do not feel the firmness of the implants as being unnatural. There may be transient buttock numbness following surgery but this will subside over several months. Since buttock implants are customized for each individual, the surgeon is able to improve the look of your buttock region by correcting buttock deficiencies specific to you.
Buttock augmentation is recommended in patients with moderate to significant buttock deflation. For patients with minimal to moderate redundant buttock skin, the buttock augmentation alone will suffice. In patients with significant redundant buttock skin, a buttock lift/tuck as well as buttocks augmentation may be suitable; the buttock lift is often combined with a tummy tuck and presented as lower body lift (Please refer to post bariatric surgery chapter for more information).
Buttock augmentation surgery should utilize two separate incisions, which are located over the upper part of the intergluteal crease (crease that separates the buttock cheeks) and shaped as a gentle arch curving around the buttock prominence. Using two separate incisions rather than a single one has been shown to decrease the incidence of implant infection and extrusion.
For patients with minimal buttock deflation, fat graft transfer may be used as an alternative to silicone implant augmentation. Fat that is carefully harvested by a modified liposuction technique is processed and transferred back into the buttocks region (Please refer to fat graft chapter for more information).