Cosmetic Surgery Patient Network
Augmentation - Buttock Implants
Is Buttock Augmentation?
These procedures are for the
individual who is unable to develop proportionate Gluteal muscles, lacks buttock
fat, or simply desires more
augmentation in the buttock area. The buttocks are
augmented with the use of implants specifically designed for such a use or with
your own fat, if applicable. Weightlifters sometimes
request Buttock implants to augment underdeveloped Gluteal muscles to give a more balanced
look as they have less actual body fat percentage to liposuction and re-inject.
these individuals request Calf implants as
well to complete the package, if need be. But you don't have to be a
weightlifter to desire a well balanced physique; buttock implants and buttock
augmentation with fat grafting are for anyone who would
like more curves where they have none.
The implants are
either made from solid silicone, a firm yet pliable material or a
more softer form of cohesive silicone encased in a silicone bag. With cohesive
silicone, there is a more natural feel and if there is a rupture these cohesive
silicone is reported not to leak. The solid silicone implant is made of the same material as
used in some chin implants, male pectoral implants and calf implants. This implant was
once "clear" but is now mostly manufactured brilliant white.
the demonstration models are bright blue for easier contour viewing. This implant is more
resistant to wear and tear than a gel or saline filled mammary type of implant.
measured at your pre-operative visit for the size and shape beneficial to your
individual needs. It is quite possible that your surgeon may elect to customize implants
for your specific needs. This will be discussed at your consult.
With Fat Grafting
You must have a
plentitude of existing body fat, say in the flanks, back, thighs, abdomen, arm, etc. to harvest for use in augmentation.
When fat is transplanted into areas that are not predetermined fat areas, like the lips, the chance of fat survival is nominal after the
first implantation if no vascularity is introduced to the inner most areas of fat.
This results in fat necrosis (fat cell death) which your body will safely absorb and your
augmentation results, lessened. With this procedure, reportedly there is nominal fat
For Your Surgery
You will be given a pre-operative information packet that
explains everything you should do and know before your surgery date. The
packet should include all the medications you should not take for up to 2 weeks
before your surgery. These medications will include, but are not limited to,
aspirin containing products. Would you like to view a typical Medication
& Supplements List? Also, your surgeon may or may not advise you of the
benefits of Arnica montana for swelling and bruising. Would you like to learn of
the benefits of Arnica
montana? He or she may also discuss Bromelain
with you.It is quite possible that you will have
preliminary blood work
performed. This is normally an extra out-of-pocket expense that the patient must
participate in to check your white and red blood cell count (CBC, complete blood
count) and check for
disease or disorders beforehand. So many things to do... so little time.
will be here before you know it so visit the Preparing
For Surgery page and relax. This section contains, printer-friendly pre-op
lists, tips and advice as well as things you must do to prepare for your big
How These Procedures
Buttock Implant procedure... the
implant is placed between the fascia (the thick, white
connective tissue, covering the actual
muscle) and the muscle itself. The implants are placed above the sitting area
so you never actually sit on them. To get a better idea as to where Buttock
implants would be placed, sit down, with good posture and feel where your jean back
pockets are (or would be)... that is where the implants would sit.
are made where the cheek meets the back of the thigh. Within a year, after full maturation of the scar, you will be unable to tell that you had
a surgery. I mean you would have to bend over and stick your rear close to a mirror and
have a high powered flashlight and look really close to see the scar. Then again, why
would you do this?
Another incision is also
being made within the "crack." This scar placement is ideal but
the infection rate may be higher. As with any procedure there is always a plus and
minus of the various techniques or placements of incisions.
In the Micro Fat Grafting
Technique... the fat is gently removed using low-vacuum liposuction with a special cannula that is very thin and least-damaging.
The fat particles are then purified, then inserted into the layers of the buttocks through a single 1/8" incision.
The tiny droplets of fat are carefully implanted near tiny vessels so that improved vascularity and adequate blood supply is given to the newly placed fat cells to increase chances for survival.
The Road To Recovery
Implants: Well, you get to sleep on
your stomach for 2 weeks or more with this procedure. Expect to be down for about 2 weeks.
There will be swelling and bruising which can be remedied with your prescribed pain
medication and ice packs. The sutures are taken out in about 10 days and you MUST be very
careful not to move around too quickly. Take it easy.
Gluteal (Buttock) Implants Pre-operative Instructions
Sub Gluteal (Buttock) Implants Post-operative Instructions
- Discharge: You will be
discharged approximately 1 1/2 hours after surgery. Go home to bed
for 24 hours, get up only to go to the bathroom. It is advisable to
have a responsible adult drive you home after your surgery. Your
State's laws may not allow patients to leave a surgery center or
hospital following surgery in a public conveyance if alone. They may
leave this way if a responsible adult is with the patient and the
driver is willing.
- Prescriptions: On your
preoperative visit you should be given several prescriptions to have
filled. Begin taking the medicine as soon as you return home or as
your surgeon instructs. The medicine will last about 4-7 days and
will generally not be refilled.
- Bandages: You will
have a compression garment on after surgery. Make sure the garment
is flat against your skin, without any wrinkles r folds. Do not
remove it until the 5th day when you shower. You can change it
before coming to the office. You will continue to use the
compression garment for 6-12 weeks.
- Office Visits: Your
first post-operative office visit will be 2-3 days after your
surgery. Your next visits are usually scheduled at weekly intervals
for 2-3 weeks, then at the 6th week, 3rd month, 6th month, 1 year,
and annually thereafter.
- Warm soaks:
After the bandages have been removed and after your first office
visit, you must soak in the tub using very warm water twice a day
for 20 minutes each time with the water covering the entire calf
area. Continue soaks until all swelling and bruising is gone. DO NOT USE A HEATING PAD OR HOT WATER BOTTLE -
SEVERE BURNS COULD OCCUR.
- Showering: You may
sponge bathe 24 hours after the surgery. DO NOT get the bandages
- Activity Level:
- First Day: Bed
rest for 24 hours.
- First Week: Do not
drive a car; no physical activity.
- Second Week:
Gradually resume routine activities. You should be back to
normal by the end of the second week except for exercise.
- For Six Weeks: Do
not engage in any exercise using the lower body. Do not play
golf, tennis, swim laps in a pool, ride horseback or
motorcycles, or participate in other strenuous activities
involving the lower body for 6 weeks.
- Sun Exposure: Do not
expose the buttock or scars to the sun (or tanning bed) for at least
2-3 weeks after the surgery as severe burns can occur from minimal
exposure. Scars must be covered when exposed to sun or tanning bed
(so as not to hyper-pigment) until all redness is gone, about 3-6
months. You may use tanning creams.
credit: List compiled with the help of John
A. Rusca, M.D. of Atlanta, GA (Dr. Rusca no longer performs
With Micro Fat Grafting:
is not as difficult as augmentation with implants or major liposuction. You will have to stay near the clinic for 3
to 4 days in case of complications and for a first week follow-up. You are able to return to work within
5 to 7 days, normally. You may return to normal activities within in 2 weeks, although to be safe, three.
Risks & Complications
Implants: There is is the possibility
of infection and a higher shifting rate. Especially in those patients who do not allow
themselves proper recovery time. Also reported: hematoma, seroma, misplacement, rotation,
asymmetry and the implant falling to a lower region, ending up with a saggy
rear end. This is normally due to doing too much,
too soon and not letting the implant settle correctly. You MUST let your body heal or you
will be sorry, period. This goes with all surgeries. You may feel better, but that doesn't
mean you ARE better.
Micro Fat Grafting: the
risks are nominal. With the exception of possible infections at the incision and
harvest sites as well as possible anesthesia reactions.
Related Links (links
leading out of the site will launch a new window)
Real Success Stories - What I Did For A Rounder
Rear-End – Micro Fat Grafting
& Post-operative Instructions and comments courtesy John
A. Rusca, MD - Atlanta, GA Board Certified Plastic Surgeon