Butt Implants

Dermal filler injections, fat transfers, and silicone implants are the three most common types of butt enhancement procedures. Dermal fillers and fat transfers are best for people who only need a relatively small amount of augmentation. Sculptra® is made with poly-L-lactic acid that stimulates collagen production. This butt augmentation option produces gradual changes to your buttocks. A Brazilian butt lift (BBL) is a fat transfer technique that uses your fat to enhance and shape your buttocks. It requires a small liposuction procedure to harvest the fat cells from your abdomen, legs, chest, back, or another area of your body.

For people who want a more dramatic change to their buttocks, implants are the best option. Butt implants are medical-grade silicone-filled devices that are inserted under the gluteal muscles. The implants are available in a range of sizes and shapes, and the goal is to add volume to the bottom portion of the buttocks. The procedure can be combined with Sculptra® injections or fat transfers to add shape to the upper buttocks and refine the contours.

The best butt enhancement procedure for you at Orange County Plastic Surgery depends on your cosmetic goals and individual anatomy.

Butt implant surgery takes two to three hours, and it requires general or intravenous sedation. An implant is placed under each of your gluteal muscles. The buttock implants procedure starts by making an incision under the butt crease. The implant is inserted through the incision and positioned to add volume and maintain a natural contour profile. The incision is closed with sutures.

Silicone implant butt recovery takes two to three weeks, and you will need to rest at home during this time. You will still have some swelling and bruising after the initial recovery. The most important part of healing is to avoid any type of pressure on the gluteal implant. This includes sitting, massaging your buttocks, and laying on your back. You should walk around your house as much as possible to maintain blood circulation that helps the tissues heal. We recommend you have a donut cushion on hand during your recovery period. About three weeks after your gluteal fold surgery, you can gradually add activities that involve placing pressure on your buttocks. If you have a job that requires sitting for long periods, we recommend that you return on a part-time basis at first.

The gluteal scar line is well-hidden in the natural crease under your buttocks, even with the implants. Initially, the scar heals with a slightly pink color. It takes about 12 months for the scar to change to a slightly darker color than your natural skin tone.

As with any type of surgery, there are risks associated with butt enhancement with implants. Dr. Bunkis discusses these in detail during your consultation, and he also answers any questions that you may have about the procedure.

The most common issue associated with butt implants gone wrong is a rupture in the outer shell. The silicone inside the implant leaks into the surrounding tissue. This may result in excessive scar tissue, changes to the look and feel of your buttocks, and infection.

A less common issue of butt augmentation risks has to do with the anesthesia that is needed for the procedure. We carefully review your medical history and may require lab work and diagnostic tests to ensure that you are in good general health. If you are not able to undergo procedures that require general anesthesia, Dr. Bunkis will recommend other options, such as BBL or Sculptra® injections.

Lastly, undesirable results are a sign of a butt surgery gone wrong. This may include asymmetry, dimples, sagging, significant scar lines, loss of sensation, prolonged healing, chronic pain, blood clots, bleeding at the incision site, bumps, and bulges. Many of these side effects can be reduced by entrusting your butt surgeries to Dr. Bunkis who is a qualified, experienced, double board-certified plastic surgeon.