There are several ways to achieve Butt Enhancement or Gluteal Augmentation. These range from fat transfers (Brazilian Butt Lift), silicone injections, liposuction above the buttocks (giving a rounder appearance to the buttocks), to butt implants. Each of these procedures has its own unique sets of advantages and disadvantages. Each of these procedures are discussed in detail on our website www.drmarouk.com .
I regularly perform these procedures with the exception of silicone injections to the butt, which carries a much higher risk of complications and is not FDA approved. Butt implants give the largest amount of augmentation to the gluteal area of all the current procedures. This is similar to breast augmentation in the fact that breast implants have the ability to increase the breast a full cup size or larger. Butt implants have the ability to significantly increase the buttocks and create contour. Fat transfer to the breast may help create some fullness or elevate a depressed area; however the change will not be significant. This same theory applies to the buttocks. The goal with buttock implants is to create a larger and more rounded appearance to the area.
The implant material is made of solid silicone which cannot leak. They come in several sizes and shapes, with the two most common being teardrop and round, similar to breast implants. The feel is similar to that of a well toned butt. It is extremely important that your plastic or cosmetic surgeon understand the pros and cons of each type of implant and which is the best choice for you. I have had several patients over the years that have had gluteal implants placed by other surgeons and were not happy with the shape or the size. On examining and discussing their previous gluteal surgery, I am shocked to learn that they were not sized prior to the implants being placed. Like breast augmentation, “size does matter”. If the implant is too big you run the risk of looking disproportionate. If too small you wonder why you had the procedure. The shape of the implant is also important (although the differences are minor) but the devil is in the details. If your surgeon is not willing to discuss these differences, I would recommend looking elsewhere.
Butt implants should be placed within or below the gluteus maximus muscle. Similar to breast implants placed below the muscle, this prevents the implant from moving or drooping over time. This also places a large amount of natural tissue over the implant, giving it a natural look and feel. The pocket created for the implant should only be as large as the implant itself in order to prevent shifting. The incision is in the midline between the butt cheeks and tends to heal extremely well. The surgery is performed under general anesthetic, most often in an outpatient setting. Drains may be placed at the time of surgery in order to reduce the risk of fluid collection around the implant. If placed, drains are most often removed a day or two after surgery. A tight spandex-type garment is worn after surgery to reduce the initial discomfort and reduce swelling.
Unlike breast augmentation, it is difficult to refrain from using the muscles under which the implants were placed. It would be unrealistic to expect one to not walk or sit on their butt for two weeks after surgery. I recommend sleeping on your stomach for the first two weeks as well as not sitting for long periods of time. I have my patients start performing exercises which I give them the day after surgery. Over the years, I have found these exercises to be beneficial in reducing the recovery time as well as tenderness to the area. Full activity such as working out or participating in sports may be resumed at four weeks. Although I do tend to see my post-surgical patients on a more frequent basis than most plastic surgeons, I do find that it decreases post surgical anxiety and speeds up the recovery.
As I tell my patients, ABOVE ALL ELSE, you must feel comfortable with your surgeon before any procedure.
Please feel free to call the office to set up an appointment for your personalized, complimentary consultation at 480-814-1112 or by emailing us at firstname.lastname@example.org
Below is an actual patient of Dr. Marouks before and after butt implants.