Fast facts

Buttock implants


What it is: Buttocks augmentation uses artificial implants inserted into the buttocks region to enhance the size and shape of the buttocks. Like breast implants, the butt implants can be placed under the muscle, or on top of the muscle.  Liposuction surgery is sometimes performed to further enhance the shape of the buttocks. 


What it addresses:  Aesthetic appearance of the buttocks, remedying specific conditions of that area, including:

- Undefined buttocks
- Improminent buttocks
- Unbalanced figure


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Question

My buttock implants look asymmetrical. How can it be corrected?

I had a buttock augmentation, implants to be precise, done about three months ago. I'm pretty much healed, but have noticed slight asymmetry between the right and left cheek. One side looks larger and rounder than the other. My doctor wants me to wait other three months before discussing corrective surgery. Since I'm not really keen on going under the knife again, what other options do I have? My doctor and I discussed the fat transfer procedure, but I'm a little apprehensive. Can an injectable filler, such as or , be used instead?  I just want my butt to look symmetrical.


Asked by: ChiGuy, Chicago

Answers (1)

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1
January 8, 2008
Nick Slenkovich, MD
Nick Slenkovich, MD
Board Certified
Plastic Surgeon

This is a good question to put to your surgeon, as they will be most familiar with the specifics of your surgery. There are many variables that come into play, but some initial asymmetry is common after bilateral implant surgery (this applies to breast implants as well). Typically six weeks is a good initial healing period, after which we would normally expect symmetry to improve.

Except for unusual circumstances, I would have a good idea about your ultimate result by four to six months after surgery.

What are your options for correction and when should they be considered?

Again, I recommend maintaining a good rapport with your surgeon and seeking their input here. If a revision surgery is required to reposition an implant, this is arranged with your surgeon and is commonly performed several months after initial implant placement.

Do you have non-surgical options?

Non-surgical options include efforts to massage the implant pocket or influence the implant position to improve symmetry. If the implant pockets are symmetric, then minor asymmetry generally improves as the months go by. However, if the pockets are not symmetric, surgical correction may be required.

Fat grafting or fat-transfer to the buttock are surgical procedures that use your own fat to sculpt and enhance the buttock contours. It is not uncommon to place 300-500cc of fat into each buttock in "non-implant" buttock contouring. Liposuction of the surrounding areas, particularly the small of the lower back, is an important adjunct to maximizing the buttock appearance. This combination of liposculpture and fat transfer is a powerful tool in my practice and while implants certainly have advantages, using your own body's tissue has the advantage of not having implant-related complications.

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