Are Buttock Implants Very Painful?

One of the most common questions that patients ask me is if buttock augmentation with implants will be painful. The short answer is that it depends on the type of butt augmentation surgery a person has done.

Like breast augmentations the implant can be placed above or below the muscle. When the implant is placed below the muscle or in the middle of the muscle patients can have a significant amount of pain after their surgery, as the muscle is being stretched and pulled.

My personal technique is what is called sub-fascial. The implant is placed above the muscle but under the fascia. The fascia is the strong covering around the muscle. The benefit of this technique is that the fascia still holds the implant in place and decrease the chance of scar tissue like it would beneath the muscle. However since it is above the muscle patients have less pain and less likely hood of complications that are associated with sub-muscular placement of butt implants.

Please discuss your butt augmentation with board certified plastic surgeon.

Where is the Incision Made for Butt Implants?

Butt augmentation is one of the fastest growing aesthetic procedures in the United States the last few years. Initially butt augmentation was mostly performed by fat transfer (Brazilian Butt Lift), however this was not an option for many women that were too thin for a fat transfer procedure. Butt implant surgeries have become a great alternative to a Brazilian Butt lift for patient that are too thin or want more augmentation than is possible with fat transfer alone.

The butt augmentation with implants is performed with an incision in the gluteal crease (the cleft between your two butt cheeks). There are two ways that it is commonly performed, one is with a single midline incision and the second is with two curved incisions along each buttock. Both incisions are well hidden in the crease and covered in underwear or a bikini.

I personally like to use the two incisions for several reasons. The first is that the incisions can be placed in a manor that they accentuate the shape of the buttock-giving patients the amazing curvature to their butt. The incision is also hidden right at the curvature of each buttock (similar to an IMF incision for a breast augmentation).

Please be sure to discuss your butt implant surgery with your board certified plastic surgeon that performs a high volume of butt augmentation surgeries.