Introduction Butt implant surgery allows for a silicone implant to be inserted into the buttocks to create curves and projection for a butt that used to be flat and small. The procedure is safe and quite frequently performed in the United States and all over the world as it seems that the last few years have been a trend for the mighty, round and voluminous buttock. The implant is inserted into the gluteus maximus muscle in the upper half of the buttocks. In some cases, the plastic surgeon might recommend liposuction on the lower back or the thighs to define the area even better and enhance the results. The curves that can be achieved in this manner can completely change the profile of the patient and enhance the silhouette considerably. This procedure is for those who wish to increase the volume of their insufficiently developed buttocks and can be performed on patients over 21 years old. In this article we will discuss three things to consider before getting butt implants: Are you an eligible candidate? You might already know that to be eligible for butt augmentation with fat transfer, you need to have an excess of adipose tissue in the donor areas. Otherwise, the procedure can’t be performed. Butt implant surgery is generally preferred by thin patients with not enough adipose tissue, but this doesn’t necessarily mean that all patients who want to undergo the procedure are good candidates for it. Your eligibility will be assessed by the plastic surgeon during the pre-operative consultation y. Aside from undergoing a thorough medical examination, you will also be asked to talk about your life habits, medical history, current medication, and allergies. Make sure to come prepared to this meeting with the plastic surgeon and talk in an open and honest manner to allow the plastic surgeon to get to a good conclusion about your candidacy. It is important to have your candidacy assessed before undergoing the procedure for your well-being and also to ensure you achieve satisfactory results. This means you should treat the first meeting with the plastic surgeon with utmost care. To be a good candidate, you should be in good health and emotional condition and be ready to undergo the procedure for the right reasons. Having unrealistic expectations f can determine the plastic surgeon to mark your candidacy as rejected. When talking about unrealistic expectations, we often mean patients who want to undergo the procedure to look just like Kim Kardashian. Plastic surgery, whatever the procedure you might have in mind, shouldn’t be performed with the aim of making you look like someone else but improving your current feature and helping you look your best. So if you show up at the plastic surgeon’s office and ask for buttocks just like Jennifer Lopez, don’t be surprised if the plastic surgeon will tell you that you should consider the procedure more before scheduling it. A good candidate will also understand that in terms of choosing the size and type of implant to be chosen, she should ask and follow the recommendations of the plastic surgeon to avoid complications that can occur when an implant that is too big is used. Can you follow through with the post-operative recommendations? This plastic surgery procedure involves increasing the volume of the buttocks by placing prostheses to obtain rounder buttocks with a more alluring projection. When the procedure is combined with fat transfer, it offers the possibility to sculpt the shape of the buttocks and enhance the profile even more. The most modern technique used to position these prostheses is to insert the implant into the gluteus maximus muscle in the upper half of the buttocks. This technique makes it possible to obtain a more natural result and a much less painful post-operative period for the patient. However, this doesn’t mean that the recovery period is without challenges. Just any other type of surgery, there are post-operative recommendations that need to be followed to the letter to ensure achieving satisfactory results and avoiding complications that could otherwise occur. Buttock augmentation procedure is often more demanding on the patient than other procedures. The first thing you should consider when thinking about undergoing this procedure is whether you are ready for a period of at least three weeks without sitting on your buttocks or lying on your back. This instruction is strict and not following it can result in serious complications such as implant shifting or opening of the incisions due to the pressure put on the buttocks. The patient can’t drive for a period of at least a week or two. After this a special pillow can be used under the hamstrings when driving; however, driving for extended periods of time in the first month can be uncomfortable and generally not recommended. Another instruction for post-operative conduct is related to smoking. If the patient is a smoker, he should know that smoking is to be avoided for three to six weeks before the surgery and at least the same amount of time after it is done. This recommendation is given with the aim of reducing potential complications that can occur as a result of smoking, such as delayed wound healing or skin and fat tissue necrosis. While the patient is advised to start moving around the house as soon as possible (preferably starting with the day of the surgery), intense physical exercises should be avoided for about two months after the procedure. The plastic surgeon will follow your progress after the procedure and tell you when you can resume sports and physical exercises depending on your individual recovery process. Do you understand the potential complications that can occur? The patient should consider a one or two week convalescence period. This period can be associated with a certain level of pain and discomfort that can be alleviated with medication prescribed by the plastic surgeon. Your plastic surgeon will ask to see you again during the first-week post-op, during the first month, after three and six months, and then after a year. The follow-up consultations allow the plastic surgeon to assess your recovery process and how the healing is going. Just like other surgical procedures, there are complications that can occur. Infection is one of the most severe complications that can occur after such a procedure. There is a higher risk of developing an infection for patients who are not dedicated to keeping the surgical incision clean and dry at all times because of the position of the incisions, which is in an area prone to bacterial proliferation. To avoid infections that could delay the healing process, the plastic surgeon will perform the procedure with antibiotics given through the IV and also prescribe oral antibiotics to be taken for five more days post-op. Seromas and hematomas can occur on the incision site. To avoid them, the plastic surgeon might sometimes decide to use drains to help the body eliminate the blood and fluids that would otherwise accumulate in the operated area. There are few risks and complications associated with using gluteal implants and probably the one we should mention is capsular contracture – a condition characterized by the body forming a thick fibrous tissue to encapsulate the implants. Conclusion Butt implant surgery is a popular choice nowadays. The procedure can be performed on both men and women with spectacular results. Moreover, the procedure can be performed as a stand-alone procedure or i with liposuction and/or fat transfer to the hips and buttocks to enhance the appearance of the patient even more. While the procedure is not new, there are still things that patients might not know and should carefully consider before scheduling. Make sure to discuss your concerns and questions with the plastic surgeon during the pre-operative meeting. In this article, we have discussed three things to consider before getting butt implants. The first thing that should be considered is whether you are a good candidate for the procedure. Your eligibility will be assessed by the surgeon during the first meeting. This is also when he will present to you what are the post-operative instructions, and it is up to you to think whether you can follow them or not. Moreover, you should also consider the potential complications that can occur after the procedure.