Introduction Buttock implants are external devices used to augment the buttocks. These implants have a vigorous formation, which makes them resistant to ruptures and deflations. Buttock implant surgery is one of the most commonly performed plastic surgery procedures in the United States. It has a history of delivering effective outcomes. Furthermore, the procedure is now safer than ever, thanks to the advancements made in the field of plastic surgery. Despite the fact that the procedure is effective and safe, no plastic surgeon will give you a guarantee about the results and safety of the procedure. There are still many risks and complications associated with the surgery. Some complications after the surgery can trigger the need for removal of the buttock implants. Though rare, these complications cannot be ruled out entirely. Here are the top 5 signs you need to have your butt implants removed. Implant infection One of the risks associated with buttock implant surgery is infection. Any procedure that involves incisions exposes the patient to possible infections. Buttock implant surgery involves major incisions on the buttocks. During the procedure, the plastic surgeon will make incisions on the buttocks and then insert and place the implants through those incisions. The surgeon will then suture and close the incisions. Even though all patients are exposed to the risk of infection after the procedure, some patients are more prone to getting infected than others. For example, if you have diabetes or a weak immune system, your risk of infection after the surgery will be higher. To protect you from possible infections, the plastic surgeon may prescribe you antibiotics to be taken for a few days following the operation. Also, you must be careful during the recovery period and keep the incisions clean. In most cases of infection after the surgery, the infection remains limited to the incisions or the tissues. These types of infections are treated with oral or IV antibiotics, without the need for removal of the implants. However, when the germs spread to the implants, the condition can become critical. When the implant gets infected, the patient must contact the surgeon immediately. Treatment of the implant infection requires another surgery. During the operation, the plastic surgeon will open the incisions and then remove the infected implants. He will also disinfect the implant pocket and tissues surrounding the pocket. The patient can opt to get new implants some months after the implant removal surgery. If you experience or notice signs like a rise in body temperature, pus discharge at the incision site, vomiting, severe and prolonged pain in the buttocks, nausea, etc., you must contact your plastic surgeon right away because these are the signs of infection. Implant rotation or displacement The second complication that may trigger the need for removal and repositioning or replacement of the buttock implants is called implant rotation or displacement. Even though butt implants do not deflate or rupture, they may rotate or get displaced. An implant rotation occurs when the implant revolves within the pocket, whereas an implant gets displaced when it moves out of the implant pocket. The risk of implant rotation and displacement is higher when the implant is placed over the gluteal muscle. Over the gluteal muscle placement of the implants increases the risk of implant rotation and displacement because the implants do not get enough tissue coverage in this place and position. To prevent this risk, most plastic surgeons and patients prefer to put the implants under or within the gluteal muscle where they get enough tissue coverage that keeps them from moving or changing position or place. However, if an implant rotation or displacement has already taken place, you will be required to get corrective surgery to fix the condition. When the buttock implant rotates or gets displaced, your butt size and shape may change. In such a case, you must see your plastic surgeon to diagnose the condition. The treatment of buttock implant rotation or displacement requires the opening of the incisions made during the initial surgery. The doctor will then remove the implants through the incisions and then change their position by putting them under or within the gluteal muscle. In case the implant rotation has happened due to the use of overly large implants, then the surgeon will remove the implants and replace them with suitably sized implants. Once the implants are then placed in a suitable place and position, the plastic surgeon will suture and close the incisions. Capsular contracture Capsular contracture is a rare but major complication that may occur after buttock augmentation with implants. The incisions made to put the implants inside the buttocks will gradually change into scars after the procedure. The scarring is a standard but permanent side effect of the operation. It happens because your body reacts against the incisions by generating more collagen. The collagen seals the incisions to protect your body from problems like infections by creating scars. Generally, the scars develop normally and fade over time. However, there is this risk that the scar tissue that develops at the incision site may start to contract and tighten around the implants continuously. Even though this happens rarely, the patient not only experiences physical pain and discomforts but the shape of the buttocks also changes. In severe cases of capsular contracture, the buttocks will look abnormally shaped and the pain will be extreme and continuous. To treat capsular contracture after buttock implant surgery, the plastic surgeon will recommend you to undergo a new operation to treat the condition. The new surgery is also a major procedure and performed under general anesthesia. The plastic surgeon will open the incisions made during the initial procedure and then carefully remove the buttock implants. He will also remove the scar tissues, also called capsules, during this treatment procedure. The problem cannot be treated without removing the implants and the scar tissue. The plastic surgeon will then suture and close the incisions. Of course, you can ask your plastic surgeon if you can get new butt implants after the procedure. In most cases, patients can get new implants many months after the surgery. Even though the risk of capsular contracture cannot be entirely eliminated, there are certain things that you can do to reduce the risk. For example, choosing an implant size that is suitable for your butt dimensions, having the implants placed under or within the gluteal muscle, and sharing your complete medical information with the doctor can play an essential role in considerably reducing the risk of capsular contracture. General dissatisfaction with the results The next sign that you need to remove the buttock implant is a general dissatisfaction with the results. No surgeon can guarantee that you will be happy with the results or that your aesthetic expectations can be met with one hundred percent accuracy. After buttock implant surgery, you may feel that your buttocks are either too large or too small or not properly shaped. As such, you may feel less confident and less happy with the outcomes. In such a case, the plastic surgeon may recommend you to remove and replace your current butt implants with new and suitably sized ones. Some patients opt to remove the implants without getting new implants. Change of aesthetic goals It is also possible that you may be happy with the results for many months and even years or decades. However, our aesthetic goals and ideals are subject to change. As you age, you may feel like your buttock size or shape is not what you desire to have any longer. Also, other areas of your body may change in shape or size, which may affect the appearance of the buttocks. Ideally, your butt size and other physical features like weight, height, and body outline need to be in tune. Aging may affect your other physical features, which can in turn make your butt look disproportionate. As such, you may feel less confident about the appearance of your buttocks. In such a case, the plastic surgeon may recommend you to remove your butt implants and have them replaced with new implants that are suitable for your new butt dimensions and body outline and can deliver you the desired results. Conclusion If your buttocks are smaller or flatter, you may consider getting buttock implant surgery. The surgery involves inserting and placing artificial implants into the booty. After the procedure, your buttocks will become more prominent and voluptuous. Buttock implant surgery has a record of delivering impressive and sustainable results. The results of butt implant surgery are permanent; however, specific problems may trigger the need for their removal. In this article, I have discussed the five signs that indicate that you should have your butt implants removed. I have also explained as to how the implants are removed and what happens in each case of implant removal surgery.