Introduction The buttocks play an important part in defining the physical appearance and femininity of women. Women with bigger buttocks look more feminine, fertile, and beautiful. If your buttocks are smaller or flatter and you are experiencing lower self-esteem due to the condition, you may consider getting buttock augmentation. The buttocks can be augmented either with fat transfer or implants. Both procedures deliver effective outcomes; however, there is no guarantee that you will get 100% results with the procedure. One of the problems that some patients reported after buttock augmentation is butt asymmetry. Buttock asymmetry is a condition whereby one butt is different in shape or size than the other one. Even though this problem is rare, it cannot be ruled out. If your buttocks have become asymmetrical after butt augmentation, you should discuss the issue with your plastic surgeon. Butt asymmetry after buttock augmentation To understand butt asymmetry after butt augmentation, you should first understand as to what the surgery involves. Patients having excess fat in the body and desiring to get shapelier and natural looking buttocks often get fat transfer, which is also known as the Brazilian butt lift. On the other hand, those who want to get bigger buttocks should go for implants. Fat transfer uses the excess fat available in your body to enhance your booty. During the operation, the plastic surgeon will use liposuction to remove the surplus fat from body areas like the abdomen, sides, flanks, and upper back. The fat is then processed in a centrifuge and then injected into the buttocks. As a result, the buttocks gain some projection and become shapelier. Buttock augmentation with implants is a plastic surgery procedure that uses external objects such as gluteal implants to make the buttocks bigger and voluptuous. Butt implants are made of semi-solid silicone materials that are highly durable and immune to ruptures and deflations. These implants come in different sizes. The plastic surgeon will examine your buttocks and then tell you as to what implant size is suitable for you. During butt implant surgery, the plastic surgeon will make incisions on the buttocks and then insert and place the implants into the buttocks. The implants can be placed under, within, or over the gluteal muscle. Once the implants are in place, the surgeon will suture and close the incisions. The results will not be immediately visible after the surgery. Your buttocks will be swollen and bruised, and it will take many weeks and months for the buttocks to become shapelier and bigger. It should not be forgotten that the swelling in the buttocks can vanish at a different pace, which means your buttocks may look temporarily asymmetrical. In most cases, a temporary butt asymmetry resulting from the swelling does happen. However, you should not worry about it and wait for the buttocks to heal and the swelling on both sides to subside. After a few months, your buttocks will become symmetrical. Also, keep in mind that once the implants are put into the buttocks, they will take time to drop and settle in the intended location and position. One implant can drop and settle at a different time than the other. Until both implants drop, your buttocks may look asymmetrical. This condition will settle a few weeks after the surgery. When it comes to fat transfer, the fat cells need to be vascularized so that you can notice the results. It usually takes two or three weeks for the fat cells to be vascularized. It is possible that some fat cells may be vascularized earlier than the others, which can make your buttocks look temporarily asymmetrical. You should not be concerned about it because your buttocks will look symmetrical and healthy after a few weeks. Causes of butt asymmetry after butt augmentation You should wait for at least three months after butt augmentation surgery to see the final results. If your buttocks look asymmetrical even three months after the procedure, it is a sign of a permanently asymmetrical booty. In such a case, you should contact your plastic surgeon to discuss the problem and explore corrective procedures. The leading cause of butt asymmetry is the existence of asymmetric buttocks even before the surgery. If your buttocks are considerably asymmetrical before the operation, the condition will remain even after the surgery. If the surgeon takes the condition into account before the procedure, he can use different sized implants to fix the problem. For example, if one butt is smaller than the other, the surgeon may place a large implant into the smaller buttock and a smaller implant into the large butt to fix the asymmetry. Another reason why the buttocks become asymmetrical is surgical error. If your plastic surgeon is inexperienced or unskilled, he may not operate correctly. As a result, the buttocks may become permanently asymmetrical. For example, if the surgeon fails to contour the buttocks during the operation or if more fat is injected into one butt than the other, the buttocks can become asymmetrical. Buttock asymmetry after fat transfer can also happen due to patient carelessness. For example, if the patient sleeps on her back or sits during the first two weeks following the operation, the fat cells in one butt may be killed or damaged. As a result, the buttocks can become asymmetrical. It is imperative for the patient to be careful during recovery and avoid applying any pressure to the buttocks. The buttocks can also become asymmetrical when the implant in one butt rotates or gets displaced. The risk of implant displacement and rotation always exists during the recovery period and afterward. In case one implant gets displaced or turns, it can make your buttocks look asymmetrical. To reduce the risk of implant rotation or displacement, be sure to tell the surgeon to place the implants under or within the butt muscles during the consultation session. The buttocks can also become asymmetrical if capsular contracture happens. Capsular contracture is a condition whereby the scar tissue that normally develops around the buttocks starts to contract. It changes the shape of the buttocks, besides creating physical pain for the patient. The risk of capsular contracture is low, but it cannot be ruled out. How to correct butt asymmetry after butt augmentation So, what can you do if butt asymmetry happens after butt augmentation surgery? Well, the first thing you need to do is to wait for at least three months to determine whether the condition is permanent. If it is permanent, then you should meet your plastic surgeon and explore the corrective options. How the condition will be treated depends on the cause of the asymmetry. If your buttocks were asymmetrical before the surgery, then the plastic surgeon would recommend you to have the implant removed from one butt and replace it with another implant that has a different size. On the other hand, if you have gotten fat transfer and your buttocks became asymmetrical, the surgeon would recommend touch-up fat injections in the smaller butt. Furthermore, if you were careless during the recovery and the fat cells in one butt died, you should consider getting additional shots of fat injections into the smaller butt. This will help make the buttocks symmetrical. In case the butt asymmetry has resulted from implant displacement or rotation, you would need to undergo revision surgery. During the procedure, the plastic surgeon will put the implants back in the original position and even change the location of both implants. As a result, the buttocks will become balanced again. If capsular contracture has occurred, the surgeon will advise you to undergo major surgery to remove the implants along with the scar tissue. This is necessary to eliminate the pain associated with the condition. The patient can opt to get new implants a few months after the procedure. Conclusion Buttock augmentation is a popular plastic surgery procedure, with tens of thousands of women getting the surgery in the US every year. The procedure has a high patient satisfaction rate and is effective. However, like all procedures, it is not free of risks and complications. The patient will be exposed to health and aesthetic complications after the surgery, even though the rate of complications is low. One of the cosmetic problems that may happen after the surgery is buttock symmetry. Asymmetrical buttocks are different in size or shape and affect butt contour and anatomy. In this article, I have discussed how likely butt asymmetry is after butt augmentation, what are the causes of butt asymmetry, and how can the condition be treated.