One of the possible but rare risks associated with buttock augmentation via implants is skin loss. It is a complication that triggers the death of skin tissue. During the surgery, the plastic surgeon will place incisions on your butt and tamper with your skin, nerves, muscles, and blood vessels. In order for the incision and skin to heal, it needs sufficient oxygen and blood supply. The lack of blood and oxygen supply to the incisions, discharge of fluids from the surgical wound and hematoma are the leading factors that trigger skin loss after buttock augmentation with implants. Other causes of the condition include infection and smoking. When the skin is dead, it cannot be restored because nothing can be done to instill new life into the skin that is already dead and lost. However, the earlier the death of skin is diagnosed, the better, because there are several steps that can be taken to stop further skin loss. In most cases, the loss of skin after buttock augmentation with implants remains limited to a localized area within the butt. However, in some cases, the condition can affect major areas of the butt, triggering abnormal scarring. During butt implant surgery, the skin can be disconnected from up to 60 percent of its blood supply. When the skin flap remains without a blood supply for a longer period, the skin finally dies. An experienced, board-certified plastic surgeon would perform butt implant surgery in a manner that would not expose the patient to skin loss. During the operation, the limit to which the surgeon tampers with and pulls the skin is a major factor that can lead to skin loss. There is also a likelihood that the firmness of the skin in some areas of the butt can constrict blood flow to the area, hence leading to the skin’s death in that area. This complication can also settle in when the surgeon tugs the skin very tightly to the point that blood flow is stopped. In order to avoid the loss of skin after buttock augmentation with implants, be sure to choose your plastic surgeon carefully, discuss your complete medical history with the surgeon, stop smoking a few weeks before the surgery and remain a non-smoker after the surgery, and be very watchful during the recovery period.