Most people interested in getting plastic surgery to improve features of the body or their overall appearance ask about the results of the procedure even from when they first meet the plastic surgeon. This is a good idea and something you should make a priority if you want to achieve natural results after plastic surgery. Buttock augmentation with implants is a relatively new procedure compared to breast implants, which has a long history already. This means that people don’t know what to expect in terms of the results. Getting bigger, rounder buttocks is the main purpose of undergoing butt implant surgery. However, patients want to know if other people will be able to tell they had surgery on their buttocks. An important question that we hear all the time is whether an intimate partner will be able to tell that the patient had butt implants inserted. While we wish that the answer was a simple “yes,” this is not always the case. Generally speaking, when butt augmentation with implants is performed by an experienced, board-certified plastic surgeon and the patient has chosen the right type of implant that is suitable for her anatomy, chances are a new partner won’t be able to tell the difference between the implants and the muscular tissue of the buttocks. However, if the implants are poorly covered by the tissues of the buttocks or the scars are visible, a partner might be able to tell that the patient has had plastic surgery or that something is different. Bottom line is that the results of the procedure are highly dependent both on the initial condition of the tissues, the desires of the patient, and also the skills and experience of the plastic surgeon. An experienced plastic surgeon might choose to perform butt implant surgery together with fat grafting to make the results as natural as possible and to provide the best coverage for the implants. If these procedures are combined, the results are superior in a vast majority of cases. Keep in mind that to be eligible to undergo fat grafting, the patient needs to have an excess of fat tissue in other areas of the body that can be treated with liposuction to collect the fat. If you don’t have enough adipose tissue in the body, the plastic surgeon might advise you to gain a bit of weight before the surgery date. Generally speaking, if the patient wants to get results as natural as possible for partners not to be able to realize that surgery was done, the recommendation is to get implants that are not overly large and can be easily covered by the butt tissues to implant them under the muscles and to also get fat grafting at the same time.