Introduction Buttock augmentation is a popular plastic surgery procedure that effectively enhances the derriere by adding volume and projection to it. The surgery involves either the placement of artificial implants inside the butt or fat transfer to the butt. If you desire to have a large booty, you should consider butt implant surgery. On the other hand, if you want shapelier buttocks, you should consider fat transfer. After buttock augmentation surgery, you will get changes in the shape and size of your buttocks. Your buttocks will appear shapelier, more prominent, and voluptuous. While the procedure has an excellent record of delivering useful results, some patients experience negatives changes in their buttocks. It can happen any time after the procedure. Positive changes in the shape and size of the buttocks Women desire to have prominent, fuller and aesthetically welcoming backsides because it makes them look sexy, more feminine, and fertile. As a result, they opt to go under the knife. Buttock augmentation surgery helps them achieve their aesthetic goals. After the surgery, the buttocks become large, beautiful, and fuller. These improvements in the size and shape of the buttocks boost the self-esteem of the patient, which leads to improvements in different aspects of her life. So, how does buttock augmentation bring about these improvements or positive changes? Well, there are two types of buttock augmentation procedures: implant surgery and fat transfer. If your primary goal is to get large buttocks, your surgeon may recommend buttock implant surgery. The procedure is performed under general anesthesia and involves significant incisions. The buttock implant is an artificial device made of semi-solid silicone. It is highly cohesive, meaning that it can bear great force and pressure. It is because of this quality that the butt implants do not rupture or leak. Most patients live with the implants for a lifetime. However, there are some rare but severe complications that may compel you to have the implants removed. These include capsular contracture and infection of the implants. The plastic surgeon will begin the operation by making cuts on the buttocks. After the incisions are made, the doctor will insert and place the implant inside the buttocks. There are three options for setting the implants inside the booty: within, below, or above the gluteal muscle. Once the implant is in place, the surgeon will suture and close the surgical wounds. The positive changes in the shape and size of your derriere will not be entirely visible right after the procedure. In fact, it will require the changes a few weeks and even months to emerge. As the post-operative swelling subsides, the incisions heal, and the implants drop and settle in the intended position, the results will become prominent. The ultimate outcomes will emerge in the form of bigger buttocks that look aesthetically appealing, sexy, voluptuous, and beautiful. The results of buttock implant surgery are more sustainable. In most cases, the results will stay with you permanently. When it comes to fat transfer, it brings about the positive changes in your derriere by using your body fat. The procedure is performed under general anesthesia or IV sedation with local anesthesia. After the anesthesia administration, the plastic surgeon will make tiny incisions on the fat donor sites like the abdomen, sides, and flanks. The surgeon will then perform liposuction on the area to remove the excess fat. The fat is then purified in a centrifuge and then carefully injected into the buttocks. The positive changes of the procedure will gradually become prominent in the following weeks and months. After your body vascularizes the fat, the results will start to show. The ultimate positive changes will evolve in the form of shapelier, aesthetically pleasant, and mildly projected buttocks. The focus of the fat transfer surgery is on improving the shape of your buttocks, rather than making it large. When it comes to the sustainability of the positive changes introduced by the fat transfer procedure, they will stay with you as long as you are careful. You should avoid considerable weight loss after the surgery because it can affect the results. Also, be sure to choose your plastic surgeon carefully so that the results remain with you on a long-term basis. Adverse changes in shape and size of the buttocks Buttock augmentation does not only bring about positive changes to the buttocks. Certain factors can affect the shape and size of the buttocks in negative ways. The good news is that the risk of these adverse changes is lower given you are careful during the recovery period and follow the doctor’s instructions. Below are some of the negative changes that may happen after buttock augmentation surgery: – Reduction in size of the buttocks While the results of butt implant surgery are sustainable and long-lasting, that of the fat transfer procedure may not be sustainable for some patients. There is a risk your body may absorb some of the fat transferred to your buttocks, or if you are careless during the recovery period, some fat cells may die. If this happens, the shape of your buttocks will be lost, and even the projection will be reduced or lost. – Asymmetrical buttocks There is this risk that after the buttock augmentation surgery, your buttocks may become asymmetrical. It can happen due to surgical error, carelessness on the part of the patient during the recovery, and existing butt asymmetry. A good plastic surgeon can take measurements of your butt dimensions and diagnose any asymmetry that may exist and perform the butt augmentation in a way that will treat the sagging as well. As such, you must choose your plastic surgeon carefully. If you have undergone fat transfer surgery, there is a risk your buttocks may become asymmetrical. It can happen as a result of surgical error and carelessness during the recovery period. For example, if you sit within the first two weeks following the surgery, the fat cells in one or both of your buttocks may die, which can cause your buttocks to become asymmetrical. Also, if the surgeon has not followed the protocols of the surgery correctly, the fat may not survive, leading to buttock asymmetry. To treat buttock asymmetry after the butt augmentation, you will have to undergo another surgery or get touch-up fat injections in the affected butt. – Saggy buttocks Butt implants come in different sizes, which means their weight is also different. It is essential to choose the implants carefully so that buttock sagging after the surgery can be prevented. Some patients insist on getting the largest butt implants. The extra size and weight of the implants can make your buttocks saggy. Keep in mind that to achieve your aesthetic goals, the size of implants must be in tune with the dimensions of your buttocks, your overall body outline, height, and BMI. A good plastic surgeon will always take measurements of your buttocks and body and then recommend you a particular implant size. Remember, bigger is not always better. If you are aged, your skin might already have lost some elastin, which can lead to butt sagging if you get large implants. If your buttocks have already become saggy after getting large implants, you should seek corrective surgery. The procedure may involve removal and replacement of the butt implants, and even a butt lift surgery. – Abnormal shape of the buttocks If the surgery has not been appropriately performed, your buttocks may appear abnormal in shape. For instance, if the implants have not been correctly chosen or if the fat transfer has not been properly performed, your buttocks will appear poorly shaped after the surgery. Also, if you engage in physically strenuous activities during the recovery period, your buttocks may become abnormal. To avoid this risk, be certain to select only a board-certified plastic surgeon to perform the operation. Also, avoid physically demanding activities during the recovery period. If your buttocks have already become poorly shaped after butt augmentation, you should consult with an experienced plastic surgeon to seek remedy for the condition. The treatment may include additional fat transfer or changing the butt implants. Conclusion Buttock augmentation is a major plastic surgery procedure. After the procedure, your buttocks will appear bigger and shapelier. It can help improve your overall body outline as well. However, specific factors can cause adverse changes in the size and shape of your buttocks after the operation. Those factors have been discussed above. During the pre-operative consultation, be sure to ask the surgeon what type of changes your butt will undergo after the surgery. A trusted plastic surgeon will always explain the pros and cons of the operation to you.