Introduction Buttock augmentation with implants is one of the fastest growing cosmetic surgery procedures in the US. Both men and women get this procedure, but women account for the highest number of patients as they can be extremely self- and image-conscious. Aesthetic flaws and shortcomings like having smaller and flatter buttocks create self-esteem issues for them. Fortunately, butt implant surgery augments the buttocks considerably and effectively. Butt implant surgery involves the placement of artificial implants inside the booty. To place the implant, the surgeon will place incisions on the buttocks to insert them. The incisions will then gradually change into scars. In most cases, normal scars develop; however, there is a risk some patients may develop abnormal scars. Incisions and scarring after butt implant surgery Buttock implant surgery involves incisions that would ultimately develop into scars. Be sure to discuss the incisions and scarring with the plastic surgeon during the pre-operative consultation. During the pre-operative consultation, the plastic surgeon will examine your buttocks and determine your candidacy. The doctor will also assess your health and evaluate your goals and expectations. He will take measurements of your butt dimensions and consider your body outline. Based on the findings, he will tell you whether you are a good candidate for the surgery. If you are a good candidate, the surgeon will then work with you to choose a suitable butt implant size. Butt implants are available in different sizes, and it is vital to select an implant size that is in harmony with your overall body outline and properly fits into your buttocks. The size of the implant will also determine the size and appearance of the resulting scars. Your skin type plays an essential role in the appearance of the scars. You must ask the surgeon as to how the scars will appear after the surgery. Women with fair skin mostly get less visible scars, whereas women with dark skin get more visible scars. During the operation, the plastic surgeon will place the incisions on your buttocks. In most cases, the incisions are placed in the buttock fold so that the resulting scars can be hidden. After making the incision, the plastic surgeon will insert the implant into the butt and then place it in the intended place. In most cases, the implants are placed under or within the butt muscle. The plastic surgeon will then suture and close the incisions. And like all invasive procedures, the incisions made during butt augmentation surgery will change into scars over the next few weeks and months. It can take years for the scars to stabilize. The final appearance of the surgical scars is complex. Your genetic tendency will be a big factor in determining the visibility of the scar. According to one study, the appearance of the final scar is 80 percent dependent on your heredity. However, how the surgery is performed and how careful the patient is during the recovery period also play a role in shaping the scars. If the plastic surgeon does the incision suturing and closing correctly and carefully and if you have good genetic character, the resulting scars will be less visible. Normal scarring Most women get normal scars after a butt augmentation with implants. Scarring is a normal side effect of the operation and is unavoidable because the surgery cannot be performed without incisions. A few weeks after the surgery, you will notice that the incisions will gradually change into scars. The color of the scars will also change as the healing progression takes place. Now, many people ask as to what causes the scars to develop. Well, humans have a natural propensity to experience a surge in collagen production when the body gets a cut or incision. The goal in an increase of the collagen level is to seal the incisions and protect your body from external contamination, infection, and diseases. The collagen seals the incisions by creating scarring at the site of the incision. Once the scars develop, they will be more noticeable at the start. However, as the weeks and months pass by, the scars will decrease in visibility. However, the scars will never disappear and are there to stay with you for a lifetime. The good news is that there are some treatment options available to improve the looks of the scars. Phases of scarring Inflammatory phase: Comprises the first week after surgery. During this time, your body produces higher levels of white blood cells. This phase happens at a time when the sutures hold the incisions together. Proliferation phase: Happens between the second week and fourth week of the surgery. During this phase, your body produces higher levels of collagen that create bumpy scars at the incision site. The scars look temporarily thick and pink during this time. Remolding phase: Happens after the first month and lasts for a few months. During this period, the collagen starts to align, letting the scars become soft, smooth, and normal. The color of the scars will also become lighter and less visible. At this point, most patients are satisfied when they see that normal scarring has taken place. Abnormal scarring In most cases after buttock augmentation with implants, the scarring happens normally. However, the risk of abnormal scarring, though rare, cannot be ruled out. Some patients may get abnormal scars, which are raised, rough, bumpy, highly visible, and aesthetically unpleasant. The most common types of abnormal scarring that may happen are keloid and hypertrophic scars. Both of these scars occur due to extremely rigid collagen development that overextends the skin, tissue, and blocks the tissue regeneration process. There is no doubt that abnormal scars look worse and aesthetically unwelcoming. The development of abnormal scars will overshadow the bigger and sensuous buttocks that you have achieved. As such, you must discuss abnormal scarring and your tendency towards experiencing it with the plastic surgeon during the consultation session. There are different reasons for the occurrence of abnormal scars; however, the leading reason is genetic propensity. More than 80 percent of abnormal scarring happens because of genetic factors. If your parents or grandparents were prone to getting abnormal scars, it means you are also at risk of the same thing. Secondly, the manner in which the incisions are sutured and closed also determine your risk of abnormal scarring. If the surgeon is inexperienced or unskilled, he may perform the suturing and closing of the incisions poorly, which can lead to the development of abnormal scars. And lastly, how careful you are during the recovery period will shape the appearance of the final scars. To avoid abnormal scars, you should not sit for two weeks after the surgery. Also, do not sleep on your back for two weeks and avoid physically strenuous activities for six weeks. These activities tend to apply pressure and strain to the incisions that can result in incision splitting, bleeding, infection, and abnormal scarring. Keep in mind that it can take as long as a year for the scar to become mature. During this time, your body works to improve the scar. Treatment of abnormal scars is not recommended during this time. However, if the scars don’t improve after more than a year, you may consider some treatment options. Abnormal scars can be treated with a corticosteroid that is directly injected into the scars every six weeks. It can help make the scars soft and smooth. Other options include laser therapy, the use of bleomycin, and cryotherapy. Conclusion Buttock augmentation with implants is a plastic surgery procedure that is used to augment smaller and flatter buttocks. This procedure is for people who want to get large and voluptuous buttocks. During the surgery, the plastic surgeon makes incisions on the buttocks and then places the artificial implants through the incisions. The incisions are then sutured and closed. Your body will generate collagen after the surgery to seal the incisions. This creates scars at the site of the incision. In most cases, the scars develop normally and fade over time. However, they do not disappear. In rare cases, abnormal scarring may happen. Abnormal scars are bumpy, raised, and highly visible scars.