Introduction Buttock augmentation surgery is the only efficient solution for patients with small, flat or mildly saggy buttocks. The procedure is performed with the patient under general anesthesia and can take a few hours to be completed. It is important to choose a talented, experienced, board-certified plastic surgeon if you want to get the best results possible and avoid potential complications. In this article, we will discuss facts and myths about butt augmentation surgery. Fact #1: The procedure is performed under general anesthesia While performed mainly for aesthetic purposes, butt augmentation surgery is done on an outpatient basis but with the use of general anesthetic. The general anesthesia is used to ensure the comfort of the patient throughout the procedure and that the patient experiences no pain or has no memories of the surgical trauma. To properly prepare for butt augmentation surgery, patients are advised not to eat or drink anything for at least six to eight hours before the procedure. This is to make sure we are not confronted with any potential complications associated with general anesthesia. When all the safety measures are in place and you have followed the plastic surgeon’s recommendations to the letter, there are minimal risks associated with the use of general anesthesia. Myth #1: Butt implants are just like breast implants While both types of implants are used to augment certain areas of the body, butt and breast implants are different, and one can’t be used in another area than the one it was designed for. This means that we can’t use breast implants on the buttocks or the other way around. Implants are created with the aim of reproducing the consistency and texture of the tissues where they will be inserted. This means that while breast implants are soft and delicate to the touch just like the smooth tissues of the breasts, butt implants have a much thicker consistency, just like the toned muscles of the buttocks. This is the reason why we can’t use breast implants for butt augmentation purposes. Moreover, there are other differences between the two types of implants worth considering, such as lifespan. When it comes to breast implants, manufacturers offer a warranty of ten to fifteen years. Butt implants can be kept inside the body for a lifetime, with no need to remove and replace them if no complications occur. Also, there is no risk of rupture or leaking of the implants when it comes to butt implants as they are very similar to a chunk of solid silicone, unlike breast implants that have a silicone capsule filled with silicone gel or saline solution. It is also important to mention that butt implants won’t explode if a butt trauma occurs or during a flight. Fact #2: The recovery period is two to three weeks post-op Just like any other surgical procedure, there will be a recovery period after butt augmentation with implants. The recovery can be quicker for patients with no pre-existing health conditions and who follow the recommendations of the plastic surgeon to the letter. Also, patients who are younger tend to recover sooner than more mature patients. However, the plastic surgeon will advise you to avoid sleeping on the back or sitting on the buttocks for a minimum of three to six weeks post-op, and this is a very strict instruction that needs to be followed. Another thing that is crucial for the recovery period is avoiding smoking. The lack of proper oxygenation of the tissues can severely interfere with the healing process and trigger complications that could otherwise be avoided. Make sure to know exactly what is expected of you before scheduling your buttock augmentation procedure as some parts of it can be real turn-offs for some patients. Avoiding strenuous physical activities is another important instruction that your plastic surgeon will give you after butt augmentation surgery. Even if the recovery period is considered no longer than three weeks post-op, this doesn’t mean that this is when the final results will occur. Even after the recovery period is over, the patient might still have swelling and bruising on the operated area. It can take up to six months or more for the final results to transpire, so keep a positive attitude and have lots of patience until this happens. Myth #2: The implants can be inserted wherever the patient wants When it comes to breast implants, there are different implant placements available, and the plastic surgeon will explain what the benefits of each are and which one would be recommended in your particular case. However, this is not the case when it comes to butt implants. Simply put, the most commonly performed butt implant placement is inside the gluteal muscle. This means that the plastic surgeon will make incisions in the intragluteal fold and create a pocket inside the gluteal muscles that will accommodate the implants. There is just one more placement possible, and this would be under the gluteal muscles, but this is rarely advised as it is associated with more complications post-op. Why is the placement of the implants important? Well, mostly it is about the augmentation achieved and the shape of the buttocks. When using butt implants, the augmentation will occur on the upper part of the buttocks so the butt will have a more impressive projection. However, other areas of the buttocks such as the sides and the lower part will remain unchanged. If the patient desires a more considerable improvement, fat transfer can be used with butt implants and the results will look more natural. Discuss this option with the plastic surgeon if you are interested in enhancing the overall shape of the butt. Fact #3: Butt augmentation combined with other procedures can help patients achieve an hourglass body shape It is very common nowadays to combine butt implants with fat transfer. The main benefits are improved results and more natural looking buttocks, but also the redefinition of the area where liposuction is performed to collect the fat necessary for the transfer. Butt implant surgery can also be performed together with fat transfer to the hips, and this can result in an improvement in terms of the patient’s silhouette. Fat transfer to the hips is performed after liposuction on the flanks and the abdominal area to reduce the dimensions of the waist. This means that after these combined procedures, the patient will have a smaller waist, wider hips, and bigger buttocks. If the patient has enough fat in the donor areas, aside from the transfer to the hips, the plastic surgeon can also add more volume by fat grafting to the buttocks. The type of procedure to be performed depends on the initial anatomical characteristics of the patient and his expectations from the surgery. Make sure to discuss honestly and openly with the plastic surgeon to ensure the results are as you desired. Myth #3: The whole body shape is changed after getting butt implants Some people tend to believe that just by getting butt implants, the whole shape of the body is different. This is not the case. What happens when we get butt implants is that the projection of the buttocks is increased and from profile, the buttocks look bigger with beautiful curves. However, this doesn’t change in any way the shape of the body as seen from the front. This can only happen when the hourglass butt augmentation is performed, and the patient will also get lipo on the flanks and fat transfer to the hips. Combined procedures aim to deliver more significant results compared to just having an augmentation procedure that is meant to do exactly what the name suggests, to increase the size of the buttocks. Conclusion Buttock augmentation surgery is a popular procedure nowadays. It is performed all over the world, and most patients achieve great results. The surgery is not overly complicated; however, it must be performed by a talented, board-certified plastic surgeon who can guide you towards the desired results and help you avoid complications. There are different myths associated with undergoing butt augmentation procedure. In this article, we have discussed just a few facts and myths about buttock augmentation surgery. For more questions, please refer to your plastic surgeon.