The butt augmentation procedure is very sought after nowadays as both men and women are looking for efficient and long-term solutions to increase the size of their buttocks. A larger behind is a symbol of sex appeal, and men and women alike can feel frustrated and not sexy enough when they are not happy with how their butt looks. Patients resorting to plastic surgery to enhance their buttocks talk about the joys of having the butt of their dreams after years of struggling with dissatisfaction. We now perform two buttock augmentation procedures via implants and lipofilling. Butt implant surgery uses gluteal implants made out of a highly cohesive silicone gel that is inserted into the buttocks to increase projection. Butt lipofilling uses the patient’s own fat cells to give a rounder, better-defined shape of the buttocks and also a lifting effect. Each procedure targets to correct different imperfections of the buttocks and it is not unusual for them to be performed in combination on some patients to achieve superior aesthetic results. When meeting the plastic surgeon for the pre-operative consultation, many patients want to know how increased is the risk of developing an infection after butt augmentation. This is a legitimate concern as the incisions for the procedure are made on the buttocks, an area prone to bacterial proliferation. When butt implant surgery is performed, there is a higher risk of developing an infection, even compared to other plastic surgery procedures where incisions are placed on other areas of the body. To be able to insert the gluteal implants, the plastic surgeon needs to create a pocket inside the gluteal muscles. For this, incisions are made in the intragluteal fold in between the buttocks. There can be one or two incisions in the area that is very close to the anus, so they are a high risk of developing an infection post-op. The plastic surgeon will explain what you need to do to avoid getting an infection and how to keep the incision area clean and dry at all times. Antibiotics will be administered and prescribed for five more days after the procedure. This is a preventive measure and should help the patient keep infections at bay. For fat transfer, patients should know that there is a very low risk of developing an infection after this procedure. First of all, the incisions are very small and positioned in different areas of the buttocks where they can be easily looked after and checked. The procedure is also much less invasive compared to butt implant surgery. However, the plastic surgeon might still prescribe antibiotics for five days post-op, just to be on the safe side.