Introduction When it comes to the fastest growing cosmetic procedures in the US, we can see that buttock augmentation secures a higher slot. According to the American Society of Plastic Surgeons, buttock augmentation with implants has witnessed a 22 percent growth between 2015 and 2018 alone. On the other hand, fat transfer to the butt saw an increase of 30 percent during this time. Fat transfer to the butt is not a feasible option for many women, depending on the fat availability in the body and their aesthetic goals. Buttock implant surgery is a highly invasive procedure; however, it delivers impressive results for patients who desire to get large buttocks instead of shapelier and less projected buttocks, which can be achieved with fat transfer surgery. Many patients are worried about the incisions and the resulting trauma and discomforts and scars. In this article, I will explain as to how invasive butt implant surgery is. Incision options and invasiveness of the surgery Buttock implant surgery cannot be performed without incisions. They are unavoidable if you want to get large buttocks with implants. As you can deduct from its name, butt implant surgery involves the use of artificial objects such as implants. They are inserted and placed into the buttocks with the goal to add volume. To place the implants, the plastic surgeon makes incisions on the buttocks. Buttock implants come in different size options. The size can also be tailored to your needs. The size and type of incision required to place the implants into the buttocks depend on the implant size that you have chosen to get. If the size of the implant is large, you will require a relatively large incision on the butt. On the other hand, if you are getting a small implant, the incision size will be smaller. The implant should be chosen carefully. The procedure is not all about making the buttocks large but also about achieving a balance between your butt size and other physical features. Also, you cannot merely choose the smallest implant to avoid large incisions. The plastic surgeon will help you select an implant size that is suitable and ideal for your body type. Two types of incisions can be used to put the implants into the buttocks. The first option involves a single incision that is placed in the division between the butt cheeks, also called the gluteal fold. The incision is made in the center of the crease, and both implants are then inserted and placed through the same incision. The second option involves two curved incisions in the gluteal crease but placed along each butt. The surgeon will insert and put the implants into the left and right buttocks through the incisions. The good news is that both types of incisions are perfectly camouflaged and well hidden in the butt fold. Your underwear or bikini can also easily cover the resulting scars. Some patients prefer to use the single incision option, whereas others prefer the double incision. Both options use an incision size of 5-7 cm; however, the double incision option uses two incisions of 5-7 cm. Proponents of the single incision argue that using two incisions is unnecessary when the job can be done with a single incision. They say that using two incisions makes the surgery more invasive and result is more unnecessary scarring. Other plastic surgeons prefer to use the two-incision option. They often argue that the use of two incisions is necessary to shape both buttocks effectively so that they can accentuate their overall body outline. The method of two incisions gives the surgeon enough control over the procedure and lets him sculpt each butt according to their unique composition and structure and achieve a balance between both buttocks. It is vital for the patient to discuss the incision options and ask the surgeon as to how invasive the procedure is. Keep in mind that no matter what incision option is used, the resulting scars will be hidden under the butt crease. If you are scared of more incisions, you can discuss with your surgeon as to whether he can deliver you the desired results by using a single incision. Placing the implants The incisions are made to put the implants so that the buttocks can increase in size and become voluptuous and aesthetically welcoming. Without incisions, this cannot be done. After making the suitable incision, the plastic surgeon will get access into the buttocks. He will create pockets for the implants in one of these three locations: under, within, or over the gluteal muscle. The pockets are formed to hold the implants in the desired place and position. Most plastic surgeons don’t use over the gluteal muscle implant placement. This option comes with a higher rate of complications and little benefits. For example, the implant is more likely to rotate or displace when placed over the muscle. Instead, the majority of plastic surgeons put the implants in pockets created under or within the gluteal muscle. In these places, the implants get enough tissue coverage to be kept in the desired position without rotation or displacement. These options also deliver better results and make the buttocks look natural to a greater extent. After putting the implants into the pockets, the plastic surgeon will suture and close the incisions. Resulting scars The incisions made during butt implant surgery will ultimately change into scars. Keep in mind that the operation cannot be performed without incisions, which means that scars are unavoidable. The scars will gradually develop after the incisions start to heal. Scarring happens because your body reacts against the incisions by generating more collagen. Your immune system creates scars to seal the incisions and protect your body from complications like possible infections. The increase in collagen level is concentrated at the incisions, which changes them into scars. The scars will change many colors until they become mature. The scarring mostly starts to develop six weeks after the surgery. The scars are initially more prominent and visible; however, after one year, they will fade and become less noticeable. Moreover, since the incisions are made in the division between the butt cheeks, the scars can be perfectly hidden. Surgical trauma, pain, and discomforts Since butt implant surgery is highly invasive, the patient will experience surgical trauma and some pain and discomforts for a few days after the procedure. While making the incisions, the surgeon will tamper and injure or damage some tissues. As a result, you will experience some level of pain. The tissue will take a few days to regenerate, which means the first 2-3 days following the operation may be discomforting for the patient. The level of pain and discomfort depend on the patient’s pain tolerance level and how the surgery has been performed. Most patients experience mild to moderate pain. Only a few patients reported experiencing severe pain. If your pain tolerance level is good, you will experience only mild discomfort for the first few days after the procedure. The plastic surgeon will prescribe medications to cope with the pain. The good news is that in most cases, over-the-counter painkillers are enough to control the resulting pain. Recovery and results Patients are curious as to how long it will take to recover and if the results will become prominent. Butt implant surgery is invasive, which means the patient will have to go through a complete recovery process. The primary recovery happens in the first two weeks following the operation, whereas full recovery can take six weeks. The patient must take extreme care during the recovery period because the incisions may split open when pressure is applied to them. Do not sit and avoid sleeping on your back for two weeks after the surgery. Also, avoid strenuous activities for six weeks after the procedure. The results will gradually emerge. It can take several weeks and even months for the outcomes to transpire. When the results appear, you will notice that your buttocks have become more prominent and voluptuous and your overall body outline has improved. Conclusion Buttock implants are external devices made of semi-solid silicone material. The surgeon will put the implants into the buttocks through incisions, which means the procedure is highly invasive. In this article, I have discussed what makes the surgery invasive and what incisions options can be used. I have also explained the surgical trauma, pain, discomforts, and scarring that happen after the procedure.