Introduction The buttocks are among the primary body areas that people notice about women. To make a first strong impression, you need to have aesthetically welcoming buttocks. The size and shape of the buttocks play an essential role in the aesthetic appearance of women. Smaller and flatter buttocks are considered aesthetically unappealing, whereas fuller and bigger buttocks enhance your overall beauty and attraction. Buttock augmentation surgery can enhance your booty by making it bigger and shapelier. Some patients may need revision surgery after buttock augmentation. There are specific differences between primary butt augmentation surgery and revision surgery. In this article, I will explain those differences. Buttock augmentation surgery As the name suggests, butt augmentation surgery increases the size of the buttocks and makes them shapelier. Women desire to have bigger buttocks because it makes them look more feminine, fertile, and attractive. Moreover, men prefer women having bigger buttocks. The modern beauty trend also requires women to have bigger, shapelier, and voluptuous buttocks. Buttock augmentation surgery enhances the booty by making it bigger or shapelier. There are two types of primary butt augmentation options, namely: – Butt implant surgery Butt implant surgery is a popular type of buttock augmentation procedure. It is recommended for women who want to get voluptuous and large buttocks. This procedure involves the use of artificial objects to add volume and projection to your backside. Butt implants are prosthetic devices made of semi-solid silicone material. They are sturdy and immune to ruptures and leaks. During the surgery, the plastic surgeon will make incisions and then insert the implants into the buttocks. The size of the incisions depends on the size of the implants. Butt implants are available in many sizes. The plastic surgeon can best tell you which size is suitable for you after examining your buttocks and taking precise measurements. It is essential to make sure the implant size is suitable for your butt dimensions, body features, height, and weight. After inserting the implant inside the buttocks, the plastic surgeon will place them inside the pockets created under, within, or over the butt muscle. Once the implants are in place, the surgeon will suture and close the incisions. Your recovery will start after the surgery and continue for many weeks. Keep in mind that buttock implant surgery is a major and invasive operation that entails risks and surgical trauma. You should consider the risks and undergo the procedure only when the benefits are higher than the risks. The results of the surgery are permanent unless rare but severe problems like capsular contracture, implant rotation, or implant infection happen. – Fat transfer to the buttocks The second popular and effective option to augment your buttocks is through fat transfer. Also known as Brazilian butt lift, fat transfer uses your body fat instead of any external objects to deliver you the desired aesthetic improvements. Fat transfer is recommended for patients who desire to make their buttocks shapelier, besides adding mild projection to them. This procedure involves three significant steps: fat extraction, fat processing, and fat grafting. To be a good candidate, you need to have the required amount of unwanted, excess fat in your body. The plastic surgeon will first remove the excess fat from target areas like the abdomen, sides, and flanks through liposuction. He will then process and purify the fat by treating it in a centrifuge. In the last step, the surgeon will use a special needle to inject the fat cells into the booty. As a result of the fat injections, the buttocks will become shapelier and projected. Keep in mind that your body may reabsorb some portion of the fat. Also, weight loss after the surgery may result in shrinkage of the fat cells, which can reverse the results. Buttock augmentation revision surgery Some patients may need revision surgery after the primary butt augmentation procedure. The revision surgery is used to correct anything that was left untreated during the primary procedure or when issues arise in the buttocks after the primary operation. What will happen during the revision surgery depends on the type of primary surgery you underwent and the aesthetic flaws, shortcomings, or health and cosmetic complications that may arise after the procedure. – Butt implant revision surgery Butt implant revision surgery becomes necessary in certain situations. First off, some patients become dissatisfied with the results of the primary procedure. For example, they may think their buttocks are looking too large or small after the procedure. In such a case, butt implant revision surgery will involve opening of the original incision. The plastic surgeon will then access the implants through the incisions and remove them. He will then put other, suitably sized implants in the buttocks so that the desired results are achieved. Another factor that can necessitate a revision surgery is capsular contracture. Capsular contracture is a condition that happens when the scar tissue that usually develops around the buttocks after the primary butt augmentation surgery starts to contract continuously. The continuous contraction tightens around the implant, changing the shape of the buttocks and creating pain for the patient. In such a case, the revision surgery will involve opening of the incisions and removal of the scar tissue. The doctor will also remove the implant along with the scar tissue. The patient will then opt to get new butt implants some months after the procedure. Infection of the implants is yet another problem that may trigger the need for revision surgery. While superficial infection can be treated with oral and IV antibiotics, contamination of the implant requires revision surgery. During the revision operation, the plastic surgeon will use the primary incisions to remove the implants and disinfect the nearby tissue. If the patients want to get new implants, she can do so after recovery from the revision surgery. Implant displacement or rotation can also necessitate revision surgery. When the implant gets out of the pocket or changes position, it can affect the shape of the buttocks. To correct this problem, the patient is required to undergo revision surgery. During the operation, the doctor will use the original incision to put the implant back in the pocket in the intended position. – Fat transfer revision surgery Just like the butt implant revision surgery, the fat transfer revision surgery is also different from the primary fat transfer procedure. Various factors can trigger the need for revision surgery. First, your body may absorb some portion of the fat injected into your buttocks. This can cause your buttocks to lose some projection and shape achieved with the primary fat transfer surgery. If this happens, the doctor may recommend a revision surgery during which the surgeon will use liposuction to remove some more fat from your body and then inject the fat in the buttocks to make up for the lost fat. Patients are advised to avoid considerable weight loss after the primary fat transfer surgery. If the patient experiences massive weight loss, it can lead to liquefaction of the fat cells in your buttocks. As a result, the improvements achieved with fat transfer surgery will be lost. If the surgeon identifies more fat storage in your body, he may recommend a revision surgery during which the excess fat will be removed and then injected into your buttocks. Similarities in recovery between primary and revision butt augmentation surgery While there are many differences between primary and revision butt augmentation, the recovery after both procedures is the same. Both procedures involve the same levels of surgical risks and trauma. Both are invasive and involve side effects like swelling, pain, and bruising. As such, the recovery period will be the same. Whether you undergo primary surgery or revision surgery, you must avoid physical movements for two weeks after the surgery and avoid strenuous activities for six weeks. The results in both cases will emerge after six weeks. Conclusion Buttock augmentation is a plastic surgery procedure that is used to enhance the buttocks by making them bigger and shapelier. There are two types of butt augmentation procedures: via implants and fat transfer. After both of these procedures, some patients may need revision surgery. In this article, I have explained the factors that can trigger the need for the revision surgery and what revision surgery will involve in each case. I have also discussed the differences between primary butt augmentation surgery and revision butt augmentation surgery. If you are not happy with your buttocks after the primary operation or if there are any aesthetic or health complications, you may consult with your plastic surgeon and discuss the option for a revision surgery.