Introduction Buttock augmentation is one of the most common plastic surgery procedures in the United States. Buttock augmentation with implants is recommended for women who have smaller buttocks and want to get considerably bigger buttocks. The procedure has a good record of enhancing the buttocks and delivering long-lasting results. The use of butt implants is safe, which is why the number of women getting the procedure have increased by eighteen percent between 2015 and 2016. The procedure involves increasing the butt size by placing artificial implants into the buttocks. These implants, which come in different sizes and styles, are inserted and put into the buttocks through incisions. Many people mistake butt implants for breast implants, whereas, in reality, there exists a considerable difference between the two. Butt implants are highly durable and resilient, unlike breast implants. How strong and resilient are butt implants? An implant is a foreign object that is used to augment smaller or flatter buttocks. Also called a gluteal implant, it is made of semi-solid silicone. The butt implant has a robust construction, which makes it highly durable. It can effectively resist any pressure or strain applied to the buttocks. These implants are available in different sizes and oval and round shapes. Moreover, they are available in smooth and textured surfaces. The buttock implant is made of a shell that comes pre-filled with a semi-solid silicone material that can defy implant rupture, spilling, and deflation. Keep in mind that it is critical for the buttock implant to be durable so that it can withstand the pressure applied to it when sitting or sleeping on the back. The silicone used in buttock implants is safe for your health as it is a heavy duty, medical grade silicone. It gives a firm and natural appearance and feel to your buttocks when used in the right size. These implants are typically put under the fascia or within the buttock muscles. The buttock muscle is normally treated as a pocket for the implants. The fascia lubricates and protects the butt muscles as they enlarge and shrink. The implants are placed under the gluteal muscle when the patient is thin and lacks fat in the buttocks. Typically, buttock implants are manufactured in four different styles. The most common form is the non-directional, round shaped implant. This implant design is more popular because it can be inserted and placed in any plane, providing an undeviating increase in the projection of the buttocks in all directions. This includes an increase in the fullness of the upper part of the butt. Keep in mind that when you get a non-directional implant, it almost eliminates risks like implant displacement, which is a case more commonly seen with directional implants. Due to this advantage, the non-directional implant is considered to be stronger and resilient. On the other hand, directional implants are not so resilient and reliable as they come with disadvantages and specific risks. These implants have an anatomical design, meaning they can require a precise alignment and placement within the butt. Unlike non-directional implants, they are not the same in all directions. This means that if they are placed in a wrong position or orientation, they may rotate or get displaced, which can lead to loss of the achieved outcomes and trigger the need for revision surgery. However, when directional implants are correctly placed into the buttocks, they can deliver outstanding results. For example, when they are placed in the sub-fascial plane, you can get amazing results with perfect symmetry. However, to achieve these benefits, your plastic surgeon needs to have the experience, artistry, and sense of aesthetics to sculpt your buttocks in the desired shape with directional implants. Advancements in the development of butt implants During the last five years, buttock implants have seen significant improvements regarding resilience and strength. In the past, the implants used to augment the butt were either too hard or too palpable and weak. As a result, they were exposed to ruptures. Today, butt implants are made of highly durable, semi-solid silicone and the firmness of the implants closely match the butt muscles and fat. Due to this development, patients now achieve almost natural outcomes. Modern gluteal implants do not deflate or rupture. An important factor you must keep in mind when selecting an implant is the feel of the implant inside your butt. Depending on the size and style of the implant, some implants can be seen and felt on the side of the buttocks. You must ask your surgeon about this risk during the pre-operative consultation. Thanks to the advancements made in the development of butt implants, you can now get long-lasting results with the surgery. In most cases, the results achieved with buttock implant surgery are permanent because unlike breast implants, modern butt implants are immune to ruptures and leaks. These implants are highly resilient and robust that they can withstand immense pressure without deflating or rupturing. However, in rare cases, the patient may require corrective surgery not because of the construction of the implants but because of other rare complications like capsular contracture, implant rotation, and implant infection. Capsular contraction is a complication that happens when the scar that usually develops on the buttocks after the surgery continuously contracts, causing physical pain for the patient and affecting the shape of the buttocks. To treat this condition, the patient is required to get a corrective surgery during which the surgeon will remove the scar tissue along with the implants. The results achieved with the operation are lost as a result of this problem. On the other hand, if the implant gets infected, the patient must get a surgery to remove the implants and disinfect the surrounding tissues. In case the implant rotates or gets displaced, you will also be required to get a revision surgery that will involve putting the implants back in the desired position or changing the place of the implants. What size and style of butt implant is right for you? Many women wonder as to what size and style of the gluteal implant can help them achieve their aesthetic goals. It can be difficult for the patient to make the decision solely, which is why you must consult with a board-certified plastic surgeon with experience in butt implant surgery to know your options. The plastic surgeon will check your butt size, ask about your goals, and assess your health. He will also take measurements of your butt dimension and other physical features and then recommend you a particular implant size and style. Keep in mind that it is not always wise to get the largest implant. Ideally, the size and style of the implants should accentuate your body outline and physical features and fit well inside your butt dimensions. Getting the wrong implant size and style can make your buttocks look unnatural and abnormal. How is the surgery performed? Butt implant surgery is an invasive and major plastic surgery procedure. It is an outpatient procedure that is performed under general anesthesia in most cases. For your safety, make sure that a board-certified anesthesiologist administers the anesthesia. After the general anesthesia is administered, the plastic surgeon will make incisions on the buttocks. The incision technique depends on the size and style of the gluteal implant. After making the incisions, the plastic surgeon will insert the implants into the buttocks. He will then put the implants under or within the gluteal muscle. During the consultation session, make sure to ask the surgeon as to what implant placement option is suitable for you and why. Once the implant is placed and positioned into the implant pocket, the plastic surgeon will carefully suture and close the incisions and the surgery will come to an end. Your recovery will begin right after the surgery and continue for many weeks. You must not sit or sleep on your back and instead take sufficient rest for the first two weeks. Afterwards, you may resume work but keep in mind that complete recovery takes six weeks. The results of butt implant surgery will not be immediately visible. It can take many weeks and even months for the outcomes of the procedure to emerge. Conclusion Many women who want to get butt implant surgery wonder as to how strong and resilient butt implants are. Butt implants are made of heavy-duty, medical grade semi-solid silicone material, which makes them highly durable and resistant to deflation or ruptures. Once you get the implants, they will remain in your buttocks for a lifetime if rare problems like capsular contracture and implant infection don’t happen. In this article, I have discussed the strength and resilience of the gluteal implants, besides explaining the sustainability of the results, the advancements made in the development of the implants, and how the procedure is performed.