Introduction Butt implants have been used to augment the derriere for decades now. Made of semi-solid silicone material, butt implants are highly cohesive and permanent devices. The implants are placed inside the buttocks through incisions. The procedure has an impressive history of delivering long-lasting improvements to the buttocks. If your buttocks are smaller or flatter, buttock implant surgery can help fix the condition. While the procedure is safe and most patients are happy with the outcomes, it involves complications like most other invasive procedures. During the pre-operative consultation, be sure to discuss with the surgeon the risks and complications. It is an outpatient procedure and performed under general anesthesia. Butt implants and the operation Butt implants are useful for women who desire to increase the size of their buttocks and make their buttocks look sensuous and voluptuous. During the pre-operative consultation, the plastic surgeon will examine your buttocks and assess your health and then tell you whether you are a good candidate for the procedure. Butt implants are artificial objects and come in different sizes. They are also referred to as gluteal implants and manufactured with the goal to be used in buttock augmentation and help you achieve your aesthetic goals. The implants are highly durable and can endure massive pressure without rupturing. What this means is that once you get the implants, they are there to stay in your buttocks permanently, provided that significant complications don’t happen. The implants are placed inside the buttocks during a surgical process. A board-certified anesthesiologist will administer the anesthesia, and the plastic surgeon will start the operation by making incisions in the areas between your butt creases and posterior thigh. Depending on your anatomy and the surgeon’s preference, the incision may be placed in the upper region of the ridge or between your buttocks. After making the incisions, the surgeon will create pockets to accommodate the implant. The pockets can be created under, above, or within the gluteal muscle. Afterwards, the plastic surgeon will insert the implants inside the buttocks through the incisions and then place them in the pockets. Lastly, the surgeon will suture and close the incisions. Main complications linked with butt implant surgery Buttock augmentation with implants is a primary plastic surgery procedure. Like all other invasive procedures, there are complications associated with it. These complications may happen during the operation or the recovery period. How prone you will be to these risks and complications depends on your overall health, the care taken during the recovery period, and your choice of plastic surgeon. The rare but serious complications associated with butt implant surgery include infection, capsular contracture, excessive bleeding, implant displacement or migration, fat tissue atrophy, and abnormal scarring. It is critical for the patient to understand that there is no guarantee that you will be happy with the results or that you will get 100 percent natural appearing buttocks after the surgery. Let’s discuss the significant complications linked with butt implant surgery: – Butt implant infection The first main complication that may happen after butt implant surgery is an infection of the implants. When the implant gets infected, it can trigger life-threatening situations. While infections that are limited to the incisions and the skin can be treated with oral antibiotics and IV antibiotics, infection of the implants will raise the need for a surgery to remove the implants and disinfect the entire area. People who have a weak immune system are more at risk of infection. To reduce this risk, the surgeon will prescribe you antibiotics to be taken during the recovery period. It is also vital for you to share your complete health details with the surgeon so that taking specific precautionary measures during and after the surgery can reduce the risks. The surgery after implant infection is a major procedure. It is performed under general anesthesia and involves opening of the original incisions. The surgeon will then remove the implants and disinfect the implant pocket and nearby regions. You may get new implants some months after the implant removal surgery. – Capsular contracture The second rare but main complication that may happen after butt implant surgery is capsular contracture. During the operation, incisions are made on the buttocks for the placement of the implants. The incisions will ultimately change into scars. In majority of cases, the scars remain normal and fade over time. However, there is a risk the scar may start to contract and squeeze the butt implants. As a result, the patient will experience physical pain and discomfort and the shape of the buttocks will change and look abnormal. Capsular contracture is not common, but it cannot be entirely ruled out. When capsular contracture happens, the patient is required to undergo a new operation to treat the condition and alleviate the physical pain. The operation is performed under general anesthesia and involves removing of the scar tissue along with the implants. You can get new implants some months after the surgery. The good news is that you can prevent capsular contracture to a greater extent. The leading causes of capsular contracture include the use of overly large implants and placing the implants over the butt muscle. To reduce the risk, you should work with your surgeon to choose an implant size that fits into your butt dimensions. Also, placing the implant within or under the gluteal muscle will reduce the risk further as the implants will get enough tissue coverage, which will decrease the risk of capsular contracture. – Implant displacement or rotation Displacement or rotation of the implant can affect the aesthetic results. After the procedure, when the butt implants don’t get sufficient tissue coverage, they will either get out of the implant pocket and get displaced or will rotate in their place. In both cases, your buttocks will appear abnormal and poorly shaped. There are many reasons why implant displacement or rotation happens. If you are careless during the recovery period, it can cause implant displacement. Also, using very large implants and placing the implants over the butt muscles increases the risk of implant displacement. When the buttock implant gets displaced, it can be treated during a corrective operation. The surgery is performed under general anesthesia. The plastic surgeon will open the original incision and put the implants back in their position. If that is not the solution, the surgeon will create new pockets for the implants and put the implant there. In case the reason of the condition is the use of an excessively large implant, the surgeon will remove and replace the implants with smaller ones. – Asymmetrical or saggy buttocks The next main problem associated with butt augmentation with implants is the development of asymmetrical or saggy buttocks. This condition mostly happens due to surgical error or poor skin condition. The buttocks may appear unbalanced or different in size or shape. On the other hand, if your skin quality is weak and the elastin is weaker, the additional weight of the implants will cause the buttocks to become saggy after the surgery. To prevent these conditions, be sure to choose your plastic surgeon carefully. A good surgeon will examine your skin during the pre-operative consultation and then tell you whether you are a good candidate for the procedure. If your buttocks have become saggy, you should consider removal of the implants and then undergo butt lift surgery. – Butt implant rippling or palpability Other main complications linked with butt implant surgery include rippling and palpability of the implants. When these conditions happen, the edges of the implant become visible through the buttock skin or the patient will feel the implant as a solid object when sitting. The leading cause of this problem is the placement of the implants over the gluteal muscle. You can prevent implant rippling and palpability by having the implants placed under or within the gluteal muscle. When rippling or palpability happens, you should consider getting a corrective surgery during which the surgeon will change the place of the implants. Also, selecting your plastic surgeon can help prevent the condition. Conclusion Buttock augmentation with implants involves many risks and complications. Some complications are not severe but common, and others are severe but rare. I have discussed the main complications associated with butt implant surgery in this article. To reduce the risk of these complications, be sure to select your surgeon carefully and follow the surgeon’s instructions entirely. Furthermore, following the tips provided above can also help reduce the risks.