Surgical alterations in the body such as butt implant surgery are commonly done today. This kind of surgery improves the appearance of the buttocks by increasing its size and improving the shape. The implants are inserted into each butt cheek, and different surgeons may use different techniques depending on the body of the patient and the results desired. Each technique will have its own benefits and risks. One of the operative techniques involves inserting the butt implants just under the fat but still over the fascia. This can be done but is mostly advised against due to the high risk of implant shifting. The implants are also quite obvious because only the fat layer is covering them. It is also possible for the buttock implants to be placed under the fascia, also known as a subfascial placement. In this technique, the implants have the fascia to prevent it from shifting or being in the wrong position. This is only advisable for those who have enough fat and soft tissue to cover the implants adequately. In some patients, the subfascial placements may be enough because of their body type. It is chosen because patients can recover more quickly from it as compared to those who have their implants in deeper layers. A much deeper layer would be the intra-muscular placement. In this technique, the pocket is created within the muscle layer. This technique is selected to provide adequate cover for the implants and to make sure the implants do not shift or move. With this, the implants are snugly tucked within the muscles. There is no defined plane where the implants are placed and it would all depend on the surgeon performing the procedure. Due to the incisions done on the muscles, it is expected that the recovery time is longer compared to a subfascial placement. There is also a limit to the size of the implants because larger implants would place a lot of pressure on the muscles, which can then hinder it from healing well. Other surgeons may also place the implants under the muscles. This is to make the implants less palpable and less obvious. Although it is done with good intent, there is a huge risk involved here. There is actually no definite division between the gluteus maximus and the other deeper tissues that is why it can be difficult to identify where under the muscle really is. In addition, the sciatic nerve is also found in this area. There is a great risk of damaging the nerves that is why many surgeons refrain from it. Some prefer the subfascial or the intramuscular placement to avoid accidentally damaging the nerves. The operative technique used by a surgeon is affected by different factors. The consultation period with a surgeon greatly helps in assessing the needs of the patient to achieve their goal. If you wish to have butt implants, go through a consultation with the surgeon first before deciding on the details of the procedure. It is also best to find another surgeon if you are not convinced with what one surgeon suggests.