Placement of the Butt Implants Introduction Buttock augmentation is a procedure that reshapes the buttocks. It provides people with a shapelier and uplifted derriere, which is seen as beautiful and youthful. Consequently, many people who opt for a buttock augmentation are those with small buttocks. The most popular methods for enlarging buttocks are fat grafting and butt implants. While fat grafting is the frequently used method, we can get the desired volume for the gluteal area with butt implants. Having said that, regardless of the chosen method for butt enhancement, what is important to the success of the surgery is choosing a Board-certified and qualified surgeon. By doing so, you are assured that the surgeon will use safe and FDA-approved materials and techniques to avoid complications. Unfortunately, there are still some patients who try to save money by choosing materials that are illegal or unsafe as well as choosing surgeons with no specialization or certification in the field, which in the long run becomes more expensive if they develop complications. Butt augmentation with silicone implants Just like in the case of mammary augmentation, surgeons use silicone implants for buttock augmentation. In fact, before the gluteal implants were designed, plastic surgeons would use breast implants for the buttocks. Nowadays, we have a wide array of gluteal implants to choose from and using any other type of implants is not recommended. The differences between the breast and butt implants are related to the shape of the implants and what material it is made from. When deciding on the shape, there are round shaped and anatomically shaped butt implants available. As for the texture of the silicone inside the implants, the gluteal implants are made out of a much more cohesive silicone gel than the breast implants. Nevertheless, you will only choose the size and type of the implants after you talk to the plastic surgeon. The reason for this is that the surgeon has to check your physical condition. The size and type of implants suitable to the patient is highly dependent on the structure of their buttocks. Also, the surgeon will have to consider the patient’s desires and needs before prescribing or suggesting implants. The placement of the incision The surgeon will make an incision to insert the implants into the gluteal area. Surgeons usually make a vertical incision in the coccidian area. In other words, it is placed on the superior part of the fold in between the buttocks. With the help of this incision, the plastic surgeon will be able to create a pocket in each butt cheek where the implants will be introduced. As for the length of the incision, this is about 6-8 cm. Some of it is in between the butt cheeks, while the rest of the incision continues to the superior part of the butt cheeks. The good thing about this is that the scarring caused by the incision won’t be so visible after it has healed completely. The position of the butt implants The results of your surgery can be affected by the positioning of your butt implants. The placement of the implants depends on the patient’s muscle level. The different positions of the implant have something to do with the gluteal muscles. The gluteal muscles cover the surface of the buttocks and are found immediately under the skin and fat in that buttock area. Buttock implants can be placed in four ways: On top of the muscle The implant is inserted between the adipose tissue and the muscle. This is actually the most superficial placement of the gluteal implants. The advantages are less post-operative pain and the fact that the implant can be positioned anywhere we want on the surface of the buttocks. Having said that, the disadvantage is that, shortly after the surgery, the gluteal implants may be visible due to the superficiality of the position of the implants. Unfortunately, this is the case for many, and to some, they even develop deformation in the gluteal area. Under the muscular fascia Buttock implants are usually placed beneath the muscular fascia. The implant can be inserted beneath the fibrous lining, which encases the buttock muscles. In other words, the butt implant is covered not only by the skin and adipose tissue, but also the fascia. The advantages are similar to the previous one, but add to that is the fact that the fascia offers a more solid coverage. Despite that, many surgeons claim that the coverage offered by the fascia is still not solid enough to sufficiently hold the implants. After a while, the implant will also become visible. Inside the muscle In this case, the implant is inserted into the muscle, which means it is covered by muscle on both sides. There should be the same amount of muscle over and under the implant. The advantage of the procedure is that it allows the insertion of the implant in any place of the buttock, and not just on the superior side as in the case of the over the muscle placement. Moreover, since the implants are placed inside the muscle, there is enough coverage to provide the buttocks a more natural shape, which also prevents the implant from becoming visible over time. However, the disadvantage of the method is that the recovery time is longer than the others. Under the muscle: In this case, the butt implant is inserted even deeper, completely under the muscles. The great thing about this placement is that it ensures that the implants will never become visible over time. Nobody will ever be able to tell that you have butt implants. On the other hand, the main disadvantage is that this method can be used only when you want to augment the superior part of the buttocks. The implant can’t be positioned on the inferior part of the buttocks because the sciatic nerve is located there. It is too risky because one mistake can immediately damage the nerves, leading to complications. Be that as it may, it is important to know that having more volume in the superior part of your buttocks gives it a more youthful and attractive appearance, hence inserting the implant there won’t create an unnatural effect. Conclusion Because every individual has their own desires and preferences, it is important to consult your surgeon and inform them about your expectations. You should ask your surgeon about the treatment options available In addition, the surgeon is the one who will suggest the technique most suitable for the patient. As aforementioned, there are four implant placements to consider: over the muscle placement, under the muscle placement, in the muscle placement, and the under the muscular fascia placement. Each one has its own advantages and disadvantages, and your doctor will explain them all to you and suggest an optimal method.