The buttock augmentation is a plastic surgery intervention and liposculpture procedure that aims to correct congenital, traumatic, or aesthetic imperfections at the level of the buttocks and the gluteal region. It also aims to increase the size of the butt. The correcting procedure includes the placement of a gluteal implant, liposculpture (liposuction followed by fat transfer to the buttocks), as well as body contouring with the help of lifting procedures. Limitations of buttock augmentation with implants The functional scope of the buttock muscles is to stabilize walking; this is why the remaking of the anatomical functionality is the therapeutic indication that determines what gluteoplasty procedure will efficiently correct the damaged muscles of the buttocks. Imperfections in the contour of the buttocks are quite common nowadays, and patients are always looking for a way to correct them. The therapeutic options should support the patient’s issue and not interfere with the function of the gluteal area. For example, the patient might be concerned with the cellulite on the buttocks. However, this can’t be corrected with a buttock augmentation procedure. Unfortunately, plenty of patients are looking for a more defined contour of their buttocks with the help of buttock implants without considering the level of sagginess in their buttocks. When a patient mentions that his/her goals are to eliminate cellulite with the help of buttock augmentation with implants, a responsible plastic surgeon should declare him/her as not eligible for the intervention. When there is severe sagginess of the buttocks, the patient is also not a suitable candidate for this procedure. This is because when butt implants are inserted in saggy buttocks, the result will be bigger and more saggy buttocks. Patients who desire to undergo the buttock augmentation procedure must be aware of the consequences of using implants. Not understanding what the procedure involves (the risks) and not accepting that you will have permanent scars after the surgery make you not eligible for the buttock augmentation surgery with butt implants. The buttocks anatomy Anatomically speaking, the mass of each buttock includes two muscles (gluteus maximus and medius), which are covered with a layer of adipose tissue. The superior parts of the buttocks end at the iliac crest and the inferior at the lower part of the buttocks. The right and left gluteal muscles are vertically separated by the intergluteal fold, where the anus is. The causes of buttocks imperfections The etiology of the buttocks contour imperfections can be genetic, traumatic, or earned. These defects bring contour issues and damage the normal curve of the buttocks. The earned gluteal deformations are frequently associated with aging, menopause, weight fluctuations, and obesity. These lead to skin laxity and the sagging of the buttocks. Menopause and the bone modifications associated with obesity diminish the aesthetics of the buttocks. Buttock augmentation methods: Gluteal implants The buttock augmentation is performed with a gluteal implant that is placed under each gluteal maximus muscle. The insertion of the implant is done through a linear incision of five to eight cm long. This is the most efficient method to increase the size of the buttocks in both men and women who have few adipose deposits in their body. After the surgery, because of the incision in the muscles, the complete healing of the tissue will take six to eight months. During this time, the gluteal muscles are relaxed, and the implants are perfectly integrated into the area. The gluteal implant surgery can be performed on a patient under general anesthetic or under local anesthetic with sedation. You are not an eligible candidate for the procedure if you fail to understand that the implant can change position after surgery due to the increased mechanical stress on the region (when walking, sitting down, running). Another issue that might deem you as not eligible for the buttock augmentation with implants surgery is the final shape of the buttocks. The gluteal implants are made out of thick silicone, and they alone can’t improve the shape of the buttocks. If you desire a change in buttocks anatomy, the plastic surgeon will also need to use liposuction or fat transfer to the area. If you are unwilling to undergo multiple procedures at the same time but you want to change your buttocks from a V shape to an A shape, the plastic surgeon might decide not to perform surgery on you. You might also not be eligible for a buttock augmentation with implants surgery if you are prone to infections. These implants are positioned in an area of the body where the possibility of infection is very high because of the proximity to the rectal area. In some cases, and because of the infections, the implants must be removed, and the area needs to be cleaned to allow the body to heal. Conclusion The buttock augmentation with implants is a procedure that can certainly help you achieve the butt of your dreams, but only if you are eligible for the procedure. There are plenty of reasons why you might not be eligible for the surgery, and the doctor might refuse to perform surgery on you. Among others, we can mention chronic diseases, blood coagulation issues, unrealistic expectations, the lack of acceptance of permanent scars, and so on. To qualify as an eligible candidate for the buttock augmentation surgery with implants, the plastic surgeon must ensure that you have real imperfections that need to be corrected, and there are no contraindications for the operation. Often the surgeon refuses plastic surgery when he realizes that the procedure won’t bring satisfaction to the patient. Such an intervention should only be performed when the patient and the surgeon agree on all aspects during the initial consultation. Another key point is the understanding by the person interested in undergoing the surgery that the outcome might not be what he or she expected. The surgeon can’t guarantee that your buttocks will look exactly like Kim Kardashian’s, nor that they will have the same size. If you want this, you are not eligible for surgery.