Safety concerns about butt augmentation with implants

Safety concerns about butt augmentation with implants

29th Jun 2021


Buttock augmentation with implants is a popular plastic surgery procedure for women who wish to enhance their rear end. The procedure effectively improves the size, shape, and aesthetics of the derriere. Buttock implant surgery involves the insertion of artificial objects called gluteal implants into the butt through incisions. Women who have underdeveloped derriere can get a fuller and balanced anatomy with butt implant surgery. 

While the surgery is known for its effectiveness, it involves incisions. Like all invasive procedures, there are risks associated with butt implant surgery. The good news is that the procedure has a good record of patient safety and satisfaction. However, you must select the plastic surgeon carefully and not rush to go under the knife. A good plastic surgeon can do everything possible to make the surgery safe and smooth for you. Also, make sure to discuss the risks with the surgeon in advance of the procedure. 

Are buttock implants safe?

Surgical procedures entail risks, and buttock augmentation with implants is not free of possible complications. However, when we take a look at the overall figures, more than 90 percent of patients are happy with the results and reported no complications. Moreover, butt implants do not pose any severe health risks as they have been tested and proven to be safe. The implants are made of heavy-duty, medical grade silicone material. Unlike breast implants, the butt implants do not rupture or leak. 

Even though the rate of complications is lower, it is still important for the patient to understand the risks associated with the procedure. Keep in mind that butt implants may shift or rotate and make the butt look asymmetrical, especially if you plan to get an oval implant. Fortunately, there are many things that the surgeon and patient can do to reduce the risks. 

Since butt implant surgery is invasive and involves surgical trauma, it is performed under general anesthesia. Also, you may experience some pain and discomforts for a few days after the operation. The plastic surgeon will also prescribe certain medicines to cope with the pain and risks like infections. Be sure to use the medications according to the doctor’s instructions so that you can stay safe. 

Risks of butt augmentation with implants and how to reduce the risks

Butt implant surgery is not free of risks and many things can go wrong after the surgery. Most of the complications occur when:

•    you are not a good candidate for the surgery

•    the surgeon is inexperienced or not board-certified

•    you are careless during the recovery period

Below are the risks associated with the procedure:

– Anesthesia reaction

Given the invasive nature of butt augmentation with implants, the procedure is performed under general anesthesia. The use of general anesthesia makes the procedure comfortable for the patient and easy for the surgeon. However, general anesthesia can expose you to different risks. If you have a history of anesthesia complications, you must discuss this with the plastic surgeon during the pre-operative consultation. The surgeon will assess your overall health, especially your heart and lung functions to determine whether the use of general anesthesia will be safe for you. If general anesthesia turns out to be risky for you, the surgeon may recommend the surgery under IV sedation with local anesthesia. 

– Excessive bleeding

Since buttock implant surgery involves incisions, there is a risk that the patient may experience excessive bleeding during and after the surgery. This risk is higher for patients who have severe forms of diabetes. Also, it can happen due to surgical error. If you have diabetes, you must bring this information to the knowledge of the plastic surgeon in advance of the operation. The surgeon will assess diabetes and may recommend medicine or tell you to avoid going under the knife. Also, you can reduce the risk of excessive bleeding by choosing the plastic surgeon carefully.

– Blood clotting

Some patients may be exposed to blood clotting after the surgery. For example, if you have a history of blood clotting or a blood disorder, it may trigger blood coagulation during the recovery period. Smoking has also been associated with an increased risk of blood clotting. If your health assessment suggests that you will experience blood clotting, you must avoid going under the knife. Blood clotting can also result from inactivity during the recovery period. It is for this reason that most plastic surgeons advise the patients to get up and take short and slow walks every few hours during the recovery period. If you are a smoker, you can reduce the risk of blood clotting by stopping smoking at least two weeks before the surgery and avoiding smoking during the recovery period. 

–    Capsular contracture

One of the rare but serious risks linked with butt implant surgery is capsular contracture. The plastic surgeon will make incisions on the butt that would ultimately change into scars. In most cases, scarring usually happens. However, there is the rare risk that the scar tissue that forms around the implant may begin to contract. The contraction is continuous and creates physical pain for the patient. It also changes the shape of the butt, making them look abnormal. 

When a capsular contracture happens, the patient is required to undergo a new surgery during which the surgeon will remove the implants along with the scar tissue. You can reduce the risk of capsular contracture by selecting a suitably sized implant and having the implant placed under or within the gluteal muscle instead of over the gluteal muscle. Also, being careful during the recovery and following the surgeon’s instructions can help prevent capsular contracture. 

–    Infection

Like all invasive procedures, butt implant surgery entails the risk of infection. While infection is rare, we cannot say that it will never happen. In most cases, the infection after buttock augmentation with implants is mild and can be managed with oral antibiotics. However, if not treated timely, the infection can affect the deep tissue and even the implants. The common symptoms of infection include fever, nausea or vomiting, pus discharge from the incisions, pain, and excessive swelling of the incisions. 

If the infection is deep, the patient will require IV antibiotics administration. Furthermore, if the infection has spread to the implants, the patients must undergo a new surgery immediately. During the operation, the doctor will remove the infected implants and disinfect the nearby tissues. To prevent infection, you must follow the doctor’s instructions. Do not touch the incisions or let any non-medical professional touch it. The risk of infection is higher for patients who have a weak immune system. 

–    Implant rotation or displacement

Another risk associated with butt implant surgery is rotation or displacement of the implants. The implant may get out of its pocket or dislocate. This risk is higher during the first six weeks. When the implant dislocates or rotates, it can change the shape of the buttocks. 

Putting the implants under or within the gluteal muscle can reduce the risk of implant displacement and rotation. You should discuss this risk with the surgeon in advance of the operation and ask the surgeon for tips to reduce this risk.

–    Buttock asymmetry

It is also possible that your buttocks may appear unbalanced or uneven. Buttock asymmetry may also transpire in the form of differently sized buttocks. Buttock asymmetry is an aesthetic complication that can happen; however, you should wait for at least three months to see if the asymmetry in the butt is permanent. In most cases, it is temporary, and the condition will resolve when the implants drop in place and the swelling disappears. 

– Nerve injury or damage

Buttock implant surgery involves incisions, which means that the nerves located in the skin may be injured or damaged. When this happens, the patient may lose her natural skin sensitivity. In most cases, the condition is temporary. You will get back your natural skin sensation when the nerves heal and regenerate. However, if the damage done to the nerves is severe and irreversible, the condition will be permanent. 


Buttock augmentation with implants is an invasive plastic surgery procedure, and like all surgical procedures, it comes with risks. Even though the procedure has a record of patient safety, it is not free of risks. The risks are higher for patients who are already having health problems. In this article, I have explained the safety concerns of butt augmentation with implants. You should do your research before the surgery and discuss the risks with the plastic surgeon. Doing so will ensure your safety during and after the procedure.

Share this article: