Introduction Plastic surgery offers multiple procedures for patients who want to increase the size of their buttocks. The right procedure to help you achieve your aesthetic goals will be recommended by the plastic surgeon during the pre-operative consultation. The procedure that will correct your butt imperfections and get you the buttocks of your dreams should be customized depending on the current condition of your butt tissues and the results you expect to achieve. For some patients, butt implant surgery is the recommended procedure. Others have a recommendation for butt augmentation with fat transfer, or a combination of the two procedures that would provide them with the best results. Getting an experienced, board-certified plastic surgeon to play out your procedure is an important step in the success of butt augmentation. The plastic surgeon can also help you avoid severe complications, such as infection. In this article, we will discuss more about butt augmentation and signs of infection after the procedure. Fat transfer to the buttocks This procedure is performed with the patient under general anesthesia and entails the use of liposuction to gather fat cells from other areas of the body, where the collected fat is then transferred to the buttocks. The procedure is less invasive than other butt augmentation procedures and the results are easily sustainable in time if the patient can keep a constant weight with no fluctuations over 2 kg from month to month. Fat transfer to the buttocks only uses the patient’s own fat cells, purified, and then reinjected into the buttocks. Because of the filler substance used and the fact that the incisions required are quite small (usually no longer than 3-4 mm), the procedure is associated with few and minor risks and potential complications. A risk that is always present when it comes to fat grafting is the fat dying due to the inability of getting a blood network to provide nutrition. This often happens when too much fat is injected in a certain area of the buttocks. When this happens, the patient can be left with asymmetries on the buttocks. It is important to choose a plastic surgeon well-versed in performing fat transfer procedures as he should master the technique well to ensure the survival of the majority of the fat cells injected. Even in the case of a successful procedure, patients should know that a percentage of the fat injected will be reabsorbed by the body over the next few months following the procedure. This means that not all the fat injected will survive the transfer in the first two months post-op. Aside from this risk of fat dying or fat reabsorption, there are no other significant risks associated with the procedure. The risk of developing an infection after fat transfer to the buttocks is very low. Infection is always a possibility when it comes to surgery, even if the incisions are very small. However, due to the presence of incisions on the buttocks which is prone to bacterial proliferation, patients can be confronted with infections in rare cases. Butt augmentation with implants At the pre-operative consultation for butt implant surgery, the patient is carefully examined by the plastic surgeon while looking for potential contraindications to the procedure. During this consultation with the plastic surgeon, the patient will get a chance to discuss all the details of the surgical plan and the desires and expectations from the surgery. When butt implant surgery is performed, the plastic surgeon will start making an incision about 5 cm long. The incisions can be positioned either in the intragluteal fold or in the fold at the meeting of the buttocks and the upper part of the thighs. The surgeon will use the incisions to create a pocket inside or under the gluteal muscles where the implants will be positioned. The implants can only be positioned on the upper part of the buttocks where the muscles are. This is why with this procedure we can only correct imperfections of the upper buttocks. If you have something that needs correcting on the lower part of the buttocks, the procedure should be associated with fat transfer. Butt implant surgery lasts no longer than an hour and a half in a vast majority of cases. Surgery can take longer if it is combined with other procedures such as liposuction or fat transfer. Generally speaking, the length of the procedure is dependent on the complexity of each case and the anatomy of the patient. General anesthetic is often used for butt implant surgery. The post-operative period is an important stage to the success of the procedure. The patient needs to follow the recommendations of the plastic surgeon to the letter to avoid unwanted complications such as infections from occurring. Sleeping or sitting directly on the buttocks should be avoided for at least three weeks and the same goes for smoking. These can interfere with the healing process, cause wound opening and lead to infections. To avoid a potential infection from occurring, the plastic surgeon should clean the implants before being inserted with an antibacterial solution. Moreover, the patient should get antibiotics through the IV during the surgery. The plastic surgeon should also prescribe antibiotics for five days post-op. Signs of infection After being discharged from the medical facility or hospital, you should be aware of the signs of a normal post-operative recovery and also how to recognize the signs of infection. If you experience one or more of the symptoms described below, you should contact the plastic surgeon or your doctor for treatment: – High fever High fever experienced in the first few days following surgery can be a sign of infection. When associated with other symptoms visible on the incisions, it can be an infection of the surgical wound. When associated with intense pain and inflammation, it can be a sign of a deep tissue infection. – Yellow pus Small or large quantities of pus coming out of the incisions during the first few days post-op can be a sign of infection. – Wound opening Wound opening is a complication that we do our best to avoid after plastic surgery as it can trigger infections, delay the recovery process, and also create unsightly scarring. If wound opening occurs, it is important to contact the plastic surgeon as soon as possible. Try to clean the wound with antiseptic substances and place a sterile bandage over it until you get seen by a doctor. If an infection is present on the surgical incisions, this might make it impossible for the wound to close and heal. The doctor has to clean the infection and even remove the tissues affected to promote healing. – Intense pain Pain and discomfort are normal and natural side effects after a complex surgery such as butt augmentation. However, the pain should subside when taking the medication prescribed by the plastic surgeon. If you find it difficult to manage the pain and it is intense and the area of the operation is swollen and red, chances are you might be having an infection that requires immediate attention and treatment. Conclusion When undergoing butt augmentation surgery with implants, there is a higher risk of developing an infection than if the patient would have a fat transfer. However, when incisions are performed, there is always a risk of infections occurring, especially because the procedures target an area prone to bacterial proliferation such as the buttocks. To avoid infections, patients are advised to keep proper hygiene and take antibiotics medication as per doctor’s orders. Moreover, avoiding sitting on the back and buttocks and smoking for the first three weeks. Among the signs of infections that can occur are high fever, pus coming from the surgical wounds, intense pain, and redness of the buttocks, among others.