Introduction Women count the buttocks among their major aesthetic assets. There is no doubt that the derriere plays a critical role in defining the physical beauty of women. A bigger booty is considered a sign of femininity and fertility, whereas women with flatter or smaller buttocks appear physically unwelcoming. It is for this reason that women with smaller buttocks experience body image issues. To overcome the condition, many women decide to get buttock implants. Butt implants are artificial objects that are inserted and placed inside the buttocks with the goal to add volume and projection to the derriere. Tens of thousands of women in the US undergo surgery every year to enhance the aesthetics of their backsides. Buttock augmentation with implants has an excellent record of delivering long-lasting and effective results. The FDA has approved the use of butt implants for buttock augmentation. Construction and reliability of buttock implants Butt implants are artificial objects made of semi-solid silicone material. They are highly durable and immune to ruptures and leakages. Many people think butt implants are the same as breast implants. However, the fact is that butt and breast implants are different objects. Butt implants are specially designed and constructed for the anatomy of the derriere. The material used in their construction is highly cohesive and reliable. Given the fact that the buttocks are used to sit, maintain your posture, and walk, the implants are manufactured in a way that they can endure huge pressure. Butt implants can keep their shape and form, no matter how much force or pressure is applied to them. Due to this quality, butt implants are reliable for use in butt augmentation. Once the implants have been inserted and placed inside your buttocks, they can stay with you permanently given the rare problems like implant infection, implant displacement, or capsular contracture don’t occur. Since the implants are permanent devices unlike breast implants, you can expect the achieved results to serve you for a lifetime. Size of the buttock implants Buttock implants are available in many size options, and the patient has a variety of options to choose from. The flexibility regarding the size of the implants provides the patient and the plastic surgeon enough room to choose an implant size that is suitable for the patient and can fit well in the patient’s buttock dimensions. Many patients think that getting a large implant is the best option. However, what matters is not the size of the implant but whether the implant can fit appropriately in your existing butt dimensions and whether the implant conforms to your body outline. If a board-certified plastic surgeon is performing your surgery, he or she will help you select an implant size that will help you achieve the desired results. During the pre-operative consultation, the patients must listen to the surgeon carefully and work with them to select a suitable implant size. Keep in mind that too large is not ideal for every patient. If you are short or thin, the surgeon will recommend you a small or medium implant size because large implants will make your buttocks look weird and abnormal. Candidacy for buttock augmentation with implants Many people think that butt augmentation with implants is a simple and straightforward procedure to enhance the appearance of the derriere. However, the fact is that it is a highly invasive and traumatic procedure. The surgery involves incisions, and there are risks associated with the operation. Due to its invasive nature, a good plastic surgeon will always determine your candidacy for the surgery. To go under the knife, you need to be a good candidate for the procedure. So, what makes you a good candidate? Well, there are many things that the plastic surgeon will take into account during the pre-operative consultation. First of all, the surgeon will examine your buttocks and ask about the results you desire to achieve. Some patients wish to have shapelier and mildly projected buttocks. If you have such goals, you will be told to consider getting fat transfer instead of implants. Butt implant surgery is for people who have smaller buttocks and want to get bigger buttocks. The surgery’s prime focus is not on making the buttocks shapelier. It is focused on increasing the size of the buttocks. After examining your buttocks and knowing your aesthetic expectations and goals, the doctor will tell you whether you should get implants or fat transfer. Next, the surgeon will assess your overall health. If you are in good health and not suffering from serious health complications, you will be a good candidate for the procedure. If you are suffering from health problems, you must bring it to the attention of the doctor. Patients having severe forms of diabetes, heart disease, hypertension, blood disorders, etc. must avoid getting buttock implants. How is butt augmentation with implants performed? To achieve your desired aesthetic results more securely, you must choose only a board-certified and highly experienced plastic surgeon to perform the procedure. The surgery is performed under general anesthesia. After a board-certified anesthesiologist administers the anesthesia, the plastic surgeon will begin the procedure by making incisions on the buttocks. The size of the incisions depends on the size of the implants. After making the incisions, the surgeon will insert the implants into the buttocks. The surgeon will use specialized techniques to make it possible. After entering the implant inside the buttock, the surgeon will either place it under, within, or above the gluteal muscle. Where the implants are placed inside the buttocks plays a critical role in shaping the results of the surgery. Depending on the size of the implant and tissue availability in your buttocks, the surgeon will place the implants in a pocket created in one of the places mentioned above. In most cases, the implants are placed under or within the gluteal muscles because in these places, the implants get maximum tissue coverage. Also, the rate of complications is lower when the implants are placed within or underneath the gluteal muscle. After placing the implants in the predetermined place, the plastic surgeon will suture and close the incisions. Your recovery will kick off right after the surgery and the results will gradually show. Recovery after the procedure After the surgery, your buttocks will be swollen due to the traumatic nature of the procedure. The swelling is a typical side effect of the operation. The post-operative swelling will slowly disappear over the next several weeks. The initial two weeks after the surgery are critical regarding your recovery. The patient must stay in bed during this time so that the incisions can heal. During this time, you must avoid sleeping on your back and sitting because the incisions are vulnerable to open up and lead to complications like infections, seroma, and other problems. After two weeks, you may resume work and even sit. But you must avoid prolonged sitting. While sitting, make sure you have a rolled towel under your hamstring muscle. Complete recovery after the procedure takes typically six weeks, but it can differ from one patient to another. You will be required to wear compression garments for many weeks after the surgery. Unless you have completely recovered, you must avoid doing physically strenuous activities. Results The results of buttock augmentation with implants will slowly evolve as you recover. Some improvements in your buttocks will be visible right after the surgery, but complete results will transpire after many weeks. After the post-operative swelling have disappeared and the incisions have healed, the results will show. The outcomes will be visible in the form of bigger, shapelier, and voluptuous buttocks that will enhance your overall body outline as well. Possible complications The surgery is not free of risks and complications, though it has an excellent record of safety. The rare but major complications that may happen after the surgery include implant rotation or displacement, infection, capsular contracture, seroma and hematoma, general dissatisfaction with the results, anesthesia complications, etc. Conclusion Buttock augmentation with implants is one of the most common plastic surgery procedures performed in the United States, used to add volume and projection to smaller or flatter buttocks. Butt implants are foreign objects that are placed inside the derriere and come in different sizes. The surgery is performed under general anesthesia, and it has an excellent safety record, even though it is not free of complications and risks. You should consider this procedure only as a last option and only when the benefits are higher than the risks.