Introduction Most women want to have bigger and voluptuous buttocks because these aesthetic features make them look more feminine and fertile. It also helps improve your overall body definition. There is no doubt that bottoms are among the most vital cosmetic areas of the female body. But not all women get bigger and beautiful buttocks naturally. Many women experience self-esteem issues due to smaller buttocks. It is where gluteal implant surgery comes in to help. Gluteal implant surgery uses artificial objects made of semi-solid silicone to augment the buttocks. These implants are available in different sizes and are placed inside the buttocks through incisions. Where the implants are placed inside the buttocks determines the results of the surgery and the rate of complications to a great extent. Gluteal implant surgery There are three options for implant placement within the buttocks and which option is right for you depends on many factors. To understand those factors, you should first get acquainted with gluteal implant surgery. The gluteal implant is an artificial device made of semi-solid silicone material. Having a vital construction, the gluteal implant is highly hardwearing and exempted from ruptures and leaks. They can endure high strain and pressure without rupturing or leaking. As a result of their durability and construction, gluteal implants are permanent devices and the results they bring are also lasting. Gluteal implant surgery is performed on an outpatient basis and under general anesthesia. The surgeon will help you select the implant size during the consultation session. During the operation, the doctor will place an incision on the butt and create a pocket where the implant can be placed. The implant is then inserted and placed inside the pocket through the incision. The incision is then sutured and closed, and the same thing is repeated for the other butt cheek. Your recovery will start immediately after the surgery and continue for many weeks. You can resume work two weeks after the surgery, but you must avoid physically strenuous activities for six weeks. The results will take many weeks and even months to become noticeable. To achieve better and satisfactory results, you must choose your plastic surgeon and the gluteal implant size carefully. Also, you must select the implant placement option that is most suitable and useful for your body type and butt composition. Gluteal implant placement choices When it comes to making the choice about gluteal implant placement, you have three options: Under the gluteal muscle placement Within the gluteal muscle placement Over the gluteal muscle placement The plastic surgeon will examine your buttocks and assess your aesthetic goals and health during the consultation session and then decide which of these implant placement options is useful for you. Under the gluteal muscle Placing the implants under the gluteal muscle is a popular choice among most surgeons and patients. The doctor will first put incisions on your buttocks and then create a pocket under the gluteal muscle. In the next step, the surgeon will insert and put the implants in the pockets formed under the gluteal muscle. In the last step, the surgeon will suture and close the incisions. This implant placement option offers many advantages. When the implant is placed under the gluteal muscle, the risk of implant visibility through the skin, palpability, and rippling will be significantly reduced. The implants will not be noticeable through the skin nor will the patient feel the implants when sitting. When the implant is placed under the gluteal muscle, it will get more tissue coverage, which will in turn decrease these risks. When the implants are placed under the gluteal muscle, the risk of implant displacement and migration will also be considerably reduced. Patients should keep in mind that gluteal implants are prone to get displaced. Implant displacement happens when the implant’s position changes within the pocket, or it gets out of the pocket. As a result, your butt shape will change. Placing the implants under the gluteal muscle also decreases the risk of capsular contracture. Capsular contracture is a complication that occurs when the scar tissue that usually develops due to the incision starts to contract and create pain for the patient. It also makes the buttocks look abnormal. Placing the implants under the gluteal muscle entails many advantages; however, the surgeon must not put the implant very deep under the muscle because it can injure your sciatic nerve. Within the gluteal muscle Placing the implant within the gluteal muscle is also a common implant placement option. When the implant is placed within the gluteal muscle, it decreases the risks of capsular contracture, implant palpability, rippling, and implant rotation. Furthermore, it can enhance the results and make your buttocks look natural. When the implants are placed within the gluteal muscle, it means the most active tissue in your buttocks will cover the implants, making the results excellent. The tissue will hold your newly contoured buttocks in place and prevent the complications mentioned above in addition to giving your buttocks beautiful shape and considerable size. The good news is that unlike under the muscle placement, the risk of sciatic nerve damage is negligent when the implant is placed within the gluteal muscle. Over the gluteal muscle Placing the implant over the gluteal muscle is the least preferred option. Many patients and doctors do not use this option; however, this doesn’t mean it is never used. Depending on their goals and the aesthetic flaws in their buttocks, many patients still qualify to get over the gluteal muscle implant placement. The risks associated with this implant placement option are generally more than the benefits. The first disadvantage of this option is that it delivers unnatural results and your buttocks will not appear more prominent and aesthetically appealing. If you are petite or thin, you must avoid this implant placement option because when the implants are placed over the gluteal muscle, they fail to get enough tissue coverage. As a result, the risk of complications increases. Next, if you are getting a sizeable gluteal implant, you should avoid this placement option because large implants will not get enough tissue coverage with this option. As a result, the risk of buttock sagging, capsular contracture, implant displacement, and other complications will increase. Furthermore, the implant’s edge will be visible through the butt skin, and you will feel the implants when you sit. Essential contemplations about gluteal implant placement The plastic surgeon can best tell you which of these implant placement options is best for you. You should discuss with the surgeon about the risks and benefits of the procedure. The butt implant placement option and implant size go hand in hand to shape the results of the procedure. It is vital for the patient to select an implant size that can fit properly in the buttocks and accentuate your overall body outline. The plastic surgeon will take measurements of your body and then recommend you an ideal gluteal implant size. When a suitable implant size is selected, the results will be better and natural. The patient must ask the surgeon how the different implant placement options would affect the results and what are the advantages and disadvantages of each option. Remember, using the wrong implant placement option can make gluteal implant surgery a botched operation. Also, make sure to communicate your aesthetic goals and expectations to the surgeon during the pre-operative consultation, besides asking the surgeon about the risks and complications associated with each of the gluteal implant placement options. There is no doubt that over the muscle implant placement entails many risks and the results are not satisfactory in most cases. You must select an implant placement option only when the benefits are higher than the associated risks. If the risks are higher than the benefits, you must avoid that option. Gluteal implant surgery is performed under general anesthesia and involves significant incisions. The length of the incisions depends on the size of the implants. The incisions will ultimately change into scars with the passage of time. The results of the procedure will slowly transpire as your buttocks heal after the surgery and when the post-operative swelling has disappeared. It can take many weeks and even months for the results of the procedure to become prominent. Conclusion Gluteal implant surgery is a major procedure that is used to make the buttocks bigger. During the procedure, artificial implants are inserted and placed inside the buttocks. The implants are made of highly durable silicone and placed through incisions on the buttocks. In this article, I have discussed the details of placing the implants inside the buttocks. The implants can be placed over, under, or within the gluteal muscle. Each of these options has pros and cons. I have discussed the pros and cons of each option in this article. In most cases, implants are placed within the gluteal muscle because it entails little risks and the benefits are higher. Placing the implants under the gluteal muscle is also a popular option. But over the muscle implant placement is used in rare cases and many risks are linked with this option.