Introduction Gluteal implants are artificial objects that are used to add volume and projection to the buttocks. The gluteal area is considered to be one of the most important aesthetic areas of the human body. Females are very sensitive when it comes to the features, size, and shape of the booty. Cosmetic flaws in the buttocks cause emotional issues for women. Smaller buttocks look aesthetically unwelcoming. It is the reason why many women with smaller buttocks undergo gluteal implant surgery. Gluteal implant surgery involves placing the implants inside the buttocks through incisions. The implants come in various sizes. The results of the procedure depend on the size of the implant, where the implants have been placed, the surgeon’s experience, and the post-operative care. In this article, I will discuss gluteal implant placement options and the best option for placing the implants. Gluteal implant surgery To understand the best placement option for gluteal implants, it is essential to know how the procedure is performed. If your buttocks are smaller, you may consult with a board-certified plastic surgeon to explore your treatment options. The surgeon will examine your buttocks and assess your health during the pre-operative consultation and then recommend an implant size and placement option. The procedure is performed under general anesthesia because it is highly invasive and traumatic. After a board-certified anesthesiologist administers the anesthesia, the plastic surgeon will make the required incisions on your buttocks. The size of the implants will determine the length of the incisions. After making the incisions, the doctor will insert the implant inside your buttocks and then place it in the best position possible. He will then suture and close the incisions. Implant placement options When it comes to implant placement, there are three options: over, under, and within the gluteal muscle. Over the gluteal muscle implant placement is less preferred because it entails many complications. When the implant is placed over the gluteal muscle, the risk of implant rippling and palpability will be higher. When rippling and palpability happens, the implants will be visible through your skin on the edge of the buttocks, and you will also feel the implant when sitting. Also, the risk of capsular contracture is higher with this implant placement option. Capsular contracture means the scar tissue tightens around the implant. It squeezes the implant and results in a change in the shape of the buttocks. It also causes physical pain for the patient. These problems happen because when the implants are placed over the gluteal muscle, it gets less or insufficient tissue coverage. The second option to place the implants is within the gluteal muscle. With this option, the risk of complications is considerably lower than when the implants are placed over the gluteal muscle. Most patients and surgeons prefer this option. The third option is to put the implants under the gluteal muscle. This option is used when there is insufficient tissue available to provide coverage to the implants. It is mostly recommended for thin and petite patients. Which is the best implant placement option? Many patients ask which option is best for placing gluteal implants. The answer is that the best implant placement option differs from one patient to another, depending on your BMI, tissue availability in your buttocks, butt dimensions, height, and weight. If one implant placement option is best for one patient, it isn’t necessarily best for another patient. However, most patients qualify for within and underneath the gluteal muscle implant placement. These two options have a good record of delivering effective and sustainable results. The risks associated with these options are also lower. When the implant is placed within the gluteal muscle, it gets maximum tissue coverage. As a result, the risk of capsular contracture, implant palpability, and rippling is lower. Under the gluteal muscle implant placement is best for those patients who are petite or thin. These patients lack sufficient tissue in their buttocks. Under this condition, it is not recommended to place the implant over the gluteal muscle. When the implant is placed under the gluteal muscle, it gets enough tissue coverage to prevent complications. When the implant is placed over the gluteal muscle, there is a chance your buttocks may not look natural. Also, the best gluteal implant placement option depends on the size of the implant. If the implant is large, it should not be placed over the gluteal muscle because it can make your buttocks look unnatural. When the implants are placed over the muscle, the risk of implant rotation and displacement is also higher. It is yet another reason why under and within the muscle placement are considered to be the best option. It is important to make sure the implant matches your underlying butt dimensions and anatomy. Doing so will make the results appear natural and reduce the risk of problems like poor aesthetic results. It can also prevent nerve injury. When the implant is not in tune with your butt dimensions and anatomy, it can cause tension on the skin and result in poor incision healing. The fact is that there is no perfect place between the gluteal muscle and the underlying tissues. In other words, they are all tangled. Hence, making a pocket for the implant under the initial few layers of the gluteal muscle is good enough to deliver better tissue coverage and reduce the risks of the complications explained above. Implant placement and size Your buttock implant size is closely associated with the implant placement option best for you. A butt implant is a prosthetic object made of highly cohesive and durable silicone. The implants are available in different sizes. It is essential to choose an implant size that is suitable for your body outline, butt dimensions, and other aesthetic features of your body. Many patients think large implants are always better. As a result, they get unsatisfactory results. Keep in mind that bigger implants are not always better for everyone. If you are petite or thin, you should go with medium or smaller implants. A board-certified plastic surgeon can best tell you about the implant size that is right for you. When the implant is not large, it can be placed over the gluteal muscle. While the risks will be lower, it will not be free of the risks in such a case. Large implants should not be placed over the gluteal muscle because it can make your buttocks saggy over time, besides increasing the risk of capsular contracture, implant rotation, and incision splitting. It is recommended that large implants should be placed within the gluteal muscle. Medium sized implants can be placed within and under the gluteal muscle. When large implants are placed over the gluteal muscle, it also increases the rate of infection as the implant has more contact with your skin that may harbor bacteria. However, putting the implant too deep under the muscle should be avoided as it can cause sciatic nerve injury and impingement. A good plastic surgeon will always examine your buttocks, ask you about your goals, take measurements of your butt dimensions and body outline and then recommend you the best implant placement option and implant size. As a patient, you must discuss the implant placement option with the plastic surgeon during the pre-operative consultation. You should ask the surgeon about the pros and cons of each option and find out the best option for you. In case you fall into the hands of a wrong, inexperienced, or unqualified doctor or practitioner, you will run into many risks. It is likely that the implants will be placed in the wrong position in such a case, which can lead to many health and cosmetic problems. To prevent these problems and to make sure the implant is placed in the right place, you must choose your plastic surgeon carefully and after a thorough vetting. Conclusion Buttock implant surgery is a popular procedure in the US. Every year, tens of thousands of patients undergo the procedure to enhance their buttocks. The procedure involves inserting and placing artificial implants inside the buttocks. The implants are available in different sizes. Your plastic surgeon will help you choose a suitable implant size. Many patients are curious about the best implant placement option. The implants can be placed over, within, or under the gluteal muscle. Most patients and surgeons prefer the second two options because they deliver better results and the rate of complications is lower. Placing the implants within the gluteal muscle is the best option for most patients; however, the plastic surgeon will examine your buttocks and then tell you which option is best for you.