Introduction Butt augmentation surgery with implants is a plastic surgery procedure performed for aesthetic or restorative purposes that aims to correct imperfections of the buttocks by increasing their volume, especially in terms of projection. The procedure is recommended for both men and women who wish to have a more visible rear end for aesthetic or restorative reasons, such as after considerable weight loss or after trauma to the buttocks. The gluteal implants resemble a chunk of silicone and they can be oval or round. The size, as well as the shape and position of the implant, will be determined by the plastic surgeon after a medical examination performed on the patient during the pre-operative consultation and also after discussing the patient’s goals and expectations from the surgery. The procedure is performed with the patient under general anesthesia lying on the tummy. Using the scalpel to get bigger buttocks is safe and efficient; however, the recommendation for patients interested in the procedure is to make sure they choose an experienced, board-certified plastic surgeon as this is the only way to minimize risks and achieve spectacular results. In this article, we will discuss more about getting bigger buttocks and what the butt augmentation procedure entails, as well as frequently asked questions about the procedure. Advantages of getting implants to increase the size of the buttocks The procedure that is performed with the aim of inserting the implants inside the buttocks is simple, efficient, and provides permanent results. This means that there is no need to remove or replace the implants after they are inserted, not unless complications occur. The procedure takes no longer than two hours in a vast majority of cases, and there is no need for the patient to put in efforts to ensure the sustainability of the results. Other benefits are associated with the natural results if a suitable implant has been chosen and also the fact that the scars are almost impossible to see as they are often positioned in the intragluteal fold. Potential risks when getting butt implants Due to the position of the incisions, the cicatrization can be difficult, and it requires the patient to be very careful and keep the area dry and clean at all times as otherwise bacteria can proliferate and infections can occur. There is also the risk of developing seromas and hematomas, blood clot formation, or excessive bleeding after the procedure. The pre-operative behavior is very important as well as the medical instructions to help the patient avoid severe complications. This is the reason why before the surgery, that patient needs to have a consultation with the plastic surgeon and another one with the anesthetist. Also, medical examination and tests are required, including blood tests that will help us rule out potential complications. The recommendation is to stop smoking at least a month before the procedure, stop taking aspirin or other anti-inflammatory medication or natural supplements two weeks before the procedure, and pause birth control pill treatment a month before the procedure. How is butt augmentation performed? The intramuscular technique is one method that allows a stable, natural and satisfactory result. A single incision of about 6 cm is made on the intergluteal fold, which allows placing the two implants on each side after creating pockets in both parts of the buttocks. The incisions can also be positioned over the buttocks or under them, in the fold where the buttocks meet the thighs, but this can lead to more visible scars. At the same time, depending on the butt tissues of the patient, it is also possible for the implants to be positioned under the buttock muscles instead of intramuscular. This technique is preferred for patients with little butt tissue or when bigger implants are required. When the procedure is performed, the surgeon will make the incisions, cut through the tissues of the buttocks to reach inside or under the gluteal muscles where the pocket will be created. Implants are now inserted and the incisions sutured. The patient is moved to a recovery room where she will stay until the effects of the general anesthesia are gone. The hospitalization period is no longer than a few hours if no complications occur. What comes next after butt implant surgery? The post-operative period is associated with a certain level of pain and discomfort. There is a strong recommendation not to sit or lie on the buttocks for a minimum of three weeks after the surgery. Also, the patient will not be able to drive or rest on their back. Compression garments should be worn for at least a few weeks or according to the instructions of the plastic surgeon. Most patients are able to resume normal activities within the first two weeks post-op and, in some cases, even work. For intense physical activities, the plastic surgeon will advise you to wait at least two months before resuming. Frequently asked questions about getting bigger buttocks How long will it take for the incisions to heal after butt implant surgery? Due to the position of the incisions in the intragluteal fold, it can take longer for the incisions to heal compared to other plastic surgery procedures. The plastic surgeon will monitor the cicatrization process a few days after the surgery and until the scars are fully mature and healed a year after the procedure. The plastic surgeon might recommend certain dressings to be applied on the incisions for a faster cicatrization. Are there other methods to increase the volume of the buttocks without using implants? Many patients are interested in getting results that are as natural as possible when considering butt augmentation. However, the other efficient and safe method for butt augmentation is also offered by plastic surgery and comes in the form of fat grafting. If you want to avoid getting butt implants, the plastic surgeon will still use a scalpel to increase the size of your buttocks, but during a different procedure. When fat grafting is performed, the surgeon will collect fat from areas where there is an excess with the help of liposuction and then process and reinject the fat into the buttocks to give them more volume and create a nicer shape. Can I get silicone injections instead of silicone implants? While silicone injections are available on the black market, a responsible and board-certified plastic surgeon will never use them to augment the buttocks. Silicone injections are not safe, and they use a type of silicone that is meant for industrial purposes, not medical ones, and they can trigger severe complications that can even lead to the death of the patient. Silicone implants are safe to use and FDA approved, so this is the only option that is recommended for patients who value their health and well-being. What is the right size of butt implants to be used? Just like other procedures, there is no generalization when it comes to butt implants. What is the right size for one patient might be totally contraindicated for another. This is the reason why these issues should be discussed in detail with the plastic surgeon during the pre-operative consultation. The plastic surgeon will perform a medical examination and also take into consideration the height, weight, and lifestyle of the patient before making recommendations for the butt implant size and shape. Will I need other procedures done after getting butt implants? Unlike breast implants which have a limited warranty period, butt implants are designed to last for a lifetime. This means that there is no need to undergo procedures to replace and remove the butt implants. However, if complications occur, the plastic surgeon might recommend additional procedures. Generally speaking, for a vast majority of patients, there is no need for additional procedures after the initial butt augmentation. Conclusion Using the scalpel to get bigger buttocks is a common practice nowadays. The procedure is called the butt augmentation, it is often performed with silicone implants, and it targets both men and women who want a considerable increase in the volume of their buttocks, especially in terms of projection. The procedure takes no longer than two hours and the patient is often under general anesthesia, so no discomfort is experienced during the operation. However, this procedure is associated with a more intense level of pain and discomfort during the recovery period compared to other plastic surgery procedures because of the recommendation not to sit or lie on the buttocks.