Butt augmentation can be performed either with implants or fat transfer. For the fat transfer to be performed there is one condition: the patient needs to have an excess of fat tissue in other areas of the body that can be harvested with liposuction. In the absence of this fat tissue, fat grafting can’t be performed. This means that a procedure that is more likely to be suitable for more patients is butt implant surgery. The implants used for the butt are different from the ones made for the breasts. Gluteal implants are made out of thick silicone gel that is more durable and can’t rupture or leak. In other words, butt implants are more resistant than breast implants, and there is no need to remove and replace them, not unless certain complications occur. The butt implant procedure is performed with the goal of increasing the volume of the buttocks. The procedure can last up to two hours or more, especially if it is combined with an additional plastic surgery such as fat transfer or liposuction. The results are permanent; however, it can take up to nine months or more for the final results to transpire. The technique used during butt augmentation with implants is rather simple and straightforward; however, to make the most out of your procedure, the recommendation is to select a talented, experienced and board-certified plastic surgeon. When butt implant surgery is performed, the patient will be under general anesthesia and positioned on the tummy on the operating table. One or two incisions are made in the fold between the buttocks. Using the incisions, the plastic surgeon will create a pocket inside the buttocks where the implants are inserted. The pocket can be created either inside the gluteal muscles or under these muscles. This is the reason why after this procedure, the patient will benefit from a more impressive projection of the buttocks. However, the overall shape of the buttocks is not overly affected by getting implants as they are inserted into the upper part of the buttocks and have no effect on the lower part or the sides. This is also the reason why many surgeons will combine gluteal implant surgery with fat transfer to get improved results. The common placement for butt implants is inside the muscles as this is where the implant gets a better coverage. For patients with very little or insufficient butt tissue, the implants can also be inserted under the muscles, but there are a few complications that have an increased risk of occurring when this placement is preferred. To better understand the placement of the implants and the benefits of each type of placement for your particular case, schedule a pre-operative consultation with the plastic surgeon.