Introduction The physical features of the butt play a crucial role in defining the beauty and femininity of a woman. Aesthetic flaws in the butt can affect your overall body outline, make you look less feminine, and create self-confidence issues for you. If your buttocks are smaller and you want to have a bigger booty, you can undergo the buttock augmentation surgery. The buttock augmentation procedure can make your buttocks bigger by using implants or transferring excess fat in your body to your buttocks. Even though buttock augmentation has an excellent record of enhancing the derriere, there are many risks and complications associated with it. The rate of these complications has drastically reduced over the years due to the advancement in plastic surgery procedures and technologies; however, the complications cannot be entirely ruled out. Many patients want to know the time frame for complications to occur after buttock augmentation. Extent and severity of complications after buttock augmentation As stated above, the complications following buttock augmentation have considerably decreased over the years. However, many factors can still lead to different complications. For example, your choice of plastic surgeon, aftercare, and overall health condition determines the level and severity of complications that can happen after buttock augmentation surgery. The complications can generally happen any time after the procedure; however, most of the complications have a specific timeframe for the risk of occurrence. Also, keep in mind that there are two types of butt augmentation surgeries and the complication types; severity, the rate of complications, etc. are different for both procedures. To understand when can the problems kick in after the surgery, you should first know what the procedures involve. Buttock implant surgery is recommended for women who desire to have a large, ample, and voluptuous backside. On the other hand, fat transfer is recommended for patients who want to have shapelier and luscious derriere. Based on your aesthetic goals and the flaws in your buttocks, the plastic surgeon will recommend you a particular procedure that can adequately address the cosmetic shortcomings in your buttocks. During butt implant surgery, the plastic surgeon will insert a pre-selected implant inside the booty through incisions. The procedure is highly invasive and traumatic as it involves significant incisions. After entering the implants inside the buttocks, the surgeon will place them in a pocket created under, within, or over the gluteal muscle. Where the implants are placed also determine the extent and timeframe of the complications that may take place. On the other hand, fat transfer uses your body fat to enhance your backside. During the procedure, the plastic surgeon will perform liposuction on the fat donor sites like the abdomen, sides, upper back, and love handles. The fat removed during liposuction is then injected into the buttocks with specialized needles. Fat transfer involves lower risks and complications than butt implant surgery. In other words, fat transfer is relatively safer. The timeframe for different complications after the surgery can be different. Below are the rare and common complications that may occur along with their timeline of occurrence. Infection Infection is the first complication that almost all butt augmentation patients are concerned about when they first seek information about the procedure. It is a known fact that when your body gets incisions, it becomes prone to possible infections. During butt augmentation surgery, incisions are made on the body. The risk of disease will remain with you until and unless the incisions have fully healed. It can take up to six weeks for the incisions to entirely heal. During this timeframe, you must be extremely careful, take any prescribed antibiotics on time, and keep the incisions clean. Doing so will prevent infections. Excessive bleeding Since the surgery involves incisions, it means there is a risk of excessive bleeding after the procedure. The good news is that not all patients are exposed to excessive bleeding. The risk of bleeding will stay with you unless the incisions fully heal. In other words, the risk will be with you for six weeks after the surgery. If you have diabetes or are careless during the recovery period, you will be at higher risk of excessive bleeding. Seroma and hematoma Seroma and hematoma can happen during the first week after the surgery. Seroma is a condition whereby the fluids discharged at the incision site gets trapped under the skin and hematoma occurs when the blood released at the surgical wounds seeps under the skin and becomes clotted. Using drain cannulas for a few days following the operation can reduce the risk of seroma and hematoma. Change or loss of skin sensation After a buttock augmentation procedure, you may experience a change in or lose your natural skin sensation at the site of the incision. When the incisions are made, it means your nerves may be damaged. The risk of this complication is limited during the time of surgery. It can happen during the operation instead of the recovery period. The condition is temporary in most cases, and you will regain your natural skin sensation after 3-6 weeks when the nerves heal. However, if the damage done to the nerves is severe, the change may be permanent. Abnormal scarring The incisions made during the surgery will ultimately take the shape of scars. In most cases, the wounds usually develop and without complications. However, there is a risk the scarring may happen abnormally, leading to the development of raised, highly visible, and aesthetically unpleasant scars. The risk of abnormal scarring is there for three months after the surgery. After that, the risk will be reduced. Butt implant rotation or displacement The buttock implants may rotate or get displaced due to pressure applied to the buttocks after the surgery. The risk of this complication will be there for four weeks after the procedure. This risk is higher if the implant has been placed over the gluteal muscle or when large implants are used. Be sure to avoid applying pressure to the buttocks for four weeks following the procedure. Implant infection Infection of the buttock implant is a severe complication that may happen during the first two months after the operation. When the implants get infected, you will be required to undergo a new surgery to have the implants removed and disinfect the area where the implant was placed. People with a weak immune system are more at risk of implant infection. Capsular contracture Capsular contracture is also a major complication that may happen after buttock implant surgery. The incisions made to place the implants inside the buttocks will turn into scars. The scars may start to contract and squeeze the implants continuously. It can change the shape of the buttocks and even create physical pain for the patient. This complication is more likely to happen within the first 2-3 months of the procedure. After that, the risk would be considerably reduced. Buttock asymmetry One of the problems that some women may face is the development of asymmetrical buttocks after the butt augmentation surgery. In most cases, this condition is temporary and happens due to the post-operative swelling and the different speeds at which the swelling from both buttocks subsides. However, it may also happen due to surgical errors and carelessness during the recovery. The patient will be more at risk of buttock asymmetry for the first two months following the operation. Other complications Other complications that may happen after buttock augmentation include the development of buttock sagginess, death of the skin at the incision site, absorption of the fat injected into your buttocks during the fat transfer, and death of the fat cells and the resulting shrinking after fat grafting. If large implants have been used, your buttocks can become saggy any time after the procedure, depending on your skin elasticity. The risk increases as you age and your skin becomes inelastic. On the other hand, absorption or death of the fat can also happen any time following the operation. But the death of the fat cells is more likely during the first six weeks after the surgery and occurs mainly due to pressure applied to the buttocks. Massive weight loss any time after fat grafting can reverse the results. Conclusion Buttock augmentation is an effective plastic surgery procedure that enhances the size and shape of the buttocks. The procedure is invasive, and like all other invasive procedures, it entails complications. Many people who consider undergoing buttock augmentation want to know when the complications may happen after the procedure. In this article, I have explained each complication and discussed the timeframe for them. There are also other complications that may occur sooner or later after the procedure. If you are considering undergoing buttock augmentation surgery, you must discuss the timeframe of the complications with your plastic surgeon.