The butt implant surgery is an effective, reliable, and popular plastic surgery procedure used to make the buttocks appear fuller, sexier, and bigger. The buttock implants, also called “gluteal implants”, are artificial objects made up of semi-solid silicone material. The implants are placed inside the buttocks to make them look bigger and sexier. There are many patients who desire to add projection to their rear ends and appear more feminine but at the same time they also wonder if the butt implants needed to be removed or replaced after some time. Butt implants are normally permanent objects and deliver permanent results; however, there are certain factors to consider that may need a butt implant removal and/or replacement in the future. Will I be required to remove or replace the butt implants? Unlike breast implants, butt implants are highly durable. Because they are made up of solid silicone, they are robust objects and can deliver permanent outcomes. Normally, the implants can stay in you for a lifetime. However, there are certain complications that may trigger the need for implant removal or replacement. Fortunately, patients are rarely required to have their implants removed or replaced. As a result of its robust construction, the butt implants can withstand huge pressure. They will not rupture or leak; however, problems like an infection of the implants, capsular contracture, implant rotation, and other factors can necessitate removal or replacement of butt implants. When do you need to remove/replace butt implants? Complications after the butt implant surgery are rare, thanks to the advancement of new technologies, procedures, and techniques. Despite these improvements, we cannot totally rule out the complications that may happen after the butt implant surgery. We will discuss these complications in detail below. – Butt implant displacement: After the butt implant surgery, there is the rare risk that the implants may be displaced. This is more likely when the implant is too large and/or has been placed over the gluteal muscle. This occurs because too large implants or implants placed over the butt muscle do not get more tissue coverage. This exposes them to the risk of being displaced or migrated. Displacement or migration of buttock implants means that they change their position or rotate inside your booty. They no longer stay in the implant pocket. A displaced or migrated butt implant can be fixed through a revision surgery. During the process, the doctor will use the original incisions to access the implants and then position them again in the intended pocket. If the implant is too large for your butt dimensions or overall body outline, it will be removed and replaced with new implants that are more suitable for your butt dimensions. – Capsular contracture: The second problem that can necessitate removal of the butt implants is a capsular contracture. This condition happens when the scar tissue, which normally forms around the butt implants, contracts and squeezes the implant. The squeezing changes the shape of the buttocks, making them look abnormal, in addition to providing a physical discomfort and pain for the patient. In order to treat capsular contracture, you need to have the gluteal implants removed. The surgery is performed under general anesthesia. The plastic surgeon will open the incisions and remove the butt implants. The scar tissue will also be removed. As a result, the physical discomforts associated with the capsular contracture will disappear. You may get new implants a few months after the revision surgery. – Infection of the implants: After the butt implant surgery, your body will be exposed to potential infections. While mild infections can be treated and controlled with an oral or IV antibiotics, severe infection of the implants calls for a surgical treatment. When the implants get infected, it could trigger a life-threatening situation for the patient if immediate treatment is not undertaken. Removal of the implants may become inevitable when the infection spreads to the implants. During the surgery, which is performed under general anesthesia, the gluteal implants are removed through the original incisions placed at the time of the butt implant surgery. After removing the implants, the plastic surgeon will clean and disinfect the implant pocket and the surrounding tissues. The aesthetic results achieved via the butt implant surgery will disappear as a result of the removal of the gluteal implants. You may explore options in getting new implants in the future if you want to enhance your buttocks again. – Palpability and rippling: Butt implant palpability and rippling are two more complications that may necessitate removal or replacement of the gluteal implants. If the implants are too large and have been placed over the gluteal muscle, chances are, the patient will literally feel the implants as tangible objects when they sit. It is also possible that the edges of the implants will be visible through the buttock skin. When these conditions occur, it will be aesthetically unpleasant to look at. In order to treat this condition, the patient may be required to have the implants removed or replaced. During the revision surgery, the physician will use the original incisions to remove the implants and place new, smaller or medium implants inside the buttocks. The new implant may be placed within or below the gluteal muscle to avoid the recurrence of butt implant palpability and/or rippling. Fortunately, the above-discussed complications that may necessitate implant removal or replacement occur rarely. Historical data suggests that majority of the patients are satisfied with the aesthetic outcomes of buttock implant surgery. Conclusion The buttock implant surgery involves the use of prosthetic objects called “gluteal implants” to enhance the buttocks. The implants normally are permanent devices and deliver permanent results. The robust construction of the implants makes them immune to ruptures and leaks. However, there are certain factors that may trigger the need for implant removal or replacement. These factors have been discussed above, but the good news is that majority of the patients are satisfied with the outcomes and don’t need implant removal or replacement.