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Accueil/ Traitements/ Implants Fessiers

Implants Fessiers

Butt Implants

Gluteal Augmentation - Butt Implants

Gluteal augmentation with implants creates permanent, dramatic volume and projection for patients seeking a fuller, rounder butt who lack sufficient body fat for BBL. Unlike BBL (fat transfer), implants provide guaranteed size increase regardless of your body fat percentage and never "reabsorb" - results are permanent.

Modern silicone butt implants are specifically designed for gluteal augmentation - softer and more natural-feeling than breast implants, with lower complication rates than older techniques. Surgery is more invasive than BBL with longer recovery (4-6 weeks), but for thin patients or those wanting maximum projection, implants are the superior choice.

Butt Implants vs BBL

Butt Implants

  • ✓ Works for thin patients (no fat needed)
  • ✓ Predictable size (guaranteed result)
  • ✓ Maximum projection achievable
  • ✓ Results 100% permanent
  • • Longer recovery (4-6 weeks)
  • • Scars (hidden in butt crease)
  • • Risk: implant displacement, infection

BBL (Fat Transfer)

  • ✓ Natural (own fat)
  • ✓ No scars, no foreign material
  • ✓ Bonus: liposuction sculpting
  • ✓ Shorter recovery (2-3 weeks)
  • • Requires sufficient body fat
  • • 30-40% fat reabsorbed
  • • Limited projection

Types of Butt Implants

Silicone Implants (Most Common)

Material: Solid silicone (semi-soft rubber consistency - NOT liquid gel like breast implants)

Sizes: 200cc-700cc (350cc most popular - adds 1-2 sizes)

Shapes: Round (upper pole fullness) vs Oval (natural teardrop)

Durable, natural feel. Cannot rupture (solid material). FDA-approved for gluteal augmentation.

Textured vs Smooth Surface

Textured: Rough surface encourages tissue ingrowth (reduces rotation/displacement risk - recommended)

Smooth: Higher displacement risk but feels softer. Less commonly used.

Implant Placement Options

Subfascial (Most Common - Our Recommendation)

Implant placed UNDER gluteus maximus muscle fascia (protective covering) but ABOVE the muscle itself.

Pros: Best balance - minimal pain, lower infection risk (tissue coverage), natural feel, implant stays in place. Cons: None significant

Intramuscular (Inside Muscle)

Implant placed INSIDE the gluteus maximus muscle (split muscle and place implant between layers).

Pros: Maximum tissue coverage (less visible/palpable). Cons: Very painful recovery, muscle damage, implant can rotate

Subcutaneous (Above Muscle) - NOT RECOMMENDED

Implant placed under skin but above fascia/muscle.

Why NOT: High infection rate, visible rippling, displacement common, feels fake

The Procedure

Step 1: Incision

Single 3-4 inch incision in upper butt crease (intergluteal fold) where cheeks meet. Scar hidden in natural crease - becomes nearly invisible.

Step 2: Pocket Creation

Careful dissection creates precise pocket in gluteus maximus muscle (subfascial plane). Pocket must be exact size - too large = displacement, too small = pain/asymmetry.

Step 3: Implant Insertion

Sterile implants (soaked in antibiotic solution) inserted into pockets. Positioned to enhance upper/outer gluteal projection (creates lifted, round appearance).

Step 4: Closure

Multi-layer closure with dissolving sutures. Drains placed to prevent fluid buildup (removed day 3-5). Surgery takes 2-3 hours (general anesthesia).

Recovery Timeline

Week 1

No Sitting/Lying on Back: Sleep on stomach or side only. Use special pillow if must sit (distributes weight to thighs). Moderate pain. Drains in place days 3-5.

Week 2-4

Can sit for short periods (15 min at a time) with pillow. Walking encouraged. Return to desk work week 3-4 (standing desk ideal). Compression garment 24/7.

Week 6-8

Resume normal sitting. Light exercise (walking, light cardio). Swelling 70% resolved. Avoid squats/lunges/leg press.

Month 3-6

Resume ALL exercise including heavy squats, deadlifts. Implants fully settled.

Month 6+

Final Result: Scar faded to thin white line in crease. Butt full, round, projected. Implants feel natural. Permanent enhancement!

Potential Complications (Rare but Important)

  • Infection (2-5%): Most serious risk. Requires implant removal and antibiotics. Can re-implant after 6 months.
  • Seroma (10-15%): Fluid accumulation. Drained with needle in office.
  • Displacement (5-10%): Implant shifts position. May require revision surgery to reposition.
  • Capsular Contracture (5%): Scar tissue tightens around implant making butt feel firm. Massage helps; may require surgical release.
  • Asymmetry: Minor differences normal. Significant asymmetry rare with experienced surgeon.

Overall complication requiring implant removal: 5-10%

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Am I a Candidate?

Good candidates:

  • Thin patients without enough fat for BBL
  • Want maximum projection/upper pole fullness
  • Want permanent, guaranteed size increase
  • Can commit to 6-week recovery (no sitting initially)
  • Healthy, non-smoker, realistic expectations

Consider BBL instead if: Have sufficient body fat (BMI 25+) and want natural approach with shorter recovery

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