Butt Implants and Capsule Contracture



Butt implant surgery is a reliable and effective plastic surgery intervention that can improve the size and shape of the buttocks. The results of the intervention are dependent on the initial size and tissues of the patient; however, an improvement is always guaranteed if the procedure is performed by a board-certified and experienced plastic surgeon.

Buttock augmentation can be performed only with gluteal implants, fat transfer, or a combination of the two procedures.

As is the case with many other surgical interventions, butt implant surgery also comes with certain risks and potential complications that can occur after the procedure. In this article, we will discuss the details of butt augmentation with implants and a specific complication that can occur when using implants: capsular contracture.

Overview of the butt implant procedure

A buttock augmentation with gluteal implants is a procedure meant to enhance the size of the butt. When the procedure is performed, the patient is often under general anesthesia for his or her own comfort. This means the patient won’t remember anything that happened during the procedure or feel any pain.

The plastic surgeon will do incisions inside the gluteal fold that will be used to insert the implants inside the butt cheeks. A pocket is created inside the buttocks, either inside, under or over the butt muscles. The implants come in different sizes and shapes, and the suitable type of implant will be decided by the plastic surgeon together with the patient depending on the aesthetic goals of the patient and the anatomy.

The procedure can take two or three hours, depending on the complexity of each case and whether additional procedures are performed or not. The plastic surgeon might also recommend using fat transfer if the patient doesn’t have enough butt tissue to cover the implants properly. If this is the case, the procedure will take longer as liposuction needs to be performed on the donor areas to collect the fat necessary for a transfer to the buttocks.

There are some recommendations for aftercare that will ensure the success of the procedure. When it comes to butt implant surgery, there are several factors that can make the procedure successful. First are the experience and skills of the plastic surgeon. This is why it is recommended always to choose a board-certified plastic surgeon to play out the procedure. Second is the patient’s dedication to ensuring satisfactory results. Butt augmentation with implants is a procedure quite demanding for the patient during the recovery stage. One of the most important post-operative indications is not to sit or lie on the buttocks for approximately three weeks after the procedure. Not following this can result in unsatisfactory results, as well as other complications such as wound opening and implant displacement.

Since we have mentioned complications, we should have a look at what side effects are possible after the intervention and possible complications.


Side effects and potential risks and complications

Once the butt implant surgery is performed, it is not uncommon for the patient to experience a sensation of tension and pressure in the buttocks. Moreover, pain and discomfort can be present for a few days following the intervention.

The results of the procedure are visible immediately after and the patient will notice a considerable increase in the size of the buttocks as soon as he or she wakes up from the anesthesia. However, these are not the final results of the intervention as swelling and bruising will also be present at this time.

When it comes to post-operative care, the recommendations are clear, and all plastic surgeons should advise their patients about the potential risks that can occur immediately after surgery or after some time.

Not lying on the buttocks or sitting on them is essential for at least three weeks after the procedure, so make sure you can do this and are prepared for this even before scheduling your procedure. For some patients, this discomfort can be more important than the pain associated with the procedure or the other side effects that can occur. Aside from not sitting on the buttocks, there is also the recommendation to wear compression garments for six to eight weeks after the intervention.

The risks associated with the butt implant procedure are excessive bleeding, infection, loss or change in sensation on the buttocks, capsular contracture, unsatisfactory results due to the position of the implants or the size of the buttocks after the intervention. There are, of course, general risks related to undergoing general anesthesia. Developing an infection is a high risk due to the position of the incisions in an area that is prone to bacteria development.

The specific risks and complications of butt implant surgery are related to the use of silicone implants, and some of them can be similar to the ones that can occur after a breast augmentation with implants. Among them we can mention:

–    Implants can migrate or get displaced after surgery, hence causing an asymmetry, the opening of the surgical wounds, and other complications.

–    The implants can be felt or visible through the tissues of the buttocks due to the improper position of the implants.

–    If a very large implant is used, the surgical incisions can open, hence creating the need for a removal or replacement of the implants.

–    There is also the possibility of developing a capsular contracture. Capsular contracture is a condition defined by the formation of a hard and thick fibrous tissue around the implant.

Capsular contracture after butt implant surgery

Capsular contracture is a complication that can only occur when an intervention uses implants. The risk of developing capsular contracture used to be quite high when breast augmentation with implants was first performed, but it has since decreased over the years and with the new generation of implants used.

When it comes to this condition, it is important to know that the buttocks can become painful and distorted due to the hardening and thickness of the scar tissue that is changing the shape of the implants.

Capsular contracture is a rare complication when it comes to butt augmentation with gluteal implants, and a vast majority of patients will never have to worry about it. However, if you suspect you might have developed capsular contracture after a butt augmentation with implants, you should contact your plastic surgeon immediately for diagnosis and treatment.


Preparing for butt implant surgery

Preparation is an important stage of any type of plastic surgery, but is even more essential when it comes to butt enhancement procedures due to the strict post-operative recommendations. Also, being informed and aware of what can be expected after the procedure can help the patient reduce the level of the pre-operative anxiety and post-operative stress.

Here are a few questions that you can ask your plastic surgeon during the pre-operative consultation to make sure you have all the details:

–    What should I expect in terms of pain and discomfort after the procedure and what medication will be prescribed?

–    What are the risks of developing a complication and how can I do my best to avoid them?

–    Where will the implants be inserted and what are the advantages and disadvantages of each type of implant placement?

–    How long is the recovery and when do I schedule the follow-up consultations?

Make sure that you are well aware of all the info and details about your procedure before scheduling your intervention. Also, it is essential to follow the plastic surgeon to the letter for post-operative care in order to avoid severe complications.

Butt Augmentation: Is fat transfer less painful than butt implants?


Butt implant surgery is done for patients with small or saggy buttocks who desire an increase in the size and an improvement in the shape of their rear ends. The results of the procedure are highly dependent on the initial anatomy of the patient. During a butt augmentation with implants, silicone implants will be inserted into each butt cheek through small incisions that can be positioned either under the buttocks, in the fold in between the buttocks and the upper thigh, or in the intragluteal fold. The incisions are positioned to make the scars almost invisible after the cicatrization process is complete, so there is nothing for the patient to fear in terms of scar visibility. However, it is exactly the position of the scars that can trigger complications such as infections or wound opening.

A specific complication that occurs only when implants are used is capsular contracture. The risk of developing a capsular contracture is much lower for butt implants compared to breast implants so the patient should be aware of this, but not overly concerned.

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