Buttock Augmentation Surgery

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What is a buttock augmentation?
The buttocks are a part of the body not always easily enlarged or shaped by diet or training. People who wish to give more definition to a flat, unshapely bottom can choose to undergo buttock augmentation using soft silicone implants.

What does the operation involve?
Buttock implant surgery is performed under general anaesthesia with an overnight stay in hospital. The operation is carried out through a short incision in the midline crease between the buttocks. This incision usually heals very well and the scar will be inconspicuous.  

What implants are used?
The implants used are silicone gel implants that are specifically designed for the buttocks. They may be placed in a pocket on top of, or underneath, the muscle. The size of the implants and where they are placed depends on the individual patient and will be discussed during your consultation.

What are the risks and long term implications?
Complications are RARE, but you should be aware of them so that you can make an informed decision.

Every operation carries with it the risk of bleeding, infection and delayed healing, all of which may require urgent or early reoperation. In addition, there are risks that are specific to buttock implants. If the implants themselves become infected, they will have to be removed and not replaced until a much later date. There may be malposition of the implant and/or asymmetry. There is a risk of injury to the sciatic nerve if the implants are placed underneath the muscle.

In the longer term, the body forms a shell of scar tissue round the implant. This is normal. However, in a minority of patients, this shell or ‘capsule’ can contract to deform the implant and consequently it may become round, hard and painful. The implant itself may leak or rupture. These conditions are not harmful, but further surgery may be required to remove the scar capsule, or to replace the implants.

In some patients, the implants may be felt or may become perceptible through the substance of the buttock tissue. If the implants have been placed under the muscle, they may also move whenever the muscle contracts. These phenomena are not harmful, but may be disconcerting unless you have been made aware of them.

What should I expect following surgery?
Initially there will be bruising and swelling, which is greatest in the first 1-2 weeks, and the implants will feel quite firm and high. Over time however, as the swelling subsides, they will soften and settle to a more natural position.

The recovery period may last between 2 to 4 weeks. During your recovery, you will wear a compressive garment, day and night, which helps to reduce the swelling.
           
Oral painkillers, prescribed following your surgery, will control any discomfort you have.  You will be prescribed antibiotics to safeguard against infection. Dissolving stitches are used to close the incisions, which will also be taped for greater support. A light dressing is then applied. Surgical drains are inserted, which you will usually go home with. They will be removed when you return to the clinic in 2-5 days.

During the recovery period, you will find it more comfortable to lie on your front or recline on your side. You will be able to move around at home in the first week, venture out in the second week, and gradually adopt your normal routine again in weeks 3 to 4. You should avoid driving until you are confident you can perform all necessary manoeuvres safely.

Our practice nurse will keep in close contact with you whilst you recover at home. Generally, you will have a follow up appointment at the clinic at one week and one month postoperatively. However, if there are any problems or concerns, you will be seen more frequently than this, or as often as you wish. In the longer term, you are welcome to see Mr Ng for a check up at any time. All follow up appointments are free of charge whether they be at 2 months or 2 years post operatively.