The Pros and Cons of Butt Implants: What You Need to Know

Butt implants have become increasingly popular in modern society, as individuals strive to achieve the coveted hourglass figure and enhance their overall body aesthetics. This cosmetic procedure involves the insertion of silicone implants into the buttocks to increase their size, firmness, and projection. 

As the demand for buttock enhancement grows, it's essential to be well-informed about the process, potential risks, and outcomes before making a decision. In this comprehensive guide, we will explore everything you need to know about gluteal implants, including butt implant surgery, the recovery process, and potential risks and complications. By understanding the ins and outs of butt implants, readers will be equipped to make an informed decision about whether this procedure is right for them.

What Are Butt Implants?

Butt implants, also known as gluteal implants, are silicone-filled artificial devices (prostheses) that are surgically inserted into the buttocks to enhance their size and shape. These implants are designed to add volume and projection to the buttocks, creating a fuller and more rounded appearance. Butt implants come in various shapes and sizes to cater to different aesthetic goals and body types.

A butt implant procedure is a form of buttock augmentation, similar to butt lift surgery or fat transfer procedures, but instead of using the patient's own fat, implants are used to achieve the desired result. It is particularly suitable for patients who aspire to undergo a Brazilian butt lift but lack sufficient body fat in donor areas for extraction through liposuction.

How Is a Butt Implant Procedure Done?

Butt implant surgery, also known as gluteal augmentation, involves the surgical insertion of silicone prostheses into the buttocks to enhance their size and shape. The procedure is typically performed under general anesthesia and can take several hours to complete.

During the surgery, the plastic surgeon will make incisions in the crease between the buttocks or in the upper part of the gluteal region (between the cheeks). The implants are then carefully placed either under or within the gluteal muscle to create a fuller and more rounded appearance.

In some cases, surgeons may opt to combine fat grafting with the implant to enhance the final shape and appearance of the buttocks.

After the implant placement, the surgeon will close the incisions using multiple layers of sutures to accommodate the various soft tissues in the buttocks. Skin incisions may also be closed with surgical tape or sutures for optimal healing.

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What Are the Main Surgical Techniques for Butt Implant Surgery?

There are two main surgical approaches for buttock prosthesis surgery, including:

Intramuscular Placement

In this approach, the implants are placed within the gluteal muscle. This technique is considered safer for reducing the risk of nerve damage, particularly to the sciatic nerve. However, there is a slightly higher risk of implant visibility or palpability.

Subfascial Placement

This approach positions the implants between the gluteal muscle and the fascia (connective tissue). This technique allows for a more natural appearance and feel than submuscular placement. It can also help reduce the risk of implant migration or displacement.

Experts typically recommend sub-muscular positioning as it provides more protection for the implant with additional soft tissues such as muscles and fatty tissue. This placement also helps reduce the visibility and palpability of the butt implant.

Who Are Good Candidates for a Buttock Implant?

Good candidates for buttock implants are individuals who are in good overall health, have realistic expectations about the procedure, and are looking to enhance the size and shape of their buttocks. You will be a good candidate for buttock implant surgery if you:

  • Have recently experienced weight loss and noticed a decrease in the natural shape of your buttocks;
  • Have too flat or square-shaped buttocks;
  • Want to add curves to your buttocks to enhance the overall balance of your body shape;
  • Want to address signs of ageing such as sagging and loss of volume;
  • Do not have certain medical conditions that may impede healing, such as diabetes;
  • Do not have sufficient fat in their body for Brazilian Butt Lift (BBL);
  • Do not smoke;
  • Maintain a healthy lifestyle.

How to Prepare for Gluteal Implant Surgery?

To prepare for butt implant surgery:

Schedule a consultation with a board-certified plastic surgeon who specializes in butt implant surgery. During this consultation, discuss your goals, expectations, and any concerns you may have;

Your surgeon will likely require a thorough medical evaluation to ensure you are a suitable candidate for surgery. This may involve blood tests, a physical examination, and possibly additional tests;

Your surgeon will provide you with specific pre-operative instructions to follow in the days leading up to your surgery. This may include refraining from smoking for a minimum of six weeks before the surgery and avoiding medications, such as aspirin, that can potentially increase bleeding;

Since you will not be able to drive yourself home after surgery, make sure to arrange for someone to drive you to and from the surgical facility on the day of your procedure;

Set up a comfortable recovery space at home with necessary items such as pillows, blankets, loose-fitting clothing, and any prescribed medications;

Depending on the extent of your surgery and your job requirements, you may need to take time off work to allow for proper healing and recovery;

Leading up to surgery, maintain a healthy lifestyle by eating nutritious foods, staying hydrated, and getting regular exercise. This can help optimize your body's ability to heal after surgery.

How Long Does It Take to Recover After Buttock Implant Surgery?

It is normal to experience pain, swelling, and discomfort in the buttock area after surgery. The surgeon will prescribe pain medication to help manage any discomfort.

To allow the implants to settle securely, patients are recommended to refrain from applying direct pressure to the gluteal area for at least two weeks post-surgery. They are also advised to avoid showering for at least 48 hours after the procedure. To reduce the risk of infection, following the prescribed postoperative antibiotic regimen is essential. 

To prevent constipation post-surgery, patients should consider using a stool softener to avoid excessive straining. Surgical drains may be inserted by the surgeon to facilitate the drainage of tissue fluids, typically removed by a postoperative nurse around 3 to 4 days after the surgery. Wearing a compression garment continuously for the initial four weeks after butt implant surgery is necessary to stabilize the implant position. Patients can remove the garment for showering but must promptly reapply it afterwards.

It is vital to take it easy during the initial weeks post-surgery. Patients should refrain from sleeping on their back for at least two weeks after butt implant surgery to minimize pressure on the buttocks. Using a specialized support pillow under your thighs when sitting for a minimum of eight weeks post-surgery is recommended. With smooth recovery and healing, most patients can typically return to work after two weeks, although they should still use a hamstring pillow when sitting for extended periods. After eight weeks, patients can generally resume most forms of exercise, including gym workouts. The surgeon will guide the appropriate timing during a clinical review scheduled six weeks after the butt implant procedure.

The final results of butt implant surgery may not be fully visible until 3-6 months after the procedure. 

Do Butt Implants Look Natural?

The appearance of butt implants can vary depending on factors such as the size of the implant, the skill of the surgeon, and the individual's body type. When done by a skilled and experienced surgeon, butt implants can look natural and enhance the shape and size of the buttocks in a way that complements the rest of the body.

What Are the Pros and Cons of Butt Implants?

Gluteal implants are a cosmetic surgical procedure designed to augment the size and contour of the buttocks through the insertion of silicone implants. While this procedure offers potential aesthetic enhancements, it is essential to thoroughly understand and consider both the advantages and disadvantages of butt implants before deciding to undergo surgery.

Pros of Butt Implants:

  • Enhanced buttock size and shape: Butt implants can provide a fuller and shapelier appearance to the buttocks, improving overall body proportions;
  • Long-lasting results: Silicone implants are durable and can provide long-lasting enhancement to the buttocks;
  • Customizable outcomes: Butt implants come in various shapes and sizes, allowing for customization based on individual preferences and aesthetic goals;
  • Boost in self-confidence: Many individuals report feeling more confident and satisfied with their appearance after undergoing butt implant surgery;
  • Ideal for patients with limited fat: Individuals lacking sufficient fat for a Brazilian Butt Lift (BBL) may find butt implants to be a more suitable option.

Cons of Butt Implants:

  • Risks of surgery: Like any surgical procedure, butt implant surgery carries risks such as infection, bleeding, scarring, and anesthesia complications;
  • Implant shifting or displacement: There is a risk that the implants may shift or become displaced over time, leading to asymmetry or an unnatural appearance;
  • Capsular contracture: In some cases, scar tissue may form around the implants, causing them to harden or distort the buttock shape;
  • Revision surgery: Butt implants may require revision surgery in the future to address issues such as implant displacement, capsular contracture, or changes in aesthetic preferences;
  • Recovery time: Recovery from butt implant surgery can be lengthy, with restrictions on physical activities and discomfort during the healing process;
  • Cost: Butt implants can be a costly procedure that is typically not covered by insurance, requiring patients to pay for them privately;
  • Allergic reaction risk to the implant: Butt implants, typically made of silicone, are generally safe but carry a potential risk of allergic reactions to the material;
  • Limited flexibility: Once the implant is in place, there is limited flexibility in altering the shape and size of the buttocks;
  • Scarring: Butt implants involve incisions that will result in scarring. The visibility of the scar can vary based on factors such as implant size, incision location, and the healing process;
  • Not suitable for everyone: Butt implants may not be appropriate for everyone, as certain medical conditions and lifestyle factors could make someone ineligible for the procedure.

What Are the Risks or Complications of Butt Implant Surgery?

Like any surgical procedure, buttock implant surgery carries certain risks that can be minimized by selecting a highly skilled plastic surgeon specializing in this area. Some potential complications associated with butt implant procedure may include:


Like any surgery, buttock implant surgery carries a risk of infection. This could be superficial or deep within the tissue and may require treatment with antibiotics or, in severe cases, implant removal.

Seroma formation

Seroma refers to the accumulation of fluid around the implant. It can cause discomfort and pain and may need to be drained with a needle or treated surgically.


A hematoma is a collection of blood beneath the skin, usually resulting from bleeding during or after surgery. In some cases, it may require surgical drainage or removal.

Capsular contracture

During healing, the body forms a capsule of scar tissue around the implant. In some instances, this capsule may shrink or tighten, resulting in implant firmness, distortion, discomfort, or changes in shape. Treatment often requires surgical intervention.

Implant displacement or rupture

The implant may shift from its intended position, leading to an asymmetrical appearance. In rare cases, it may rupture, necessitating removal and replacement.

Pain and discomfort

While temporary pain and discomfort are common after any surgery, this may persist longer for buttock implant procedures. Sitting and certain physical activities may be limited during the recovery period.

Nerve damage

There is a small risk of nerve damage during the surgery, which could result in abnormal sensation, numbness, or tingling in the surrounding area.


Incisions are made during buttock implant surgery, resulting in scars. While efforts are made to minimize scarring, the extent and visibility vary among individuals.

Allergic reactions

There is a potential risk of an allergic reaction to the materials used in the implants, such as silicone or saline.

General anesthesia risks

The use of general anesthesia carries its risks, such as allergic reactions, complications with breathing, or adverse reactions to medications.

How to Reduce the Risks of Butt Implants? 

To mitigate the risks associated with buttock implants, it is crucial to choose a board-certified plastic surgeon with extensive experience in performing buttock augmentation procedures. Additionally, thorough pre-operative assessments and discussions with the surgeon about your medical history, aesthetic goals, and potential risks are essential. 

Following post-operative care instructions diligently, including avoiding strenuous activities, maintaining a healthy lifestyle, and attending follow-up appointments, can help minimize complications and ensure optimal results. Regular communication with your surgeon and prompt reporting of any unusual symptoms or concerns can also aid in early detection and management of butt implant potential complications.

Fat Transfer vs. Butt Implants

Fat transfer and butt implants are two popular options for buttock augmentation, each with its own set of benefits and considerations. 

Fat transfer, also known as Brazilian Butt Lift, involves harvesting fat from other areas of the body through liposuction and injecting it into the buttocks to enhance volume and shape. This procedure is minimally invasive, uses your body's tissue, and can provide a more natural-looking result. However, not all transferred fat may survive, requiring multiple sessions for optimal results. Additionally, the amount of fat that can be transferred is limited by the donor sites and the patient's overall body composition.

Butt implants, on the other hand, involve surgically inserting silicone implants into the buttocks to enhance volume and projection. This procedure can provide more dramatic and predictable results, especially for patients with limited fat available for transfer. However, butt implants carry a higher risk of complications such as implant displacement, infection, and capsular contracture. They also require a longer recovery and may feel less natural than fat transfer.

What Are Butt Implants Made of?

Butt prostheses are typically made of solid silicone, a type of synthetic material that is similar in texture to soft tissue. The silicone used for butt implants is designed to be safe and biocompatible with the body, mimicking the feel and shape of natural buttocks.

When to Call the Doctor?

After butt implant surgery, it is important to closely monitor your recovery and contact your doctor if you experience any concerning symptoms or complications. Here are some situations when you should call your doctor after butt implant surgery:

  • Severe or persistent pain;
  • Excessive swelling or redness;
  • Fever;
  • Changes in incision sites;
  • Difficulty breathing;
  • Persistent or worsening numbness or tingling.

How Much Does Butt Implant Surgery Cost in Iran?

The cost of butt implant surgery can vary depending on factors such as the location of the clinic, surgeon's fees, anesthesia, and other associated expenses. On average, the cost of a butt lift with butt implants is 2700-3000$ in Iran.

Why to Perform Butt Implant Surgery in Iran?

Butt implant surgery in Iran has gained popularity for several reasons. One of the main factors is the high quality of medical care and expertise available in the country. Iranian plastic surgeons are well-trained, experienced, and often at the forefront of advancements in cosmetic surgery techniques. Patients seeking butt implant surgery in Iran can benefit from the skill and precision of these professionals, ensuring safe and successful outcomes.

Additionally, butt implant surgery in Iran is often more affordable compared to many Western countries, making it a cost-effective option for individuals looking to enhance their appearance. The combination of skilled surgeons, modern facilities, and competitive pricing has made Iran a sought-after destination for cosmetic procedures, including butt implants. Patients can receive top-notch care, achieve their desired aesthetic goals, and enjoy a positive experience in a country known for its hospitality and medical excellence.

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FAQ on Butt Implants

1) Is the butt implant procedure safe?

Butt implant surgery boasts a remarkable 95% satisfaction rate, making it a highly secure and immensely popular cosmetic procedure.

2) Will I have scars from butt implant surgery?

Scarring is a natural part of any surgical procedure, including butt implant surgery. However, the extent and visibility of scars will vary depending on several factors, including surgical technique, individual healing abilities, and post-operative care. Typically, incisions for butt implant surgery are made in inconspicuous areas, such as the buttock crease or the gluteal fold, to minimize the visibility of scars. 

3) How long does the butt implant surgery take?

The surgery usually takes around 2-3 hours, depending on the complexity of the procedure and the surgeon's expertise.

4) Are butt implants permanent? 

Butt implants are designed to be long-lasting, but they may have to be replaced or adjusted in the future due to natural ageing or other factors.

5) Can I sit or lie on my back after butt implant surgery?

It's generally recommended that patients avoid sitting or lying directly on their back for the first few weeks after surgery to help minimize pressure on the implants. Your surgeon will provide specific instructions on how to protect your buttocks during the recovery period.

6) How long do butt implants last?

On average, gluteal implants typically have a lifespan of around 10 to 15 years before they require replacement. However, implant replacement can be more extensive than the initial surgery. This is because the surgeon might need to remove scar tissue from the surrounding area of the implant.

7) Can I exercise after getting butt implants?

Physical activities, including workouts, should be limited until eight to ten weeks after butt implant surgery.

8) What shape is a buttock implant?

A buttock implant typically has a rounded and curved shape, resembling the natural contour of the buttocks. The shape may vary based on individual preferences and the specific implant design.

9) How common are buttock implants?

Buttock implants are less common than Buttock augmentation with fat transfer. However, when done correctly, buttock implant augmentation can still be a viable option for enhancing the shape and fullness of the buttocks.

10) How likely is it for the butt implants to shift position after surgery? 

In general, properly placed and secured implants are unlikely to move around significantly after surgery. However, there is always a small risk of implants shifting or rotating slightly due to factors such as gravity, body movement, or trauma.

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