Buttock Implants (FAQ)

1. Who is a buttock implant suitable for?

  • It is suitable for patients with a body mass index (BMI) below 22.
  • It is preferred for patients who do not have enough body fat or do not have enough donor area for BBL.
  • It is the best option for patients who want a more pronounced projection.
  • It is suitable for individuals who want to maintain butt fullness on a long-term basis.
  • It is ideal for patients who have lost butt volume after excessive weight loss.

2. How is buttock prosthesis surgery performed?

  • The procedure is started by applying general anesthesia to the patient.
  • Small incisions are made in the hip area and a silicone implant is inserted.
  • The implant is usually placed under the muscle (submuscular) or intramuscularly (intramuscular).
  • After surgery, patients support the healing process by wearing special corsets.
  • The patient’s attention to sitting and lying positions is critical for the healing process.

3. What are the placement methods of buttock implants?

  • Intramuscular placement: Provides a more natural appearance and reduces the prominence of the implant.
  • Intramuscular (subfascial) placement: Implants placed in muscle tissue are more stable.
  • Subcutaneous placement: This is a less recommended technique because it can create an unnatural appearance.
  • Two-stage technique: First, the contour can be created with fat transfer and then the implant can be added.
  • Special placement methods determined according to the anatomical structure of the patient: Different techniques can be used, which the surgeon chooses according to the patient’s body type.

4. What are the advantages of butt implants?

  • It is the best solution for patients who do not have enough fat in the body. Implants are preferred when fat injection is not possible.
  • It is stable and long-lasting. It does not disappear over time like fat transfer.
  • It provides a larger volume increase. It gives more pronounced and permanent results compared to fat transfer.
  • Shape and projection can be determined in a more controlled manner. Implants can provide the desired volume exactly.
  • Significant results are achieved in a shorter time. The targeted shape is achieved in a single surgical procedure.

5. What are the differences between butt implants and fat transfer?

  • Fat transfer provides a natural fullness by using one’s own body fat. However, some of the fat may be absorbed by the body.
  • Implants, on the other hand, maintain their volume and provide a permanent fullness.
  • Implants are the best alternative for patients who do not have enough fat tissue for BBL (Brazilian Butt Lift).
  • Fat transfer offers a softer and more natural tissue feel than implants.
  • While implants can cause complications such as displacement or capsule formation over time, fat transfer carries a lower risk.

6. Are buttock implants at risk of bursting or being damaged?

  • Modern silicone implants are very durable and do not burst easily.
  • They are resistant to external impacts, but can be damaged if subjected to excessive pressure.
  • The integrity of the implant should be monitored with regular check-ups.
  • Silicone rupture usually remains within the capsule and does not pose a serious health risk.
  • Over time, wear or deformation may occur, in which case the implant needs to be replaced.

7. What is the healing process after buttock implant surgery?

  • Patients can usually start light movements within 1 week.
  • No direct pressure should be applied to the buttock area for the first 4-6 weeks.
  • Specially designed BBL pillows or prone position should be preferred.
  • Full recovery may take 3-6 months.
  • The doctor’s recommendations should be followed to avoid the risks of infection and slippage.

 

8. Can buttock prosthesis and BBL be combined?

  • Yes, prosthesis and fat injection can be combined in some patients.
  • This technique is used to provide both projection and fullness.
  • A more balanced result is achieved, especially in individuals with very flat buttocks.
  • The implant provides the central projection, while the fat injection fills the lateral areas.
  • This combination can offer the most natural and long-term results.

9. How should I sit and lie down after buttock prosthesis?

  • Direct sitting should be avoided for the first 4-6 weeks.
  • Weight should be shifted to the thighs when sitting by using BBL pillows.
  • During sleep, the patient should sleep in a prone or side position.
  • Sitting upright is only recommended after the 6th week with the doctor’s permission.
  • Incorrect sitting positions can cause the prosthesis to shift.

10. Is a buttock implant permanent?

  • Buttock implants are generally longer lasting than breast implants.
  • On average, they can be used for 15-20 years without any changes.
  • When the prosthesis needs to be replaced, it is usually due to complications or changes in shape.
  • The health of the prosthesis should be monitored with regular check-ups.
  • Implants placed under the muscle can maintain their natural appearance for longer.

 


11. When can I start doing sports after buttock prosthesis?

  • Heavy sports and exercises should be avoided for the first 6 weeks.
  • Slow paced walks can be started after 2 weeks.
  • Wait at least 8 weeks for lower body weight training.
  • After full recovery, light-paced pilates and yoga can be practiced.
  • In the combination of BBL and prosthesis, the doctor’s approval should be obtained before starting sports.

 


12. What kind of clothes should be worn after buttock prosthesis surgery?

  • Special medical corsets should be used for the first 6 weeks.
  • Very tight and tight clothes should be avoided.
  • Clothes that increase blood circulation and allow comfortable movement should be preferred.
  • Cotton and breathable fabrics are recommended.
  • The use of a corset reduces postoperative edema and provides better results.

13. Is there a loss of sensation after buttock prosthesis surgery?

  • Yes, there may be a slight loss of sensation in the buttock area for the first few weeks after surgery.
  • There may be a temporary feeling of numbness due to the nerves being affected during surgery.
  • Usually within 3-6 months the nerves heal and the sensation returns.
  • Sometimes there may be a slight tingling sensation, but this decreases with time.
  • If the loss of sensation persists for a long time, a doctor’s check-up is necessary.

14. Will there be any scars after buttock implant surgery?

  • Since the incisions are usually hidden in the natural folds of the buttocks, there are no obvious scars.
  • During the first 3-6 months, the scars may be pink or red in color.
  • Over time, the scars adapt to the skin color and become less visible.
  • It may take 12-18 months for the scars to fade completely.
  • Silicone-based scar creams or laser treatments can help reduce the appearance of scars.

 


15. How should sitting habits be changed after buttock prosthesis?

  • For the first 6 weeks, one should sit without direct pressure on the buttocks.
  • Weight should be shifted to the thighs using a BBL pillow.
  • Short periods of sitting are recommended, prolonged sitting should be avoided.
  • Sitting on hard surfaces should be avoided for the first 3 months.
  • Over time, sitting habits can return to normal, but the initial healing process is very important.

 


16. Is there pain in the legs after buttock replacement surgery?

  • Yes, especially in the first 1-2 weeks, mild to moderate pain may be felt due to muscle tension.
  • Implants placed intramuscularly or submuscularly may cause temporary pain by pressing on the surrounding tissues.
  • The pain can usually be controlled with painkillers and decreases over time.
  • It is recommended to avoid heavy activities for the first few weeks.
  • If the pain is severe and persists for a long time, a medical check-up is necessary.

 


17. Is it possible for the prosthesis to slip after buttock implant surgery?

  • Yes, incorrect sitting habits or heavy activities in the early period can cause the prosthesis to slip.
  • The risk of slippage is lower with intramuscular or submuscular implants.
  • It is recommended to pay attention to sitting time and to use special BBL cushions.
  • If the movement restrictions recommended by the doctor are not followed, the position of the prosthesis may change.
  • If prosthesis slippage occurs, correction surgery may be required.

 


18. What kind of nutrition plan should be followed after buttock prosthesis surgery?

  • Protein-rich foods should be consumed and muscle recovery should be supported.
  • Drink plenty of water, as a good fluid balance accelerates the healing process.
  • Salt consumption should be limited and salty foods should be avoided to prevent increased edema.
  • Foods containing balanced carbohydrates and healthy fats should be preferred.
  • Taking vitamin and mineral supplements can accelerate the body’s recovery.

 


19. Is it necessary to use a drain after buttock replacement surgery?

  • Some surgeons may use drains to prevent fluid accumulation after surgery.
  • Drains are usually removed within 2-5 days.
  • They speed up the healing process by reducing edema and blood pooling.
  • The use of drains can help reduce the risk of infection.
  • The use of drains may vary depending on the surgeon’s preference.

 


20. What are the symptoms of infection after buttock implant surgery?

  • Severe redness and increased swelling.
  • Foul-smelling discharge from the wound site.
  • High fever and weakness.
  • Severe pain and increased sensitivity.
  • If any of these symptoms occur, you should consult a doctor immediately.

 


21. When are the stitches removed after buttock implant surgery?

  • In most cases, there is no need to remove stitches as dissolving stitches are used.
  • If there are stitches that need to be removed, they are usually removed after 10-14 days.
  • Stitches should be kept hygienic and dressed regularly.
  • Silicone-based creams can be used to reduce stitch marks.
  • After the complete healing process is completed, the suture areas disappear completely.

 


22. Does skin sagging occur after buttock prosthesis?

  • Usually not, because the prosthesis supports the skin and provides a plump appearance.
  • However, excessive weight loss or improper placement of the implant can lead to sagging.
  • Regular use of a corset can help keep the skin tight.
  • Skin tightening laser or radio frequency treatments can be applied additionally.
  • The risk of sagging is lower with prostheses placed under the muscle.

 


23. Is the loss of sensation permanent after buttock implant surgery?

  • In most patients, loss of sensation is temporary and resolves within a few months.
  • There may be short-term numbness due to the nerve endings being affected during surgery.
  • Full nerve healing usually occurs within 3-6 months.
  • Sometimes a slight tingling sensation may persist, but it is usually not a serious problem.
  • If the loss of sensation persists for a long time, it is recommended to consult a doctor.

 


24. Which lying position is recommended after buttock implant surgery?

  • Prone or side sleeping is recommended for the first 6 weeks.
  • Sleeping on your back is not recommended as it may cause the prosthesis to slip.
  • Legs can be raised slightly to increase blood circulation.
  • Pillows that do not put pressure on the hips can be used while lying on the side.
  • After full recovery, the patient can sleep in the position they are comfortable with.

 


25. Which exercises should be avoided after buttock replacement surgery?

  • Squats and hip exercises should be avoided for the first 6-8 weeks.
  • High-paced activities such as jogging can negatively affect the healing process.
  • Heavy weight-bearing exercises can cause the stitches to open.
  • Light walking can support the healing process, but should not be overdone.
  • After full recovery, appropriate exercises recommended by the doctor can be started.

26. When can I return to daily activities after buttock prosthesis?

  • Bed rest is recommended during the first week.
  • After 2 weeks, light daily activities can be done.
  • After 4 weeks, light brisk walks can be started.
  • Most normal activities can be resumed after 6-8 weeks.
  • The full healing process may require 3-6 months to complete.

 


27. What complications can occur after buttock implant surgery?

  • Slippage or rotation of the prosthesis.
  • Development of infection.
  • Stitch dehiscence or fluid accumulation (seroma).
  • Long-term loss of sensation due to nerve damage.
  • Aesthetic or functional problems that may require corrective surgery.

 


28. What should be done to maintain long-term results after buttock prosthesis?

  • Healthy eating habits should be adopted.
  • Excessive weight gain and loss should be avoided.
  • Smoking and alcohol consumption should be limited.
  • Regular exercise and muscle strengthening movements should be done.
  • The results should be followed up by regular visits to the doctor.