What does buttock augmentation consist of, doctor?
It’s a surgical operation that consists in correcting insufficient backward projection of the buttocks by implanting special prostheses to eliminate the sensation of ‘flatness’ and achieving a great aesthetic improvement in the area of the hips and buttocks. This operation can be performed in isolation or accompanied by a liposuction or lipofilling of the subgluteal crease to achieve a better aesthetic result of the buttocks. We have to point out here that a buttock implant doesn’t correct the fall of the buttocks: to achieve results in this respect, a liposuction must be performed along with the buttock augmentation.

Is the operation performed with general anaesthesia?
It can be performed with short-duration general or epidural anaesthesia, and with a few hours of hospitalisation.

What are the implants like?
They’re specially designed for this kind of implants. They tend to be of silicone gel, smooth or fluted, with a very dense fluid similar to the consistency of the normal gluteus. There are implants in several different shapes, so the plastic surgeon chooses the most appropriate in each case. As for the duration and the risk of capsular retraction, it’s the same as with breast implants.

What about scars?
To perform a buttock augmentation, we have to make a cutaneous incision five or six centimetres long in the groove between the glutei, which is a zone where the scar is barely visible or almost invisible after a few months. The implants are usually inserted into the deepest part of the large gluteal muscle; in this way they’re not detected by the touch and a more natural contour of the buttocks is obtained. In cases where there’s a congenital or acquired deformity of the gluteal zone, the prostheses can be implanted subcutaneously, but they have a more artificial result.

When can the patient lead a normal life?
The sutures tend to be removed after ten to fourteen days. In the first two weeks the buttocks suffer a moderate swelling which diminishes around the third week. In the first two months there’s a certain hardening of the implant, softening from the third month onwards and attaining its definitive soft feel between six and eight months. The patient has to sleep face downwards for the three first days after the operation. The sick leave can be from three or four days to two weeks. No physical effort must be made during the first two weeks, and a special girdle has to be worn day and night for four weeks. Check-ups must be conducted for a minimum of six months after the operation, and then periodical annual checks of the implants.