The gluteal prosthesis is indicated for patients with little buttocks volume or after weight loss with greatly reduced volume, without major ptosis (butt fall).
It is performed by placing a silicone gel prosthesis within the gluteus maximus muscle. The scar is hidden in the gluteal groove (crease between the buttocks) and difficult to recognize.
Periodic replacement of gluteal implants are recommended. Due to better quality of the prosthesis, it is estimated that the change should be accomplished in about 20 -25 years.
Epidural or general.
Types of gluteal implants:
There are several types and models of gluteal implants, each with an indication depending on the patient’s buttocks. The gluteal prostheses may vary in profile and cover. The profile (shape) can be round or anatomical, according to the projection of the prosthesis. The content is high cohesiveness silicone gel. The prosthesis cover can also vary, with textured or smooth.
The gluteal prosthesis (Butt Implant) is designed to receive pressure (when the patient sits, runs, throws, etc.), being stronger and thicker than breast prosthesis.
The choice of the optimal gluteal prosthesis will be made on the medical consultation and it is different for each patient. Dr. El Hachem will examine the patient and will choose the best prosthesis to produce a better result .
Length of stay:
Generally 24 to 48 hours.
The Butt Implant is slightly painful the first 48 hours. Analgesic and anti-inflammatory drugs are used to relieve the discomfort.
You should sleep on your back( spine position ) with a pillows under your lower back and your knee to creat a gap between the bed and your buttock . Sleeping in prone positon will lead to accumulation of fluid around the sciatic nerve wich will irritate the nerve and cause pain. The drain is usually removed in the 2nd or 3rd postoperative day.
Although rare, there may be hematoma, infection, extrusion of the prosthesis, capsule contracture which is formed around the prosthesis and anesthetic problems.
The result is already quite evident in the postoperative period. During the first two months, the edema (swelling) will decline and the wound gains strength. Like any plastic surgery, the final result of Butt Implants occurs after 6 months due to the maturation of the scar.
Frequently asked questions to Dr. Charbel EL Hachem
Butt augmentation plastic surgery | Plastic surgery
Gluteal Prosthesis / Increased Gluteoplasty / Plastic Surgery butt
1) Does Butt augmentation surgery leave scars?
Every surgery leaves scars. Fortunately, this surgery allows Dr. El Hachem to place the scars in disguise site. The scar is usually small, of good quality and in a hidden location (intergluteal cleft) making it very discreet. The size of the scar will be as small as possible to put the gluteus prosthesis, usually 7 cm.
2) Where is located the scar?
The scar is located in the intergluteal cleft, the natural fold between the buttocks. The scar size is around 7 cm, the smaller size that allows the placement of the gluteus prosthesis.
3) I heard that some patients have very visible scars.
Some patients tend to have hypertrophic scarring or keloid. This complication, however, can be expected to some extent, during the initial consultation by Dr. El Hachem, who will carefully ask you about your medical and surgical history as well as the analysis of family characteristics, which help him to predict the prognosis of scars. The intergluteals cleft, being in a hidden location, is less likely to form poor scars, usually getting the very discreet scars.
4) Is there a correction for Hypertrophic scars?
Several clinical and surgical resources allow Dr. El Hachem to improve unsightly scars, at the appropriate time. It should not be confused, however, with the normal evolution of the initial period of healing. Any questions about the scar evolution should be clarified with Dr. El Hachem and not with others who, like you, are apprehensive about the final result.
5) How will my buttocks look like, on size and consistency after placement of the Butt prosthesis?
The buttocks can have their volume increased by gluteal implant surgery. Moreover, Dr. El Hachem aims to improve its consistency and shape with this surgical intervention. The patient can choose the new volume from various sizes of silicone implants to be introduced. There is a harmony between the ideal volume of the buttocks and the size of the trunk, a characteristic that will be preserved by Dr. El Hachem in the planning of the surgery. The butt prosthesis has a higher consistency than normal tissue of the buttocks, so it is common to feel some degree of increased consistency of the buttocks after placement of the prosthesis.
6) Can I choose the butt prosthesis I want?
Each patient differs from each other in relation to the volume, consistency and shape of the buttocks. Therefore, it is not because a friend or model put a certain type and volume of butt implants that you should have the same. Each patient has an ideal gluteal prosthesis, which will be chosen in consultation after close examination of the region and the biotype of the patient by Dr. El Hachem.
7) Is there a risk that the gluteus prosthesis burst?
The butt implants are very durable and stretchable material. A trauma would have to be very strong to burst them. In case of a rupture trauma, having a prosthesis help prevent further damage to the pelvis, by acting as an impact absorber. In this case, the prosthesis could be replaced by the same previous gluteoplasty scar. Important thing is that the intamuscular injections should never be carried out in the gluteal region, after the placement of the prosthesis, therefore the arm will be the preferable site for this injections.
8) When will I see the final result of Butt augmentation?
Despite the immediate result being very good (70%), it is only in the late period that the buttocks will reach its final form (after 6 months). Most edema (swelling) resolve after 2 months from the surgery, which is the period of greatest changes in shape of the buttocks.
9) Is the postoperative period of Butt augmentation painful?
Usually it’s a little painful in the early days, due to muscle strain. The pain will be controlled with painkillers and anti-inflammatory.
10) Is Butt Implants surgery dangerous?
Rarely Butt Augmentation surgery induces serious complications. This is due to proper preparation of each patient, and adequate evaluation of each case by Dr. El Hachem.
11) What type of anesthesia is used?
Epidural or general anesthesia. It depends on the case.
12) How long does the surgery last?
On average 90 minutes to 120 minutes if necessary.
13) How long is the hospital stay?
14) When are the stitches removed?
After 7 days
15) Are drains used?
Suction drains may be used to prevent the accumulation of secretion around the butt prosthesis. They are usually removed between the 2nd and 3rd day after surgery.
16) When can I take a full bath?
Usually after two days or after taking the drain out.
17) When can I return to my gym?
Usually after 90 days, with progressive exercises.
18) When should the Butt Implant be replaced?
With time the prosthesis should be replaced. Due to the extensive technological development of materials used in butt prostheses, it is believed that today’s prosthesis must be replaced after 20-25 years.
20) Could the Butt Augmentation surgery be associated with other plastic surgery?
Yes! The gluteus prosthesis should be associated with lower back liposuction.
Gluteus Prosthesis (Butt Augmentation/ Butt Implants)
1) Communicate with Dr. El Hachem until two days before the operation, in case of flu, malaise or fever.
2) Arrive to the hospital according to the established schedule.
3) Avoid alcoholic beverages or too exaggerated meals the day before surgery.
4) Avoid any medication for weight loss, which is possibly used for a period of 14 days before the surgery. This also includes diuretics.
5) Stop using contraception or hormone replacement medications 30 days prior to surgery. Use another method of contraception.
6) Do not take any medications containing acetylsalicylic acid for at least 7 days prior to surgery (aspirin, etc.).
7) Schedule your social, domestic, professional or school activities, so as not to become indispensable for a period of about 20 days.
8) If you smoke, avoid smoking at least 15 days before surgery.
9) Keep complete fasting for 8 hours before surgery.
Postoperative Recommendations :
1) Avoid climbing stairs in the first 30 days .
2 ) Sleep on your back with pillows under your lower back and your knees.
3 ) Never take injections in the gluteal region.
4 ) Closely follow the prescribed medication .
5 ) Normal diet .
6) Do not take any medicines that contain aspirin for at least 14 days after surgery.
7) You will probably be feeling so good that you forget that you were operated recently. Watch out! This euphoria may lead to an inappropriate effort, which determine certain disorders.
9) Do not worry about the intermediate forms in various stages. Call Dr. El Hachem for any doubts.