In recent years, hip augmentation surgeries have become very demanded. Many men and women complain of a flat, underdeveloped, fuzzy hip. The two most commonly used methods for Hip Augmentation are Butt Implants and Brazillian Butt Lift (BBL).

What is Butt Implants?

Butt implants (also called gluteal implants) are prostheses placed in the hip to increase volume. Butt implants are round or oval (anatomical) in shape and have smooth or textured surfaces like a breast implant. The most common butt implants are silicone hip (butt) implants. The durability of silicone butt (hip) implants is very important. Because when you sit down or gain weight, it will take on the whole load.

Who is this for?

Butt implant operations are mostly performed for women who are not satisfied with the appearance of their hips or who have problems in this area. Individuals who want to have this operation should consult a doctor or a health consultant before the procedure. Because in this way, they have the opportunity to express why they want to have this operation and in what sense they want to get help. After consultation, your doctor or health consultant decides whether the procedure should be performed.

How is Butt Implant Surgery performed?

The operation starts with incisions. Butt Implant can be placed above or below the hip muscle (gluteus maximus muscle) with incisions made from different regions according to the patient's anatomy and needs. A pocket is created where the Butt implant will be placed. The hip (butt) prosthesis is placed in the created pocket and the incision is closed with sutures. The drains placed during the surgery remain inside during the first week so that fluid and blood do not accumulate. According to the needs of the patient, fat injection to the butt (Brazillian Butt Lift) can be added to this surgery.

What are the disadvantages of the Breast Implants?

The biggest disadvantage of the brest implants is displacing of the implants. Butt implants that do not remain in the desired area but are displaced require repeat surgery. Apart from this, there are also the risks of complications related to silicone hip implants such as fluid collection and capsule contraction.

What are the advantages of the Butt Implants?

· Butt augmentation with butt implants is one of the surgical procedures applied to provide shape, harmony, contour and volume to the buttocks, the first sentence that should be preferred in this regard is that the application is permanent and guaranteed.

· With proper and meticulous surgical planning, common infections, fluid accumulation (seroma) and “prosthesis displacement” can be prevented.

· No scar remains after the operation.

· The size of the prosthesis can be changed or removed whenever desired.

· The postoperative result (change in shape and volume) is obtained immediately. There is no risk of encountering insufficient or less significant butt size than expected. Whatever is placed, is the result encountered, there is no possibility of melting or disappearing.

· Since implants are placed on the weight-bearing area in the sitting position, the silicone does not burst, damage or displace with sitting.

After the Breast Implant Surgery

· For the first 2 to 3 weeks, the patient is advised not to sit or lie on his stomach, and to stand or prone while resting. The patient may take small walks around the house, but is asked to limit his activities to avoid wound friction and trauma.

· The patient can usually return to work within 2 to 3 weeks after surgery.

· Returning to the gym depends on the condition of the wound. If all is well, the patient can resume his exercises 6 weeks after the surgery. If there is a risk in the wound, it may be necessary to wait 2 to 3 months before starting the training.

· After 3 months, the patient is allowed to engage in any activity. First, the implants will feel very firm; their "softening" will take 3 months. After this period, the patient will feel her butt quite properly.

Potential Risks and Side Effects

Wound dehiscence, implant removal, capsular contracture, seroma, implant rotation, infection and hematoma are the complications that can be seen.

Individuals with bulky or extra-large physiques appear to have a higher complication rate, as they often require larger implants, resulting in greater strain on the closure and a greater potential for complications. In these individuals, augmentation can alternatively be done with fat or dermal flaps.

Most wound dehiscences occur approximately on the fourteenth day after surgery, but they can also occur 3 weeks after surgery. In the past, the wound dehiscence rate was 30%. After bilateral intergluteal cuts were applied, a significant decrease in wound dehiscence rates was observed and the wound dehiscence rate decreased to 2-3%.

If the wound is dehiscence, the removal of the implant can be detected locally near the bed. If not, conventional wound care and treatment is applied. Closing may take 1 to 3 months. If the implant has been removed, secondary surgery using implant salvage techniques is required.