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Asymmetrical Buttock Implants. How Can It Be Corrected?

Your doctor is correct to advise you to wait for a total of 6 months before considering corrective action. It can take this much time for swelling and scar tissue to settle down. Things that can be done to improve the situation if the asymmetry continues include changing the implants, changing the pockets around the implants. We actually prefer to use autologous fat transfer (the Brazilian Butt Lift) to correct asymmetry or sagging buttocks. Injectables for this problem are not a great solution. The first reason is injectables are temporary meaning that you'd have to have them done over and over again. In addition, buttock asymmetry typically requires significant amounts of volume which most of the time can't be done in a cost effective or safe manner. In addition - in your case injections of dermal fillers put your implants at risk for infection - so be particularly cautious.

Clinical Context

After implant surgery, swelling and healing can progress at different rates on each side, which is why surgeons wait several months before judging true symmetry. If asymmetry persists, options carry different trade-offs: implant exchange or pocket adjustment means reoperating on healed tissue, fat grafting avoids adding foreign material but depends on how well the transferred fat survives, and injecting filler near an existing implant raises infection risk because the needle passes close to the implant itself.

Answered By

Dr. Steven Williams

President Emeritus of ASPS

Dr. Steven Williams is a board-certified plastic and reconstructive surgeon, a diplomate of the American Board of Plastic Surgery, the Past President of the prestigious American Society of Plastic Surgeons, and a charitable person who dedicates his life to those in need of his unique expertise.

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