Can Liposuction and Buttocks Implants Be Done At The Same Time?

Q: Dr. Eppley, I am interested in intramuscular buttock implants. I don’t really feel comfortable with the subfascial pocket for them. Having said that if I go with intramuscular and 350cc or less in implant size, then which shape you would recommend? Can I get away with a round implant? Oval or anatomic? I would also like to have some liposuction for a better shape. Do you recommend to do them at a different time or together with the buttock implants?

After my first liposuction, I noticed that I have developed some fat around my bra area (bra rolls) that I hate. Here I attached some of my pictures with some assimilation on where I like to have the liposuction done. Can you please kindly let me know if they are relatively doable?

A: The most common intramuscular implant that I place is a 330cc anatomic implant that has a lower profile and more tapered edges than a traditional round or tear drop implant. This creates as more natural contour to the buttocks and will definitely avoid a rounder and more fake look. As most of the patients who undergo buttock implants are about your size (because they are not good candidates for BBL surgery), this implant volume is the right and maximum size that can be placed. Trying to ‘stuff’ a bigger implant than this in an intramuscular space is prone to causing other problems and even more prolonged recovery.

In regards to liposuction, you should definitely do it at the time of buttock implants due to the convenience of intraoperative positioning. You need to be in the prone position for the buttock implant procedure and this is the best way to liposuction the bra rolls and flanks as well. This fat could be used to fill in some of your indentations which would not likely go away with the push out of the implants way below them.

Dr. Barry Eppley

Indianapolis, Indiana