Q: Dr. Eppley, I am interested in getting buttock implants. I am small but want a nice round buttock size result. I have attached what my buttocks looks like now and the kind of result I want. I think I need 550cc buttock implants. What is your recommendation on implant size?
A: In looking at your pictures, you have very small buttocks and a petite body frame. You are simply too small to have such large buttock implants, at least in an intramuscular location. You are either going to have to accept a much smaller buttock augmentation result than you desire (with lower risks) or have larger implant sizes that carry much higher short and long-term risks. It is important to have realistic expectations based on what your tissues can tolerate. This does involve the placement of implants whose initial acceptance and long-term success are based on a delicate balance between tissue stress and the volume of the implanted material.
There are my three buttock implant size recommendations based on how much risk you want to take:
Safest 270cc intramuscular 350-375cc subfascial
Aggressive 330cc intramuscular 425cc subfascial
Riskiest not possible intramuscular 500cc subfascial
Dr. Barry Eppley