Q: Dr. Eppley, I am interested in buttock implants. I have an incredibly small butt given my body size. I don’t really have that much fat so a BBL procedure is probably out. I would also like to get rid of my hip indents. Will buttock implants take care of that as well?
A: Thank you for sending your pictures. I can see your buttock concerns as their size is very small compared to the rest of your body. The traditional placement of buttock implants inside the muscle allows for only a small size of implant to be placed (around 300cc) which is about the size of your hand. I believe this would be inadequate for you. Buttock implants that are placed above the muscle allow for much larger implant sizes but have a higher rate of potential complications because they are not in the muscle and your buttock fat layer is thin under the skin.
Putting these two buttock implant issues together for you means that ideally you should have a two-stage buttock augmentation procedure., Your first stage should be fat transfer to your buttocks. While the amount of fat you have to transfer is not enough to make a big difference it will thicken up the fat layer under the skin and help get rid of your hip dimples. (which implants will not) This will then allow buttock implants to be placed more safely above the muscle as a second stage procedure 3 to 4 months later.
You have a very challenging buttock size problem that is not easily remedied by more traditional one-stage buttock augmentation procedures.
Dr. Barry Eppley