Can Buttock Implants Rotate?

Q: Dr. Eppley, Can oval shape buttock implants rotate? Is there an amount of time that goes by that rotation is no longer a concern because they are now in their permanent place? If so, how long until that happens? If they rotate can you push them back manually without another surgery?

A: Oval, sometimes called natural, shape buttocks implants can certainly rotate if they are placed in the subfascial location rather than the intramuscular position. That risk is greatest during the first several months after surgery but the risk is lifelong since they are not textured implants but have a smooth surface. You may be able to push them around back into the place but they can just as easily rotate again. But if the buttock implants are placed in an intramuscular pocket, the chances of inadvertent rotation are significantly reduced because of the more constricted pocket space.