Q: Dr. Eppley, I want to get my buttock implants removed. They are misshaped and you can see their outline in my pictures. I want them removed and I am wanting to get the Brazilian butt lift to create a larger butt. I’ve had them around 5 years. The shape has always been this way. My previous doctor told me that the implants would soften up and have a more natural shape. I have been waiting and in all the 5 years this has never happened.
A: Thank you for sending your pictures. It appears that you have buttock implants that are in the subglandular (above the muscle) position. As a result you have capsular contracture and the implants just look ‘stuck on’ due to their encapsulation. The buttock implants can easily be removed (buttock implant removal) and it is not unreasonable to do fat grafting at the same time. The key to successful buttock fat grafting (aka Brazilian Butt Lift) in your case, besides an adequate amount of fat to harvest, is where the at is placed. Fat should not be injected directly into the pockets (empty spaces) where the implants were. Rather it needs to be placed around the buttocks and in the subcutaneous tissue layer between the skin and the implant capsule where the implants once were.
Dr. Barry Eppley
Q: Dr. Eppley, Would you give me more information on what the surgery for buttock implant removal would consist of. I would like to get them removed sometime next year since I spent so much on them already I need to save some money once again. I don’t know if it could damage the muscle that the implant is in since it has been split open. Would it heal together well enough to go back to normal activities? Will it leave my buttocks saggy to a point where exercise won’t help? Last what would you charge me for a procedure like this even though you didn’t place them?
A: Buttock implant removal has many similarities to placing them, minus the severe pain and swelling. It is a matter of reopening the incision and removing the implants from their location. Since the muscular pocket is already dissected and the implants are smooth silicone, they will slide right on out. Whether any fat grafting should be done at the same time to still end up with some augmentation effect depends on how much fat one has to give. Once healed (a few weeks) you may return to all normal activities. The interesting question is whether you would develop any buttock sagging afterwards. That is usually not the case since the implants are in the upper 1/2 of the buttocks and have not distended the buttock tissue on the lower half where sagging is more likely to occur. Suffice it to say that the cost to remove buttock implants is usually far less than what it was to put them in.
Dr. Barry Eppley