Buttock Augmentation Surgery

By: Dr. Michael Pasquale

Dr. Michael Anthony Pasquale is well known for his interest in enhancing the gluts through plastic surgery procedures such as buttock implants, fat injections or fat transfer – sculpting the region with liposuction techniques.

One of the World’s Leading Expert’s in Buttock Enhancment

Buttock implant surgery is not a straight forward procedure and it is definitely not common knowledge among cosmetic or plastic surgeons. Its extremely important as a patient to find a surgeon who has a proven track record performing buttock implant surgery in particular. The differences between fat transfer to buttocks and buttock implants surgery are drastic. Infinity Life Center has a particular method for buttock implants surgery including specialized instruments which have been developed and refined over 2 decades.

Dr. Pasquale has rare and extensive experience in buttock augmentation surgery and specifically the usage of implants. Having refined and adapted the procedure over decades, Dr. Pasquale is called on as a specialist regarding this technically challenging surgery.

Dr. Pasquale is one of the few plastic surgeons in the world who has extensive experience and proven success in performing buttock implant surgery. There are many different techniques employed by plastic surgeons who claim to have experience in buttock implant surgery, which makes it all that more important that you choose a plastic surgeon who has sufficient training and experience.

There are many ways the buttocks can shift and change over the years. Weight gain and weight loss can be factors by making the skin appear stretched and loose. The definition of beauty in the buttock region varies between cultures. While African American patients and Hispanic patients may prefer a fuller, rounded shape, Caucasian patients may ask for a more athletic look. Asian patients often ask for procedures to provide buttocks that are not necessarily large, but shapely, and are occasionally concerned with making their legs appear longer.

What Implant is Used for the Buttock?

The implant used for buttock augmentation is a solid gel implant. It’s not an implant with any type of filler so it will never leak – it’s solid but soft, similar to muscle. Different surgeons use different types of implants. There are several types and sizes that you will be able to choose from based on your desired result. The surgeon will help you choose the correct buttock implant best suited to you.

Buttock implants are made of a soft, solid silicone gel. Since they are not liquid, there is no chance of fluid leakage into the body. These implant materials have also been used for years as calf implants, as well as pectoral implants for men.

The patient may choose to have the implant inserted either below the middle section of the muscle in the buttock area known as the gluteus maximus, or above this muscle. A small incision near the tailbone is made. General anaesthesia is required for this procedure. Since these buttock implants sit better on the upper part of the buttock region, this surgery may be limiting for women who want to increase the size of the lower portions of their buttocks.

Schedule a Consultation with Dr. Michael A. Pasquale

Consultations allow a plastic surgeon to evaluate you and answer all the important questions that are impossible to answer otherwise, such as surgery options and surgery prices etc, All consultations are complementary and by appointment only.

Buttock Implant Recovery

The patient will be wrapped in a compression garment to provide pressure and support to the site. This will usually be removed in two or three days following the procedure. As the muscle in this area stretches over the buttock implants, the buttocks will begin to look more and more natural.

The recovery from buttock implants surgery can vary from a few weeks to a month. Every patient heals differently and unfortunately follows post op care differently. Normally the first few weeks after surgery can be uncomfortable. Sitting directly on the buttocks should be avoided during this time, as well as strenuous physical activity. Swelling may persist for the first week but will normally subside after the first week.

Medication will be prescribed for any pain following the buttock implant procedure.

The patient can expect to not be able to comfortably sit down for at least a few days or weeks, and will be advised not to sleep of their back. The patient must avoid any strenuous activity involving the legs, and may need assistance getting dressed for the first few weeks. Bruising and swelling in the buttock region is normal, as well as the possibility of other areas near the buttocks being affected as well. This will subside after a few days or weeks. Compression garments may be worn during this time to help ease the swelling.

Buttock Augmentation Risks & Complications

The patient may react adversely to the anaesthesia used during surgery. Infection, bleeding and muscle damage are also major risks with buttock implant surgery. It is also possible for the implants to slip post surgery, causing asymmetry, since the buttocks region is constantly shifting with sitting and physical activity involving the legs. All surgery has potential complications. Although complications are not very common in cosmetic surgery, they do occur and when thinking about procedures such as buttock implants (as with breast implants) you should be informed, before you decide on the surgery.


Implant infections are probably less common than they should be if one considers the area we are working with. Typically it would happen within 4 to 5 days and may require the implant to be removed for a few months. Patients may require hospitalization on antibiotics. Infections if untreated can become quite serious.


Buttock implant is indeed a painful operation, but we solve this by strong pain medications. The pain can last up to a month though most report the first week is the worse. There are special techniques available where no pain is felt for several days.


Every surgery we do causes some tissue swelling and this is typically short lived. With buttock implants it may take longer than a month for noticeable swelling to go down.


This is possible as with any surgery. This in the worse case may require another operation to stop the bleeder although this is seldom required. The pocket we create to place the implant is typically tight so its not very common for this surgery.

Nerve Injury

Small and large nerves could be injured during the operation but this is very rare. Common is some numbness or funny feelings which is temporary.

Skin Damage

It is possible that the overlying skin can become scarred or stretched. This may be temporary or permanent. This may also result if there is an infection.

Need for Another Surgery

Dont forget we are placing an artificial device into your tissue. This as with all implants may require a revision operation, perhaps to change size, shape or to improve the position. We know of one case where the implant cracked in half and had to be replaced.

Loss of Time From Work

As with any surgery although we expect recovery to be predictable at times you may have to miss more worked than planned for. Although extended recovery does not occur often it still is something to consider for any cosmetic surgery.

Implant Breakage

Although these implants are considered strong, it is possible to break them and they may require replacement. The procedure to correct this is rather simple since the pocket for the implants is already created and to change the implant is typically quick with a short recovery. The pocket was already formed with the first operation so the change is quick.

Cosmetic Problems

these are visual problems such as one being too low or too high. One may see the edge of the implant through the skin. Typically we do not see these complication when the implant is placed below the muscle. This may mean that you would require a revision operation to make for more symmetrical appearance.

Fluid Collections

Sometimes a clear fluid called a seroma may develop around the implant. This may be drained with a simple office visit with a needle. This may reoccur or leak through the incision site could occur. Sometimes we may have to drain a blood collection called a hematoma which is another form of fluid collection.

Additional Cost

With any surgery sometimes the unexpected can happen and you may incur additional cost. If for example your heart rhythm became irregular after anesthesia you may be required to go to the hospital. Although insurance may pay it may not depending on your policy.

Schedule a Consultation

All consultations are complementary.

Consultations are by appointment only.

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(808) 945-5433

Honolulu Hawaii Plastic Surgeon

677 Ala Moana Blvd Suite 1024 Honolulu Hawaii 96813