Plastic Surgery
Dr. Barry Eppley

Explore the worlds of cosmetic
and plastic surgery with Indianapolis
Double Board-Certified Plastic
Surgeon Dr. Barry Eppley

OR Snapshots – Custom Buttock Implants


While the most common form of buttock augmentation today is fat grafting (Brazilian Butt Lift surgery or BBL), buttock implants still have a role to play. They are the only other method of surgical buttock augmentation for those patients who do not have enough fat to harvest for a BBL or have failed previous BBL efforts due to fat absorption.

Like all aesthetic implants used in the body, buttock implants provide permanent volume in a single surgical effort. But the final outcome both in volume and shape is determined by that of the implant’s design. Buttock implants come in both round and anatomic designs and volumes up to 700ccs. While the pocket location can be either intramuscular or subfascial, larger buttock implants sizes have to be placed on top of the gluteus maximus muscle.

One of the design problems in larger buttock implants is that they often can result in a ‘bubble butt’ appearance. This is caused by the high projection compared to the base diameter of the implant. While breast implants are designed to look spherical, such an appearance for the buttocks is not as desired by most patients. To get a more natural look, custom buttock implants have a wider base diameter with less projection. The concept is that in the buttocks, the diameter of the implant is more important than its projection.

Custom buttock implants are designed to be used in the subfascial location. Their broad base diameters, up to 18 cms, cover more buttock surface area and blend in more naturally to the surrounding tissues. This is particularly important out laterally into the hip area. With a broader base diameter the projections can often be lower than 6 cms or less.

The base diameter of custom buttock implants mandates that they be placed in the subfascial position rather than in the intramuscular location. This also allows for a greater influence on the hip region that would otherwise be obtainable.

Dr. Barry Eppley

Indianapolis, Indiana

Dr. Barry EppleyDr. Barry Eppley

Dr. Barry Eppley is an extensively trained plastic and cosmetic surgeon with more than 20 years of surgical experience. He is both a licensed physician and dentist as well as double board-certified in both Plastic and Reconstructive Surgery and Oral and Maxillofacial Surgery. This training allows him to perform the most complex surgical procedures from cosmetic changes to the face and body to craniofacial surgery. Dr. Eppley has made extensive contributions to plastic surgery starting with the development of several advanced surgical techniques. He is a revered author, lecturer and educator in the field of plastic and cosmetic surgery.

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