Gluteal Implant Revision: Key Indications, Techniques & Aftercare

Key Takeaways

  • Assess Your Needs: Understand the common reasons for gluteal implant revision, such as dissatisfaction with results or complications from the cosmetic procedure, to determine if revision or removal is right for you.
  • Consult a Specialist: Before deciding, consult with a qualified plastic surgeon who specializes in gluteal implants and other surgical procedures to discuss your cosmetic procedure options, ask questions, and develop a personalized plan, including bbl revision if necessary.
  • Prepare Thoroughly: Follow the recommended steps to prepare for the surgical procedure, including medical evaluations and lifestyle adjustments like weight loss in certain cases, to ensure a smooth process.
  • Know the Techniques: Familiarize yourself with the surgical techniques used for correction and removal, such as implant surgery, bbl revision, and implant exchange, so you can have informed discussions with your surgeon.
  • Prioritize Aftercare: Adhere to aftercare and recovery tips to minimize risks and support healing, such as following your surgeon’s guidelines and attending follow-up appointments after implant surgery or revision bbl.
  • Weigh the Risks: Consider the potential risks and complications associated with revision or removal surgery to make a well-informed decision.

Understanding Gluteal Implant Revision

Definition and Objectives

Gluteal implant revision involves correcting or replacing buttock implants. It aims to address complications, including implant removal, or achieve better aesthetic results. The primary objectives include improving symmetry, fixing displacement, resolving any discomfort, and implant removal.

Dr. Senderoff’s Expertise

Dr. Matthew J. Senderoff is a renowned surgeon in buttock augmentation and implant removal. He has extensive experience in both initial surgeries, implant removal, and revisions. Patients trust him due to his precise techniques, implant removal, and successful outcomes.

Correcting Complications

Complications can arise from previous surgeries. These issues may affect appearance and comfort. Common problems include:

  • Implant shifting
  • Asymmetry
  • Infection

Correcting these complications, including implant removal, is crucial for achieving the desired look and ensuring patient satisfaction.

Common Reasons for Revision Surgery

Implant Malposition

Implant malposition occurs when the implant shifts from its original position. This can happen due to improper placement during the initial surgery, implant removal, or post-surgery activities. Patients may notice asymmetry in their buttocks. This issue can cause discomfort and dissatisfaction.

Capsular Contracture

Capsular contracture is a common complication. It occurs when scar tissue forms around the implant, causing it to harden. The condition can be painful and distort the shape of the buttocks, sometimes requiring implant removal. Revision surgery is often needed to remove or replace the implant.


Infections are serious complications that require immediate attention. Signs include redness, swelling, and pain at the implant site. If not treated promptly, infections from implant removal can lead to severe health issues. In such cases, removal or revision of the implant becomes necessary.

Dissatisfaction with Size

e patients may become unhappy with their implant size over time. They might feel that their buttocks are too large or too small compared to their expectations, leading them to consider implant removal. Dissatisfaction with size is a frequent reason for seeking implant removal revision surgery.

Shape Issues

The shape of the implants can also lead to dissatisfaction. Implants that are too round or too flat may not provide the desired look. Patients often seek revision surgery, including implant removal, to achieve a more natural appearance.

Placement Problems

Incorrect placement of implants can affect overall aesthetics. When implants are placed too high or too low, they can create an unnatural look. This misplacement often leads patients to opt for implant removal and revision surgery.

Incorrect Implant Selection

Choosing the wrong type of implant impacts patient satisfaction significantly. Different types of implants offer various shapes and feels. An incorrect selection can result in an unsatisfactory outcome, prompting patients to seek corrective procedures like implant removal.

Preparing for Revision or Removal

Surgical History

Understanding the previous surgical history is crucial. Patients should provide details about their initial surgery. This includes the type of implants used, the date of surgery, and any complications experienced.

Surgeons will review medical records. They look for specifics on implant characteristics and placement techniques. Knowing this information helps in planning the revision or removal process.

Physical Examination

A thorough physical examination is essential. Surgeons will examine the gluteal area to identify any issues.

They check for signs of implant migration or asymmetry. The condition of surrounding tissues is also assessed. This helps determine if a simple removal or a more complex revision is needed.

Patient Expectations

Patient expectations play a significant role in planning. Clear communication between patient and surgeon is vital.

Patients should express their desired outcomes, whether it’s improved appearance or relief from discomfort. Understanding these goals helps surgeons create a tailored plan.

Planning the Process

Planning involves several steps. First, surgeons outline the procedure based on the surgical history and physical exam findings.

Next, they discuss options with the patient:

  • Implant replacement
  • Complete removal
  • BBL revision for aesthetic improvements

Each option has different implications for recovery and results.

Addressing Migration Issues

Implant migration can cause discomfort and affect appearance. Surgeons must address this during revision or removal.

They may reposition implants or remove them entirely if migration is severe. Ensuring proper placement prevents future issues.

Tissue Considerations

The condition of surrounding tissues affects surgical decisions. Damaged tissues may require additional procedures to repair before implant replacement or removal.

Healthy tissues support better outcomes. Surgeons aim to preserve as much healthy tissue as possible during surgery.

Surgical Techniques for Correction

Implant Exchange

Implant exchange is a common surgical procedure. Surgeons remove the old implants and replace them with new ones. Choosing the right size is crucial. Too large implants can cause complications. Smaller implants may not provide the desired shape.

Surgeons consider several factors when selecting sizes:

  • Patient’s body frame
  • Desired outcome
  • Previous implant issues

Careful planning reduces risks and improves results.

Repositioning Implants

Repositioning involves adjusting the placement of implants. This correction helps achieve better shape and projection. Misplaced implants can lead to discomfort and poor aesthetics.

Surgeons use precise techniques to reposition:

  • Create new pockets in the gluteal muscles
  • Securely place the implants in these pockets
  • Ensure symmetry and natural look

Proper positioning enhances both function and appearance.

Liposuction Enhancement

Liposuction is often used alongside other procedures. It removes excess fat around the implant area. This cosmetic procedure helps refine contours and smooth out irregularities.

Steps involved in liposuction enhancement:

  1. Mark areas for fat removal.
  2. Insert a thin tube (cannula) to suction fat.
  3. Carefully sculpt the surrounding tissue.

Liposuction ensures a more balanced and aesthetically pleasing result.

Fat Grafting Technique

Fat grafting, also known as fat transfer, complements implant revisions. Surgeons harvest fat from other body parts, like the abdomen or thighs. They then inject this fat into areas needing volume or correction.

Benefits of fat grafting include:

  • Natural feel and look
  • Reduced risk of rejection
  • Improved contouring

This technique addresses minor deformities and enhances overall outcomes.

Addressing Scar Tissue

Scar tissue can complicate revision surgeries. It forms around old implants, making removal harder. Surgeons carefully excise scar tissue during correction procedures.

Methods for addressing scar tissue:

  • Use of specialized instruments to minimize damage
  • Application of techniques that reduce new scar formation
  • Post-operative care to ensure proper healing

Managing scar tissue is essential for successful revisions.

Removing Implants Safely

Early Removal

Infected implants must be removed early. Delaying can lead to severe complications. Infections can spread, causing damage to surrounding tissues. Patients might experience pain and swelling. Early intervention prevents these issues.

Doctors recommend prompt action. If an infection is suspected, consult a healthcare professional immediately. Quick response ensures better outcomes.

Safe Procedure

Removing implants safely requires precision. Surgeons follow specific steps to minimize tissue damage. First, they make an incision near the implant site. This allows access without cutting through unnecessary tissue.

Next, the surgeon carefully separates the implant from surrounding muscles and tissues. Special tools are used to avoid tearing or bruising delicate areas. The goal is to remove the implant intact.

Finally, the surgeon closes the incision with stitches or surgical glue. Proper closure reduces the risk of further infection and promotes healing.

Future Replacement

Replacing implants after removal needs careful planning. Surgeons assess the condition of the remaining tissue first. Healthy tissue is crucial for successful implant replacement.

Patients should wait until complete healing before considering new implants. This period allows tissues to recover fully, reducing risks during future surgery.

Surgeons may suggest alternative options such as fat grafting or smaller implants if there was significant tissue loss during removal.

Monitoring Recovery

Post-surgery monitoring is essential for recovery. Regular check-ups help detect any signs of complications early on. Patients should report any unusual symptoms like fever or excessive pain.

Aftercare and Recovery Tips

Post-operative Care

Follow specific guidelines after gluteal implant revision or removal. Rest is crucial for the first few days. Avoid strenuous activities to promote healing. Keep the surgical area clean and dry.

Wear compression garments as advised by your surgeon. This helps reduce swelling and supports proper recovery. Adhering to these guidelines can ensure successful results.

Managing Discomfort

Expect some discomfort post-surgery. Pain medication, prescribed by your doctor, will help manage this. Apply cold compresses to reduce swelling and bruising.

Elevate your legs when resting to improve circulation. Avoid sitting directly on your buttocks for prolonged periods. This minimizes pressure on the surgical site.

Reducing Infection Risk

Preventing infection is vital during recovery. Follow your surgeon’s instructions carefully regarding wound care. Change dressings regularly, using sterile materials.

Avoid soaking in baths or swimming until cleared by your doctor. Maintain a balanced diet rich in vitamins and minerals to support immune function.

Follow-up Appointments

Attend all scheduled follow-up appointments with your surgeon. These visits are essential for monitoring progress and addressing concerns early on.

Your surgeon will check for signs of complications such as infection or improper healing. They may also adjust medications or provide additional care tips based on your recovery status.

Risks and Complications to Consider

Potential Risks

Gluteal implant revision or removal carries several potential risks. Infection is a significant concern. It can result from bacteria entering the surgical site. Poor wound healing is another risk, often due to inadequate aftercare or underlying health conditions.

Other complications include seroma, which is fluid buildup under the skin. Capsular contracture, where scar tissue forms around the implant, causing pain and deformity, may also recur. Both require medical attention and sometimes further surgery.


Nerve damage is a serious complication of these procedures. This can lead to numbness or loss of sensation in the gluteal area. In some cases, nerve damage may be permanent. Blood vessels in the area can also be damaged during surgery.

Tissue damage is another risk. Removing implants can cause skin and muscle issues, especially if there has been significant weight loss since the original surgery.


Asymmetry is a common issue post-surgery. This means one side of the buttocks may look different from the other. Many patients find this distressing as it affects their appearance and confidence.

This asymmetry can result from uneven healing or improper implant placement during revision surgery. Skilled surgeons are crucial for minimizing this risk.

Life Impact

The impact on daily life should not be underestimated. Recovery time can be lengthy and painful, affecting work and personal activities. Emotional stress from complications like asymmetry or chronic pain can also affect mental health.

Patients must consider these factors when deciding on gluteal implant revision or removal.

Ideal Candidates

Ideal candidates for these procedures are those in good health with realistic expectations. They should understand the potential risks involved and be prepared for recovery challenges.

Selecting a skilled surgeon with experience in gluteal surgeries is vital for achieving optimal outcomes and minimizing complications.

Making the Decision for Revision or Removal

Weighing Benefits

Patients should carefully consider the benefits of gluteal implant revision or removal. They might seek a revision to improve appearance or comfort. Others may opt for removal due to complications.

It is crucial to evaluate individual circumstances. For example, someone experiencing pain might benefit from removal. Conversely, another patient might prefer revision to address aesthetic concerns.

Understanding Risks

There are risks involved in both procedures. Revision surgery can lead to infection or implant displacement. Removal may result in sagging skin or asymmetry.

Consulting with an experienced surgeon can provide clarity. A professional like Dr. Senderoff can explain potential outcomes and help patients understand the limitations of each option.

Consulting Experts

Speaking with a qualified surgeon is essential. Surgeons like Dr. Senderoff have extensive experience with gluteal implants.

They can offer insights into what patients can realistically expect. A consultation allows for a detailed discussion about personal goals and medical history.

Realistic Expectations

Having realistic expectations is vital when considering revision or removal. Patients should understand that no surgery guarantees perfection.

Revision surgery aims to correct issues but may not achieve ideal results. Understanding these limitations helps manage expectations and prepare for possible outcomes.

Emotional Considerations

The decision to undergo revision or removal also involves emotional factors. Some patients feel distress over their current implants.

Others may worry about future complications if they leave the implants as they are. Discussing these feelings with a mental health professional can be beneficial.

Financial Implications

Both procedures come with financial costs. Patients need to consider expenses related to surgery, recovery, and any additional treatments needed afterward.

Insurance may not cover elective revisions or removals, so it’s important to plan accordingly.

Location Matters

Choosing the right location for surgery is important too. Some areas have more experienced surgeons and better facilities than others.

Patients should research different locations and select one that offers high-quality care and expertise in gluteal implants.


Gluteal implant revision or removal is a crucial decision that can significantly impact your health and confidence. Understanding the reasons for surgery, preparing adequately, and knowing the techniques involved all contribute to a successful outcome. The aftercare process is equally vital, ensuring you recover smoothly and safely.

If you’re considering gluteal implant revision or removal, consult with a qualified surgeon to discuss your options. Your well-being is paramount, and making an informed decision will lead to better results. Don’t hesitate—take the next step towards feeling your best.

Frequently Asked Questions

What is gluteal implant revision?

Gluteal implant revision is a surgical procedure to correct or replace existing buttock implants. It addresses issues like implant shifting, asymmetry, or dissatisfaction with the initial results.

Why might someone need gluteal implant revision surgery?

Common reasons include implant displacement, infection, capsular contracture, or personal desire for a different size or shape.

How should I prepare for gluteal implant removal?

Preparation involves consultations with your surgeon, medical evaluations, and following pre-surgery guidelines such as avoiding certain medications and fasting.

What techniques are used in gluteal implant correction?

Techniques vary but may include repositioning implants, adjusting pocket sizes, or using fat grafting to improve contour and symmetry.

Is removing gluteal implants safe?

Yes, when performed by an experienced surgeon. The procedure typically involves careful extraction to minimize tissue damage and ensure proper healing.

What are the aftercare steps post-surgery?

Aftercare includes rest, wearing compression garments, avoiding strenuous activities, and attending follow-up appointments to monitor healing.

What risks should I consider before deciding on revision surgery?

Risks include infection, scarring, anesthesia complications, and dissatisfaction with results. Discuss these thoroughly with your surgeon.