Revision Buttock Implantation: Indications, Procedures, and Recommendations.

Area of Science:

• Plastic Surgery
• Aesthetic Surgery
• Reconstructive Surgery

Background:

• Previous buttock implant research primarily focused on primary surgery outcomes.
• The surgical experience and outcomes of revision buttock implant procedures remain largely undocumented.

Purpose of the Study:

• To analyze the indications, procedures, and outcomes of revision buttock implantation surgery.
• To provide insights into the author's 12-year experience with revision buttock implants.

Main Methods:

• Retrospective chart review of patients undergoing revision buttock implantation from 2003 to 2015.
• Inclusion criteria: patients with removed/replaced, exchanged, or repositioned buttock implants after prior surgery.
• Data collected on indications, surgical procedures, and complication rates.

Main Results:

• Forty-three patients (32 female, 11 male) underwent revision surgery.
• Common indications: implant replacement (18), asymmetry (16), size change (9).
• Overall complication rate was 17.8%, with highest rates in unilateral implant replacement.

Conclusions:

• Revision buttock implantation is often necessary for correcting primary augmentation results.
• Early removal of infected implants is vital for reducing complications and enabling successful reimplantation.
• Surgeons must understand the common reasons, techniques, and potential complications of revision buttock surgery.