Buttock implants are usually performed on an outpatient facility and usually need about two to three hours of operation. The procedure is also performed under general anesthesia, thus allowing the patient to sleep, on her stomach, during the operation.
Once the patient is under anesthesia, the doctor wills start to create incisions usually where the cheek meets the back of the thigh or down the buttock crease. However, incisions are commonly created down the buttock crease since future scars on the area will be less noticeable.
The doctor will create a large enough incision to better place the implant. The implant is then placed either on top of the gluteus maximus muscle or under it. Doing so would prevent you from sitting on the implants and reduce the possibility of the implants from shifting.
The same is also done to other cheek. Expect your doctor to carefully examine both sides of your buttock to ensure that they are natural and symmetrical. Stitches are also used to close the incision.