 So you can see how the implant was shaped, okay this is a patient that came to me from another doctor that did a buttock implant. I just want you to see what can happen if the pocket is over dissected. Look at this side has the round side up, this side has the flat side up. So what can happen is the implant can actually rotate in there. Did you see that? So look, look I'm flipping the implant right there. You see that? So let's flip this one. It's going to be a little bit harder but let's see. See this one is hard to flip. If we do hard enough it should flip but you could see this, see this one flips easily in the pocket. Look at that. You have to have a perfect pocket so that the implant can't rotate and flip on itself. If not the implant is going to just rotate at different times. So it's a very, very important surgery that during surgery it's perfect. You don't want any bigger but over time it might get bigger by just gravity and stuff. There is a capsule in there. We're going to take out the capsule, take out the implants and then go from there. So stay tuned. Okay so whoever did this, I like the way they did it. They used two separate incisions. You could see they didn't go from the middle. I think this is a better way of doing it. It's a self, everyone, every doctor is different. It's self-preference. So there's the scar. We're going to use the same exact scar. So we did some lidocaine. You're asking why did I do lidocaine? Because it does help with local bleeding. You see there's no blood as we cut and it does help with the anesthesia because the patient doesn't feel anything down here. So here we are. We're going in and now we're going to transition to the bovi. So you can see he has scar tissue right here. The way I like to do this, I like to do it sandwich inside the muscle. Believe it or not, the gluteus maximus is thick enough where you could put it in between the muscle. We'll see how they've done it for this patient. Okay, here comes out the implant. It's not as sturdy as the implants we use. So you could see how the implant was shaped. This is what was happening with it. It was rotating. It's a textured implant. It's a very hard silicone. You could see with the silicone, you see how it doesn't leak or anything. It's way different than the breast implants because remember you're sitting on this. You're jumping on this. You're falling down on this. So it's a different kind of implant. I think it had too much projection. I think I'd like something a little bit smoother. This is a little bit too high projection. So just like a breast implant forms a capsule, you could see this is the muscle. They did put it under the muscle and you see I'm taking off the capsule so it'll heal. This is the capsule. You could see any time, any place of the body you place a foreign object in, it's going to form a capsule. Now it's whether the capsule forms a calcium and becomes hard or it stays soft. But there is the capsule and we're removing the capsule. So here we are. We have almost the whole capsule out. You could see the red is the gluteus maximus muscle. Now this is the famous one. Everyone on Instagram tries to work out to get a buttock. But there's no way you could get this muscle as thick as that implant. There's no way. I mean it's like to get that kind of hypertrophy. It's just like impossible. That's why people do implants. That's why I'm a little skeptic about people that say all they've done is buttock exercises to get their buttocks. So I mean you could get it raised a little and get it full but you can never do what happens with a BBL or implant because this muscle possibly cannot become that thick by just doing some lunges or other exercises. That's just my perspective on things. So just like a breast implant there's a shiny side that faces the implant and the other side which ingrows into the tissue. So we could see we left the muscle. You could see I tried to take it as sheer as possible and we took the whole capsule out. Okay so this redness you see here that's the gluteus maximus. They split it open. If it's like this they went right in between it, opened it, put in the implant. You have the gluteus maximus minimus. Whenever there's a maximus there must be a minimus. So that's the gluteus maximus. We opened it up, we cleaned it out. You could see it's nice and beefy red. No capsule all taken out. Very nice and clean back to its original state. And just before I take this out I just want you to show that this is too big of a pocket. The implant shouldn't be able to move all the way up here and then all the way down here. The pocket should be like this. It should be fixed pocket. This is too wide of a pocket. They went up too high and down too low. So the pocket should be more fixed stated and perfectly done to fit just the implant. Too big of a pocket that's why it's flipping. And push push push push push with my assistant and here comes the other implant. Boom. There it is.