This 22 year old woman from Galloway, OH came to the Columbus Institute of Plastic Surgery for a buttock augmentation with silicone implants. The board certified plastic surgeon, Dr. Bivik Shah will meet with you and discuss the look you are going for with this procedure. The implants are typically custom made to fit this look. As you can see here, the incision is made at the top and center of the buttocks. Then the implants are placed above the muscle in each buttock. The scar here is only two weeks after surgery. As with any case, the scar will look its absolute best a year and a half after surgery. This incision is very easily hidden by panties or even a thong.