With buttock augmentation, there is a possibility that the implants may shift and cause the buttocks to appear asymmetrical. However the implants are placed above the sitting area, this is done to keep patients from sitting on them and thus reducing the risk of implants shifting.

Another complication is that the implants may rupture, or break. However this occurrence is rare. Many times patients will not be aware of complications until days or months after the procedure has been performed.

All surgical procedures carry some degree of risk. The risks of undergoing buttock implant surgery can include (but are not limited to) infection, unsatisfactory results, excessive bleeding, adverse reaction to anesthesia, and the need for second or sometimes third procedures.