On Judge Alex, two black women sued each other over a $3,800 giant ass gel injection loan. They each turned around to show Judge Alex their phenomenal asses … cartoons of asses…. I want one!

It turns out injecting gel is illegal in this country for a good reason. One poor woman went from stripper to welfare recipient in one disastrous butt decision. The stuff traveled in itchy lumps down her butt and hips, and gel lumps were crawling under her skin down her leg! Other women are quite pleased with their ginormous asses.

I asked a plastic surgeon about it, and he says you need butt IMPLANTS, not injections.

Photo of Chien by Keith Newell

HANK CHIEN: I mainly do cosmetic surgery because you don’t have to deal with insurance companies. People pay me with cash. Things that come out the best for me are eyes, breasts, and tummy tucks.

SBTVC: Have you heard about these illegal butt injections where someone from another country, say Peru, lines you up in a hotel and squirts gel in you?

Usually what they’re injecting is silicone gel, because it’s cheap. The problem with silicone gel, when it’s not encapsulated or it’s not a solid, is it can travel places and it can cause inflammation. It looks good for a few years, but then it starts migrating and causing inflammation in different parts of your body.

After the illegal butt gel, people need their butt shaped for three days … by human hands!

I don’t know a lot about silicone because I don’t do it. I do fat injections. I inject it where I want it, and still it can move. So I tell patients not to lie on their butt for two weeks. Even in the bathroom, I tell them sit on your thighs, not on your butt.

Howcome they can’t put bags of silicone in there like with breasts?

They actually do make solid silicone butt implants. Silicone can come in many forms: liquid, gel, semi-solid, and solid. Butt implants are solid because you’re sitting on it all the time — it can’t rupture. That I do.

So you take the knife and you cut open their bum and you stick that bag in and then you sew it back up?

Basically.

Do white women ever do it, or is it mainly a black thing?

In my experience it’s mainly a Hispanic thing. I find that Hispanics and blacks are more concerned about their body than about their face. Caucasians are probably equally concerned about both. Asians are definitely more concerned about their face. And what is aesthetically pleasing varies by race. Blacks tend to like wider butts. Hispanics tend to prefer projecting buttocks. There are certain aesthetic proportions that are universal across all ethnicities and across time. For example the ideal waist to hip ratio is 0.7. That is agreed upon by all ethnicities and was the same ratio a hundred years ago. The classic “36-24-36″ is actually an exaggeration of an ideal figure, since 24 divided by 36 is .67. The ideal figure is closer to 36-25-36.

What’s the craziest thing a patient has walked in asking for?

Nothing too crazy. I occasionally have patients walking in with unmarked bottles of who knows what asking me to inject it into who knows where. But I have seen MANY complications from liquid silicone injections. Unfortunately once you’ve had complications from silicone injections oftentimes nothing can be done or the treatment would involve disfiguring the patient. I find it amazing that these patients will come to a legitimate plastic surgeon only after having complications from an underground cosmetic procedure. Why not start with a legitimate plastic surgeon? When you buy a car, diamond ring, or house, you don’t just look at the cost. Why should it be different for your own body? If there was a cheaper method for obtaining the same results, don’t you think we would be doing it too?

-LISA CARVER

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