What does a butt implant surgery look like? January 25, 2023 Getting butt implants is an outpatient procedure that typically takes about two to three hours to complete. To begin, a general anesthetic will be administered to ensure you are comfortable and pain-free throughout your surgery. The buttock implant will be placed through a small incision in the buttock crease. The implant is customized for each patient based on their physique, measurements and desired results.