Buttock Augmentation

Augmentation techniques include the “Brazilian butt lift” (fat transfer) and butt implants

Buttock augmentation is a procedure that reshapes and enhances your gluteal area, providing you with a more shapely buttock profile. In the past ten years, this procedure has become increasingly popular worldwide, with round, firm buttocks often seen as a symbol of femininity and sensuality. The most frequent methods for enlarging and reshaping your buttocks are fat grafting using your own natural fatty tissue (popularly referred to as the “Brazilian butt lift”), or with buttock implants.

How is a buttock augmentation procedure performed?

The two most popular methods for buttock augmentation are autologous fat transfer (using your own natural fatty tissue), also called the Brazilian butt lift, and gluteal implant surgery with or without fat transfer for additional contouring.

Autologous fat transfer
This procedure, referred to as a Brazilian butt lift, takes fat from one area of your body and uses it to enhance and reshape your buttocks.

  • Liposuction with suction tubes (cannulas) is used to remove fatty tissue from areas of your body with excess tissue, such as the abdomen, hips, back, or thighs.
  • The fat is then processed for fat transfer.
  • The fat is reinjected using syringes connected to cannulas.
  • Usually three to five small incisions are needed for injecting the fat, but these incision sites are easily hidden by clothing.
  • The fat is grafted in layers at multiple levels, with the cannula moving back and forth to ensure that a smooth, linear deposit of fatty tissue is left to reshape and augment the buttocks area.
  • The liposuction incisions are closed with sutures.
  • Drains are inserted and a compression garment is worn following surgery.

Not all the fat transferred in a BBL procedure is expected to survive. The final result may be somewhat smaller than initially projected. Repeat BBL procedures (a 2nd or 3rd round) are occasionally advised depending on a patient’s initial results.

While popularly called a “butt lift,” the BBL procedure is primarily about improving body torso contours, improving the waistline, reducing back rolls, and providing a more curvaceous figure. Skin is not removed in a typical BBL and the “lift” effect is primarily an increase in projection of the buttocks.

Buttock implants
Implants are most appropriate for treating flat or poorly defined buttocks, particularly for patients who have limited fatty tissue. Butt implants are not as effective for treating sagging buttocks that may occur after significant weight loss.

  • With this procedure a soft, shaped silicone implant is placed through an incision hidden inside the natural buttock crease, or an alternate incision site may be used. Your plastic surgeon will provide further details about these incision locations during the consultation.
  • The implant is positioned in a pocket below the large buttock (gluteal) muscle and above the pelvic bone.
  • The incisions are closed with sutures, drains are inserted, and a compression garment is worn following surgery.

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