Also known as Brazilian butt lift or butt implants
Buttock augmentation is a procedure that reshapes and enhances your gluteal area, providing you with an uplifted and shapelier buttock profile. In the past ten years, this procedure has become increasingly popular worldwide, with shapely 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.
These are the top three pros and cons to weigh when considering buttock augmentation. If you wish to focus on what is unique to you, please consult with your aesthetic plastic surgeon.
Are you a good candidate for a buttock augmentation?
The following are some common reasons why you may want to consider buttock augmentation:
If you are in good general health, have a positive attitude and realistic expectations, you are most likely a good candidate for this procedure.
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 takes fat from one area of your body and uses it to enhance and reshape your buttocks.
Implants are most appropriate for treating flat or poorly defined buttocks, particularly for patients who have limited fatty tissue. They are not as effective for treating sagging buttocks that may occur after significant weight loss.
There are two main approaches for buttock augmentation: autologous fat transfer (Brazillian butt lift) and buttock implant surgery. Your surgeon will recommend an approach based on your aesthetic goals and body shape. Buttock implants may be chosen if you desire a more rounded appearance to your buttocks while fat grafting is an excellent way to contour and reshape your buttocks. If you are very slender with little excess fat, then implants may be appropriate; however, if you have sagging buttocks after massive weight loss, then fat grafting or a combination of fat and implant surgery may be more effective.
Silicone injections – patient safety warning
Silicone injections are an unsafe and unacceptable option for buttock augmentation. These injections are often offered by unlicensed individuals and should be avoided. Always consult with a board-certified plastic surgeon if you are considering a buttock augmentation procedure.
Depending on the type of procedure your surgeon recommends, the following incisions may be used:
Autologous fat transfer
The liposuction incisions are very small and just large enough to allow the suction tube, or cannula, to go under the skin and remove the fat. The incisions used for injecting the fat into the buttock regions are equally small.
Typically an incision is made in the fold between the buttock "cheeks." Alternative locations are the outer corners of the upper buttock and at the bottom in the gluteal crease.
It's important to choose your surgeon based on:
Members of the American Society for Aesthetic Plastic Surgery are experienced and qualified to perform your aesthetic procedure. Learn how to select a surgeon.
After finding a board-certified plastic surgeon in your area who is experienced in performing buttock augmentation, you will need to make an office appointment for your consultation. Generally, because of the in-depth nature of the consultation, there is a cost associated with the initial visit.
During your initial consultation, you will have the opportunity to discuss your cosmetic goals. Your surgeon will evaluate you as a candidate for buttock augmentation and clarify what a buttock augmentation can do for you. Understanding your goals and medical condition, both alternative and additional treatments may be considered. (see related procedures).
Your plastic surgeon will examine your buttocks and most likely take photos for your medical records. Your surgeon will consider:
It is important for you to provide complete information. If you are planning to lose a significant amount of weight, be sure to tell your plastic surgeon. He or she may recommend that you stabilize your weight prior to undergoing surgery.
Based on your goals, physical characteristics, and the surgeon's training and experience, your surgeon will share recommendations and information with you, including:
For a general list of questions to ask your surgeon about his or her background, to find out about plastic surgery safety, and to plan your procedure, visit the Planning Toolkit
We developed these questions to help you:
Your surgeon will provide you with preoperative instructions, answer any questions you may have, take a detailed medical history, and perform a physical exam to determine your fitness for surgery.
In advance of your procedure, your surgeon will ask you to:
Buttock augmentation is usually performed on an outpatient basis. Be sure to arrange for someone to drive you home after surgery and to stay with you at least the first night following surgery.
What can I expect on the day of my procedure?
Your buttock augmentation surgery may be performed in an accredited hospital, a free-standing ambulatory facility, or an office-based surgical suite. Most buttock augmentation procedures take at least two to three hours to complete but may take longer.
Your surgeon will discuss how long it will be before you can return to your normal level of activity and work. After surgery, you and your caregiver will receive detailed instructions about your postsurgical care, including information about:
See options for short-term recovery locations in Aftercare and Recovery (Planning Toolkit).
Immediately after your buttock augmentation
The incisions where your surgeon inserted the cannula or the implants may drain fluids for several days. Drainage tubes are often inserted to channel this fluid away from the wound.
You will wear special tight garments to keep your buttock area compressed. Your doctor will tell you how long to wear these, usually for weeks. Some doctors provide these garments, but others will tell you where to purchase them before your surgery.
When the anesthesia wears off, you may have some pain. If the pain is extreme or long-lasting, contact your physician. You will also have some swelling after the surgery. In some cases, this swelling will remain for weeks or even months. Contact your surgeon to determine whether your pain and swelling is normal or a sign of a problem.
Recovery time frame after buttock augmentation
It is vitally important that you follow all patient care instructions provided by your surgeon. This will include information about wearing compression garments, care of your drains, taking an antibiotic if prescribed, and the level and type of activity that is safe. Your surgeon will also provide detailed instructions about the normal symptoms you will experience and any potential signs of complications. It is important to realize that the amount of time it takes for recovery varies greatly among individuals.
The first two weeks
No sitting will be permitted for the first ten days (except for toileting). After this time you can sit with a soft pillow placed beneath your hamstrung muscles but not touching your buttock, so that your buttock is in the air and there is no pressure on the newly augmented buttock.
Weeks two to eight
Under normal circumstances, the results of your buttock augmentation surgery will be long-lasting.
After a successful fat transfer buttock augmentation, the fat that remains will stay there for the rest of your life. Like the rest of the tissue in your body, this fat will grow and age with you. If you have implants placed, these devices do not need to be removed unless you develop a late complication.
Although the procedure improves the shape and contour of your buttocks, you should make necessary lifestyle changes to maintain the appearance of your new shape. A healthy diet and exercise regimen can be incorporated into your daily routine to maintain your look.
Maintain a relationship with your aesthetic plastic surgeon
For safety, as well as the most beautiful and healthy outcome, it's important to return to your plastic surgeon's office for follow-up evaluation at prescribed times and whenever you notice any changes in your buttocks. Do not hesitate to contact your surgeon when you have any questions or concerns.
The cost of buttock augmentation varies from doctor to doctor and from one geographic area to another. Buttock augmentation or a buttock lift and reshaping could require multiple procedures performed together or in a series (such as injections for fat transfer). ASAPS statistics are compiled from surveys of doctors for buttock augmentation, buttock lift, liposuction, and autologous fat grafting. The price of your surgery usually involves a combination of these procedures.
These numbers only reflect the physician/surgeon fees last year and do not include fees for the surgical facility, anesthesia, medical tests, prescriptions, surgical garments, or other miscellaneous costs related to buttock augmentation.
Because buttock augmentation is elective surgery, insurance does not cover these costs. Many surgeons offer patient financing plans to make the procedure more affordable.
Choose your surgeon based on quality, training, and experience—not cost.
See why ASAPS members are widely recognized for upholding the highest standards in the area of aesthetic plastic surgery by viewing their basic credentials, training, and certifications.
Fortunately, significant complications from buttock augmentation are infrequent. Your specific risks for buttock augmentation will be discussed during your consultation.
All surgical procedures have some degree of risk. Some of the potential complications of all surgeries are:
Any complications or changes in shape may require additional surgery.
You can help minimize certain risks by following the advice and instructions of your board-certified plastic surgeon, both before and after your buttock augmentation surgery.
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