Craig W. Colville, M.D., FACS
Buttock augmentation reshapes and enhances your gluteal area. Most commonly, treatment is performed using your own tissue, known technically as autologous fat transfer, or more commonly, as a Brazilian Butt Lift. Liposuction is used in conjunction to harvest fat which is then injected into the buttocks, as well as to further contour your buttock to achieve your desired shape.
Buttock augmentation can also be performed by moving a flap of tissue from one area of your buttocks or lower back to a more desirable position. Solid or cohesive silicone gel implants can also be used to create a fuller look.
Am I a good candidate for buttock augmentation?
Buttock augmentation has gained popularity due to cultural trends around the world and in the media. Individuals who are interested in buttock augmentation might have one or more of the following feelings or concerns:
- Your buttocks are too small for your body frame
- Clothes do not fit properly on your figure
- Weight loss has left your buttocks loose, sagging or flat
- The shape or size of your buttocks makes you feel self-conscious
During the consultation, you will be asked about what you would like your buttocks to look like, as well as other body image concerns. This will help your surgeon to understand and address your expectations and whether they can realistically be achieved.
How will my ASAPS plastic surgeon evaluate me?
Your plastic surgeon will examine your buttocks and most likely take photographs for your medical record. He or she will consider such factors as the size and shape of your buttocks, the quality of your skin and what kind of augmentation is appropriate. In addition, if Brazilian Butt Lift is planned, he or she will determine what sites on your body are appropriate fat donor sites.
You should come to the consultation prepared to discuss your medical history. This will include information about any medical conditions, drug allergies, medical treatments you have received, previous surgeries, and medications (including over-the-counter meds) that you take. 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.
Your buttock augmentation options
Plastic surgeons have adapted standard techniques and are developing new ones to address patients’ desire for firmer, higher, rounder buttocks.
Autologous fat transfer
One tried-and-true procedure that now is being used to enhance gluteal contours is autologous fat transfer, grafting fat from one body part to add volume to another. Donor sites may include the abdomen, hips, back or thighs. Fat cells are removed via lipoplasty (liposuction), and then injected in "layers" into the buttocks. Disadvantages of this technique include difficulty in predicting how much fat will be reabsorbed by the body and the possibility that multiple procedures may be necessary. The popular “Brazilian Butt Lift” uses this technique to enhance and reshape the buttock area. Your surgeon may also use liposuction to further contour your buttock.
The implant procedure often is performed by making an incision in the fold between the buttock "cheeks" and inserting a solid silicone implant into the pocket below the gluteus muscle and above the pelvic bone. Alternative locations for incision are the outer corners of the upper buttock and bottom in the gluteal crease. Your plastic surgeon will give further details of these incision locations during the consultation as it pertains to your unique circumstance. The periphery of the cheeks is taped after surgery, so the implants are held in position as the tissues heal. Typically, buttock implants are not effective for treatment of sagging buttocks, which often may occur after significant weight loss. Implants are most appropriate when congenital deformity or heredity is the cause of flat or poorly defined buttocks.