Buttock Augmentation

What is Buttock Augmentation?

Buttock augmentation is a cosmetic surgical procedure that aims to enhance the size and shape of the buttocks. It is often performed to achieve a fuller and more shapely buttock appearance.

There are two primary methods for buttock augmentation:

  1. Butt Implants: This procedure involves the insertion of silicone implants into the buttocks to increase their volume and enhance their shape. The implants come in various sizes and shapes, and the surgeon will choose the ones that best suit the patient’s goals and body proportions. Butt implants are typically placed within the gluteal muscles or under the fascia of the buttocks. Recovery from this surgery can take several weeks, and patients may experience discomfort and swelling during the healing process.
  2. Brazilian Butt Lift (BBL): The Brazilian Butt Lift is a popular alternative to implants and involves a combination of liposuction and fat transfer. In this procedure, the surgeon first removes excess fat from areas of the body with liposuction, such as the abdomen, thighs, or flanks. The harvested fat is then processed and purified before being injected into the buttocks to achieve the desired shape and volume. The advantage of a BBL is that it uses the patient’s own fat, which can provide a more natural look and feel. Recovery time varies but is generally shorter than that of butt implants.

Both buttock augmentation procedures come with risks and benefits, and the choice between them depends on the patient’s aesthetic goals, body type, and the recommendations of a qualified plastic surgeon. It’s essential to consult with a board-certified plastic surgeon to discuss your options, risks, and expected outcomes before undergoing any buttock augmentation procedure. Additionally, make sure to choose a reputable and experienced surgeon to ensure a safe and successful outcome.

When Buttock Augmentation is a Good Option?

Buttock augmentation may be a good option for individuals who desire to enhance the size and shape of their buttocks for various reasons, including:

  1. Aesthetic Goals: Many people seek buttock augmentation to achieve a fuller and more shapely appearance. This procedure can help create a curvier silhouette and improve the balance between the upper and lower body, enhancing overall body proportions.
  2. Natural Changes: Some individuals experience a loss of buttock volume due to aging, significant weight loss, or genetics. Buttock augmentation can help restore lost volume and achieve a more youthful appearance.
  3. Desire for a More Prominent Butt: For those who wish to have a more prominent and defined buttock contour, buttock augmentation can provide the desired results.
  4. Improved Self-Confidence: Enhancing the appearance of the buttocks can boost self-esteem and self-confidence. Feeling more attractive and comfortable in one’s body can have a positive impact on overall well-being.
  5. Correcting Asymmetry: Butt augmentation can help correct buttock asymmetry, where one buttock is noticeably smaller or less shapely than the other.
  6. Clothing Fit: Some people choose buttock augmentation to improve the way clothing fits and to feel more comfortable and confident in swimwear or tight-fitting garments.

It’s important to note that buttock augmentation is a cosmetic procedure and should be considered carefully. Before deciding to undergo this surgery, individuals should:

  • Have realistic expectations about the outcomes and limitations of the procedure.
  • Be in good overall health, as surgical procedures carry inherent risks.
  • Consult with a board-certified plastic surgeon to discuss their goals and assess whether they are suitable candidates for buttock augmentation.
  • Consider the recovery time and potential discomfort associated with the procedure.

Furthermore, individuals should choose a qualified and experienced plastic surgeon who can provide guidance and deliver safe, effective, and aesthetically pleasing results. It’s crucial to thoroughly research and discuss the procedure with a medical professional to make an informed decision that aligns with one’s goals and expectations.

Consultation and Preparation

Consultation and preparation for buttock augmentation are crucial steps in the cosmetic surgery process.

Here’s what you can expect during these stages:

  1. Consultation:
    • Choose a Qualified Surgeon: Begin by researching and selecting a board-certified plastic surgeon who specializes in buttock augmentation procedures. Look for a surgeon with a strong reputation and a history of successful outcomes.
    • Initial Consultation: Schedule an initial consultation with the chosen surgeon. During this meeting, you will have the opportunity to discuss your goals, concerns, and expectations.
    • Medical History: Be prepared to provide your complete medical history, including any preexisting medical conditions, allergies, medications, and previous surgeries.
    • Physical Examination: The surgeon will conduct a physical examination to assess your candidacy for the procedure. They will evaluate your body type, skin elasticity, and the amount of available fat (if you’re considering a Brazilian Butt Lift).
    • Discussion of Options: Your surgeon will explain the different options available for buttock augmentation, such as implants or a Brazilian Butt Lift, and recommend the most suitable approach for your goals and body type.
    • Review Before and After Photos: Ask to see before and after photos of previous patients who underwent buttock augmentation with the same surgeon to get a sense of the potential results.
    • Questions and Concerns: Don’t hesitate to ask questions about the procedure, recovery, and any potential risks or complications. It’s essential to have a clear understanding of the process.
  2. Pre-Operative Preparation:
    • Choose a Surgery Date: Once you decide to proceed with the procedure, you’ll select a surgery date in consultation with your surgeon.
    • Pre-Operative Instructions: Your surgeon will provide you with specific pre-operative instructions, which may include:
    • Ceasing the use of certain medications, like blood thinners, as directed.
    • Refraining from smoking, as it can negatively affect the healing process.
    • Avoiding alcohol consumption for a period before surgery.
    • Arranging for a responsible adult to accompany you on the day of surgery and assist you during the initial recovery phase.
    • Blood Tests and Pre-Op Assessments: You may be required to undergo blood tests and other pre-operative assessments to ensure your health is optimal for surgery.
    • Planning for Recovery: Make arrangements for your post-operative care and recovery, including time off work and assistance with daily activities during the initial recovery period.
    • Purchase Supplies: Gather necessary supplies, such as loose-fitting clothing, compression garments (if advised by your surgeon), and items for wound care.
    • Follow a Healthy Diet: Eating a balanced and nutritious diet in the weeks leading up to surgery can aid in the healing process.
    • Stay Hydrated: Proper hydration is essential for recovery, so be sure to drink plenty of water.
    • Mental and Emotional Preparation: Prepare yourself mentally and emotionally for the procedure. Discuss any concerns or anxieties with your surgeon to alleviate any stress.

It’s vital to follow your surgeon’s guidance closely throughout the consultation and preparation process to ensure a safe and successful buttock augmentation experience. Remember that each patient’s situation is unique, and your surgeon will tailor the plan to your specific needs and goals.

Questions You Should Ask Your Physician

When considering buttock augmentation, it’s essential to have a thorough discussion with your physician (plastic surgeon) to ensure you are well-informed and confident in your decision.

Here are some important questions to ask your surgeon during your consultation:

  • Qualifications and Experience:
    • Are you board-certified in plastic surgery?
    • How many buttock augmentation procedures have you performed?
    • Can you provide examples of before and after photos of previous patients who have undergone buttock augmentation with you?
  • Procedure Options:
    • What are the different options for buttock augmentation, and which one do you recommend for me?
    • What are the advantages and disadvantages of butt implants versus a Brazilian Butt Lift?
    • How will each procedure affect the final results and recovery?
  • Realistic Expectations:
    • What kind of results can I realistically expect from buttock augmentation?
    • Can you explain the limitations of the procedure?
    • Are there any potential complications or risks I should be aware of?
  • Preparation and Recovery:
    • What do I need to do to prepare for the surgery?
    • What is the expected recovery time, and when can I resume normal activities?
    • Are there specific post-operative instructions I need to follow?
  • Anesthesia and Surgery Details:
    • Will the surgery be performed under general or local anesthesia?
    • How long will the procedure take?
    • What can I expect during the surgery in terms of incisions and technique?
  • Scarring and Incisions:
    • Where will the incisions be made, and how will you minimize scarring?
    • Can you describe the scarring process and any scar management options?
  • Fat Transfer (for Brazilian Butt Lift):
    • If I’m considering a Brazilian Butt Lift, how is the fat harvested and processed?
    • Is the fat transfer permanent, or will I need touch-up procedures in the future?
  • Implants (if applicable):
    • What type of implants do you recommend, and why?
    • Where will the implants be placed (submuscular or subfascial)?
    • What is the expected longevity of the implants, and what are the options if they need to be replaced?
  • Cost and Financing:
    • What is the total cost of the procedure, including surgeon’s fees, anesthesia, facility fees, and any additional costs?
    • Are there financing options available?
  • Follow-Up Care:
    • What kind of follow-up care will be provided after the surgery?
    • How often will I need to see you for post-operative check-ups?
  • Additional Concerns:
    • Do you have hospital privileges, and where will the surgery be performed?
    • Can you provide references or testimonials from previous patients?
    • How should I contact you in case of emergencies or questions after the procedure?
  • Surgical Outcome and Risks:
    • What is the likelihood of needing revision surgery, and what are the associated costs?
    • Can you explain the potential risks and complications of buttock augmentation?

Make sure to ask any additional questions or express any concerns you may have during the consultation. Your surgeon should be open and transparent in addressing your inquiries and providing you with all the necessary information to make an informed decision.

Surgery Process

The buttock augmentation surgery process typically involves several steps, including consultation, preparation, the surgical procedure, and post-operative care. Here is an overview of the typical process:

  1. Consultation:
  • Before undergoing buttock augmentation, schedule an initial consultation with a board-certified plastic surgeon who specializes in this procedure.
  • During the consultation, you will discuss your aesthetic goals, concerns, and medical history.
  • The surgeon will assess your suitability for the procedure, considering factors like your body type, available fat (if opting for a Brazilian Butt Lift), and overall health.
  • You will receive recommendations regarding the most appropriate buttock augmentation method for your goals.
  1. Pre-Operative Preparation:
  • Once you decide to proceed with buttock augmentation, you’ll choose a surgery date and follow your surgeon’s pre-operative instructions.
  • These instructions may include discontinuing certain medications, avoiding smoking and alcohol, arranging for transportation to and from the surgical facility, and making arrangements for post-operative care and recovery.
  • You’ll have a physical examination and may undergo blood tests and other pre-operative assessments to ensure your health is suitable for surgery.
  1. Surgical Procedure:
    1. Butt Implants:
  • You will be placed under anesthesia, which can be either general or local anesthesia with sedation.
  • The surgeon will make incisions in inconspicuous areas, such as the crease where the buttocks meet the lower back or the gluteal fold.
  • They will then create pockets in the buttock tissue or under the gluteal muscle to insert the silicone implants.
  • Once the implants are properly positioned, the incisions are closed with sutures.
    1. Brazilian Butt Lift (BBL):
  • Anesthesia is administered to ensure your comfort during the procedure.
  • Liposuction is performed to harvest excess fat from donor areas such as the abdomen, flanks, or thighs. This fat is carefully processed and purified.
  • The processed fat is then injected into various layers of the buttocks to enhance volume and shape.
  • The surgeon will sculpt and shape the buttocks to achieve the desired result.
  • Incisions are closed with sutures, and dressings are applied.
  1. Post-Operative Recovery:
  • After the surgery, you’ll be closely monitored in a recovery area until you are awake and stable.
  • You may experience some discomfort, bruising, and swelling, which are normal and can be managed with pain medication.
  • Depending on the procedure, you will need to wear compression garments to reduce swelling and support the surgical area.
  • You will receive post-operative care instructions, which may include restrictions on sitting or lying directly on your buttocks for a specified period.
    • You’ll need to avoid strenuous activities and follow your surgeon’s guidelines for resuming normal activities.
  1. Follow-Up Care:
    • You will have several follow-up appointments with your surgeon to monitor your progress and ensure a smooth recovery.
    • During these visits, the surgeon will assess your healing and may provide recommendations for scar management (if applicable).
  2. Long-Term Results:
    • It may take several weeks to months for the final results to become fully apparent.
    • You should maintain a healthy lifestyle and follow your surgeon’s advice for long-term results and satisfaction.

It’s crucial to choose a qualified and experienced plastic surgeon for buttock augmentation, as this minimizes the risks associated with the procedure and enhances the likelihood of achieving the desired aesthetic outcome. Additionally, open communication with your surgeon and strict adherence to pre- and post-operative instructions are vital for a successful surgery and recovery.

Risks and Safety

Buttock augmentation, like any surgical procedure, carries potential risks and safety considerations that individuals should be aware of before deciding to undergo the surgery.

It’s important to consult with a board-certified plastic surgeon and carefully consider the following aspects:

Risks and Complications:

  1. Infection: Any surgical procedure carries a risk of infection. Surgeons take precautions to minimize this risk, but it can still occur.
  2. Anesthesia Risks: Anesthesia can have side effects, including allergic reactions, breathing difficulties, and adverse reactions to medications. Your anesthesiologist will carefully monitor you during the procedure to reduce these risks.
  3. Bleeding: Excessive bleeding during or after surgery can lead to complications and may require additional procedures to address.
  4. Implant Complications (for Butt Implants): Implant-related risks can include implant rupture, shifting, or hardening, which may necessitate removal or revision surgery.
  5. Fat Resorption (for Brazilian Butt Lift): Some of the fat transferred during a Brazilian Butt Lift may be reabsorbed by the body, potentially affecting the final results.
  6. Asymmetry: Achieving perfectly symmetrical results can be challenging, and there may be slight differences in the size or shape of the buttocks.
  7. Scarring: Incisions made during the procedure may result in visible scars, although surgeons strive to minimize scarring through strategic placement of incisions.
  8. Fluid Accumulation (Seroma or Hematoma): The buildup of fluid (seroma) or blood (hematoma) in the surgical area can occur and may require drainage.
  9. Deep Vein Thrombosis (DVT) and Pulmonary Embolism (PE): Prolonged immobility and surgery can increase the risk of DVT and PE, which are blood clot-related conditions that can be life-threatening.
  10. Sensation Changes: Alterations in sensation or numbness in the surgical area may occur temporarily or, in rare cases, persist.
  11. Delayed Healing: Some individuals may experience delayed wound healing, which can lead to wound complications or delayed recovery.
  12. Allergic Reactions: Rarely, individuals may experience allergic reactions to surgical materials or medications used during the procedure.

Safety Considerations:

  1. Choose a Qualified Surgeon: Ensure your surgeon is board-certified in plastic surgery and has extensive experience in buttock augmentation procedures.
  2. Facility Accreditation: Ensure the surgical facility where the procedure is performed is accredited and meets safety and hygiene standards.
  3. Discuss Medical History: Provide your surgeon with a comprehensive medical history, including any preexisting medical conditions, medications, and allergies.
  4. Follow Pre-Operative Guidelines: Adhere to your surgeon’s pre-operative instructions, including discontinuing certain medications and maintaining a healthy lifestyle.
  5. Post-Operative Care: Follow your surgeon’s post-operative care instructions diligently to facilitate a smooth recovery.
  6. Gradual Return to Normal Activities: Gradually resume physical activities and avoid strenuous exercise until cleared by your surgeon.
  7. Regular Follow-Up Appointments: Attend all follow-up appointments with your surgeon for proper monitoring of your progress and healing.
  8. Complication Awareness: Be aware of potential complications and seek immediate medical attention if you experience any unusual symptoms, such as severe pain, infection, or excessive swelling.
  9. Realistic Expectations: Have realistic expectations about the results and limitations of buttock augmentation.

Buttock augmentation can be a safe and effective procedure when performed by a qualified surgeon in an accredited facility and when patients follow pre- and post-operative instructions closely. Open communication with your surgeon and a thorough understanding of the risks and benefits are essential for a positive outcome.

Recovery and Results

Recovery and results after buttock augmentation can vary depending on the specific procedure (implants or Brazilian Butt Lift) and the individual.

Here’s what you can generally expect in terms of recovery and long-term results:


  1. Initial Post-Operative Period (First Few Days):
    • You may experience discomfort, swelling, and bruising in the surgical area.
    • Pain medication and antibiotics prescribed by your surgeon will help manage pain and reduce the risk of infection.
    • You will need to avoid sitting or lying directly on your buttocks for a specified time to protect the surgical area.
    • Depending on your surgeon’s recommendations, you may be required to wear compression garments to minimize swelling and support the surgical site.
    • You may need assistance with daily activities during this period.
  2. First Few Weeks:
    • Swelling and bruising typically peak in the first few days after surgery but gradually subside over the first few weeks.
    • It’s important to continue avoiding sitting or lying on your buttocks to protect the surgical site.
    • Gradual return to light activities is encouraged, but strenuous exercise should be avoided.
    • Your surgeon will provide guidelines on resuming normal activities, including work and exercise.
  3. Long-Term Recovery (Several Weeks to Months):
    • Over the following weeks and months, most of the swelling will resolve, and the surgical area will continue to heal.
    • As healing progresses, you will see a more refined and settled result.
    • Follow-up appointments with your surgeon will be scheduled to monitor your progress and address any concerns.


  1. Immediate Results:
  • You will notice an immediate change in the size and shape of your buttocks after surgery.
  • With butt implants, the results are often more noticeable right away, but it may take time for the surgical area to heal completely.
  1. Short-Term Results (Within 1-3 Months):
    • During the first few months, you will experience some swelling, which can temporarily obscure the final results.
    • Your body will gradually absorb any excess fat that was injected during a Brazilian Butt Lift.
  2. Long-Term Results (3 Months and Beyond):
    • The majority of the swelling should subside, revealing your more permanent results.
    • Final results will continue to improve over the course of several months as the surgical area fully heals and settles.
    • It may take up to 6-12 months for the final results to become fully apparent.
  3. Maintaining Results:
    • To maintain your buttock augmentation results, it’s essential to follow a healthy lifestyle that includes regular exercise and a balanced diet.
    • While results can be long-lasting, some fat absorption may occur after a Brazilian Butt Lift, and additional touch-up procedures may be necessary in the future.
  4. Realistic Expectations:
    • Keep in mind that buttock augmentation can provide a noticeable improvement in your appearance, but results should be in line with realistic expectations set during your consultation with the surgeon.
  5. Complications and Revision:
    • While most patients achieve successful outcomes, there is a small risk of complications or the need for revision surgery in some cases.

Your surgeon will provide specific post-operative care instructions and guidance on managing your recovery. It’s essential to communicate openly with your surgeon throughout the process to address any concerns and ensure a safe and satisfying recovery and long-term results.

Post-Op Instructions

Following post-operative instructions diligently is crucial for a smooth recovery and optimal results after buttock augmentation, whether you have undergone butt implants or a Brazilian Butt Lift. Here are general post-operative instructions to follow, but keep in mind that your surgeon may provide specific guidance tailored to your individual case:

  1. Dressings and Compression Garments:
  • Wear the compression garments provided by your surgeon as directed to minimize swelling, support the surgical area, and promote healing.
  • Keep the dressings and bandages clean and dry. Your surgeon will advise you on when and how to change them.
  1. Rest and Positioning:
    • Avoid sitting or lying directly on your buttocks for the specified period recommended by your surgeon. Instead, use a cushion to distribute your weight when sitting.
    • Sleep on your stomach or side to minimize pressure on the surgical area.
    • When sitting, ensure that your weight is evenly distributed and avoid prolonged sitting.
  2. Medications:
    • Take any prescribed pain medications and antibiotics as directed by your surgeon.
    • Avoid over-the-counter pain relievers, as they may increase the risk of bleeding or complications.
  3. Hygiene and Wound Care:
    • Keep the incision sites clean and dry.
    • Follow your surgeon’s recommendations for wound care and cleaning. Do not submerge the incisions in water until your surgeon clears you to do so.
  4. Activity and Exercise:
    • Abstain from strenuous activities, heavy lifting, and vigorous exercise for the period specified by your surgeon.
    • Gradually reintroduce light activities into your routine as directed by your surgeon.
  5. Follow-Up Appointments:
    • Attend all scheduled follow-up appointments with your surgeon to monitor your progress and address any concerns.
  6. Diet and Nutrition:
    • Maintain a balanced diet and stay well-hydrated to support the healing process.
    • Avoid alcohol and smoking, as they can negatively impact healing.
  7. Avoid Sun Exposure:
    • Protect your surgical area from direct sun exposure and tanning, as this can cause pigmentation changes and scarring issues.
  8. Avoid Tight Clothing:
  • Wear loose-fitting clothing to avoid unnecessary pressure on the surgical area.
  1. Psychological and Emotional Well-Being:
  • Be patient with the healing process and manage expectations, as it may take time to see the final results.
  • Communicate openly with your surgeon about any concerns or discomfort you may experience during the recovery period.
  1. Scar Management (if applicable):
    • Follow your surgeon’s instructions for scar management, which may include using topical creams or silicone sheets to minimize scarring.
  2. Report Any Concerns:
    • If you experience severe pain, excessive swelling, redness, increased temperature, or drainage from the incision sites, contact your surgeon immediately.
  3. Long-Term Care:
    • To maintain your buttock augmentation results, adhere to a healthy lifestyle with regular exercise and a balanced diet.

It’s crucial to communicate with your surgeon, adhere to their recommendations, and follow your post-operative instructions closely to ensure a successful recovery and optimal results. If you have any concerns or questions during the recovery process, do not hesitate to contact your surgeon for guidance and assistance.

Terminology Patient Should Be Aware of

Before undergoing buttock augmentation, it’s helpful for patients to be familiar with some key terminology and terms commonly used in the field of plastic surgery. This knowledge can aid in effective communication with your surgeon and ensure that you have a clear understanding of the procedure. Here are some important terms to be aware of:

  1. Buttock Augmentation: The general term for procedures that enhance the size and shape of the buttocks, including butt implants and Brazilian Butt Lift (BBL).
  2. Butt Implants: The surgical placement of silicone implants in the buttocks to increase their size and enhance their shape.
  3. Brazilian Butt Lift (BBL): A procedure that involves liposuction to harvest excess fat from one part of the body and then inject it into the buttocks to enhance volume and shape.
  4. Gluteal Muscles: The muscles in the buttocks that can be affected during buttock augmentation surgery, especially when butt implants are placed.
  5. Incision: A surgical cut or opening made in the skin and tissue to access the surgical area, typically made in inconspicuous locations to minimize scarring.
  6. Silicone Implants: Prosthetic devices made of silicone gel that are surgically placed in the buttocks to increase their size and shape.
  7. Submuscular Placement: The surgical placement of implants under the gluteal muscle.
  8. Subfascial Placement: The surgical placement of implants under the fascia, which is a connective tissue layer covering the muscle.
  9. Fascia: The fibrous connective tissue that covers and supports muscles.
  10. Anesthesia: Medications used to induce temporary loss of sensation, consciousness, or muscle function during surgery.
  11. Sutures: Stitches used to close incisions and promote wound healing.
  12. Compression Garments: Special garments, like girdles or surgical bras, that are worn after surgery to reduce swelling and support the surgical area.
  13. Seroma: The accumulation of fluid in the surgical area, which may require drainage.
  14. Hematoma: The accumulation of blood in the surgical area, which may require drainage.
  15. Deep Vein Thrombosis (DVT): A blood clot that forms in a deep vein, which can be a risk after surgery due to reduced mobility.
  16. Pulmonary Embolism (PE): A potentially life-threatening condition where a blood clot dislodges and travels to the lungs, which can be associated with DVT.
  17. Infection: The presence and growth of harmful microorganisms at the surgical site, which can lead to complications.
  18. Fat Resorption: The process by which some of the fat transferred during a Brazilian Butt Lift may be reabsorbed by the body over time.
  19. Scarring: The formation of permanent marks on the skin at the incision sites, which may vary in visibility.
  20. Revision Surgery: Additional surgical procedures performed to correct or enhance the results of the initial surgery.

Understanding these terms will help you have informed discussions with your surgeon, ask relevant questions, and make well-informed decisions about your buttock augmentation procedure. It’s essential to be proactive in seeking information and clarifying any uncertainties you may have about the surgery.

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