Butt Augmentation

If you feel that you have a "flat butt" that does not match the rest of your body, or you just want to improve the curves you already have, butt augmentation may be a good choice for you. Buttock augmentation can be achieved with either autologous fat grafting (Brazilian Butt Lift), buttock implants, or a combination of both.

There are individual factors that will determine the right procedure to achieve your desired results. Fat grafting may be performed in patients that need a small to moderate enhancement. This procedure is an option if you have enough fat to be liposuctioned for injection into the buttock area. Enhancement with this method is limited to patients desiring small to moderate enhancement because many patients don't have a lot of fat to give, larger amounts of fat injection increases risk of lumpiness, and some of the fat placed during the procedure may be reabsorbed. Although we expect approximately 60% of the fat will remain, individual differences do occur.

If you desire more of an enhancement and don't have any significant amount of fat for grafting, you may be better served with a buttock augmentation using soft, solid silicone gel implants. In some cases, a combination may be used to achieve a natural look with maximum enhancement.
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Buttock implants are normally placed under the muscle using an incision in the intergluteal crease or "butt crack". This incision is approximately 3 inches long and is well hidden within the crease and beneath most thong panties. Generally, there is very little swelling and bruising after buttock augmentation so the results may be seen very soon after surgery.
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Butt augmentation is performed as an outpatient procedure under general anesthesia. The procedure takes approximately 2 hours for buttock implant only or up to 3-4 hours if combined with liposuction and autologous fat grafting. After general anesthesia is obtained, an incision is made, the buttock muscle (gluteus maximus) is lifted, and a pocket is made just large enough for the implant. This pocket is normally made just above the "sitting area" to reduce the risk of the implants shifting. After the implants are placed in the pockets, both sides are carefully examined in order to assure symmetry and optimal aesthetic placement. The incision is then closed using internal, absorbable sutures and then steri-strips are placed to protect the incision while it heals (approximately two weeks). A compression garment is then placed to help reduce discomfort and swelling and you will be transferred to the recovery room where you will stay for about an hour, until you are comfortable and stable enough to go home.
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You will be required to stay off your buttocks for two weeks after surgery. You will need to remain most of the time resting, laying on your stomach. For the first several days after surgery, your gluteal muscles feel sore and tight. Medication will be prescribed for you to make you as comfortable as possible during the recovery period. During the first week or so, you will need help to get in and out of bed, prepare meals, etc. The strict adherence to instructions after surgery may help reduce serious complications including infection, seroma (fluid collection), and displacement of the implant. Light activities may be resumed 2 weeks after surgery and most activities can be resumed about 4 weeks after surgery. Full activities including weight lifting, bicycling, and running can usually be resumed about eight weeks following surgery.
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