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About Buttock Augmentation

Buttock Augmentation, also known as Brazilian butt lift or butt implants.

Buttock augmentation is a surgical procedure designed to reshape and enhance your gluteal area, which provides you with an uplifted and shapelier buttock profile. This procedure has become increasingly popular over the past ten years. The most frequent methods for enlarging and reshaping your buttocks are buttock implants or a fat grafting using your own fatty tissue (also known as the Brazilian butt lift).

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.

How is it performed?

The two most popular methods for buttock augmentation are autologous fat transfer, which uses your own natural fatty tissue (Brazilian butt lift) and gluteal implant surgery.

Autologous fat transfer
During this procedure, your aesthetic surgeon takes fat from one area of your body and inserts it into the buttocks, using it to enhance and reshape them. Liposuction with suction tubes (cannulas) is used to remove the fatty tissue from areas of your body with excess tissue such as hips, back, thighs or abdomen. The fat is then processed for transfer and re-injected using cannulas syringes. This usually requires only three small incisions for this and these are very easily hidden by clothing. To ensure that a smooth deposit of fatty tissue your surgeon will graft the fat in layers at multiple levels, moving the cannulas back and forth. Drains are inserted to remove excess fluids and fat and a compression garment is worn following surgery.

Buttock implants
Buttock implants are most appropriate for treating poorly defined buttocks, especially for patients who have a limited amount of fatty tissue, but are not as effective for treating sagging buttocks that occurs after weight loss. During this procedure your surgeon will place a soft shaped silicone implant through an incision normally made inside the natural buttock crease. Your surgeon will provide additional information about the incision locations during your consultation. The implant is placed within a pocket above the pelvic bone and below the large buttock (gluteal) muscle. Drains are inserted before the incisions are sealed with sutures and a compression garment will be worn after surgery.
What will my buttock augmentation incisions and scars be like?
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.
  • Implants: 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.

What result can I expect?

The results of your buttock augmentation surgery will normally be very long-lasting. After a successful fat transfer buttock augmentation, the remaining will stay there for the rest of your life and will grow and age with you like the rest of the tissue in your body. 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, including an exercise regime and a healthy diet which can help to maintain your look. 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.



  • Your body will appear more shapely and proportionate.
  • Your buttocks will be firmer, rounder and uplifted creating a more curvaceous appearance.


  • It is possible for implants to slip postoperatively or for some of the fat to be reabsorbed causing asymmetry.
  • If you are very slender and want significant augmentation you may need implants to achieve the size that you desire.
  • Because of postoperative swelling it may take three to six months before the full effect of this surgery is evident.


Drainage tubes are often inserted into your incision wound to channel excess fluid away from the wound. You will be asked to wear special compression garments and your doctor will tell you how long to wear these for. Some doctors may provide these for you, but others may not. Once the anaesthesia wears off you may experience some pain and if it is extreme or long-lasting, you should contact your physician. Recovery Time 
It is essential you follow all patient care instructions given to you by your physician. This will usually include information about which compression garments to wear, how to take care of your drains, how to take any antibiotics or painkillers, if prescribed, and the level of activity that is safe for you to undertake. Your surgeon will also provide detailed instructions about the normal symptoms and how to spot any signs of complications. It is important to realize everyone’s body is different and so the amount of time it takes to recover varies between individuals.

The first two weeks
The recovery period is slightly longer and more painful in the buttock area because this area is used for many physical activities such as walking running and even standing. On the first day after surgery you may be instructed to stay in bed with the compression garment on and to periodically move your hands and feet to maintain good circulation. You will be able to get up and walk after the second postoperative day. When transported home or to your first postoperative follow-up visit you will be instructed to lie on your stomach in the back seat of the car to avoid pressure on your buttocks. You can expect some bruising and swelling in the buttock area during recovery. This may spread up to the abdominal or thigh area. This is normal and will begin to subside after a few days or weeks. Your buttocks may be sore and painful, but this usually begins to resolve after just a few daysWeeks two to eight
Direct pressure must be kept off the buttocks for at least eight weeks so sitting without a pillow is not allowed for that period. You must wear a body garment for six to eight weeks. The final results of your buttock augmentation may be initially obscured by swelling. When the swelling subsides sometimes taking three to six months, your true results will be more evident. After implant surgery you can return to work in two to three weeks, but you must use a pillow when sitting so that there is no pressure on your buttocks. At the third postoperative week you are cleared for sitting and driving (using a pillow) and are encouraged to start stretching exercises. You can resume exercise eight to ten weeks after surgery. However if there are wound complications you may have to wait three to four months before you go back to the gym.

Limits & Risks

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.

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