As we age or lose weight, our buttocks may begin to sag, appearing loose or flat. Buttock augmentation is a wonderful procedure that enhances the appearance of the buttocks, by creating a shapely, proportionate contour. Many patients want a shapely, round, firm buttock, and there are several ways that it can be achieved.
Types & Techniques
Buttock augmentation using implants is one option to give a patient rounder, firmer, shapely buttocks. The buttock implants available in the United States are solid silicone implants. These are commonly used when a patient wants a large volume change or when the patient does not have significant donor sites for fat injection. The implants are placed through either one or two incisions in the natal crease between the buttock cheeks. They can be placed in a partial submuscular pocket, a subfascial pocket, or a subcutaneous pocket. The surgery usually takes about two to three hours and recovery from the procedure takes about a week. Dr. Wallach recommends that patients avoid aerobic type exercise for at least three weeks and strenuous exercise for at least six weeks after surgery.
Brazilian Buttock Lift (BBL)
Buttock augmentation with this technique is mainly limited by the amount of fat donor sites. For instance, if the patient is very thin, then there may not be enough fat to be harvested to obtain the result that is desired. All in all, it is a very nice technique and the one most commonly performed. Because fat “take” in the tissues is not 100%, “touch-ups” or repeat procedures may be required to obtain the final desired result. The surgical procedure takes two to three hours depending upon the amount of liposuction performed in conjunction with the fat injection, and recuperation is about one week. Dr. Wallach recommends that patients avoid aerobic type exercise for at least three weeks and strenuous exercise for at least six weeks after surgery. For more information about a BBL, read our blog.
Buttock Lift with Auto-Augmentation
A buttock lift is often done in conjunction with a lower body lift. This is more common in patients with massive weight loss in which the buttocks have deflated and sagged. The transverse incision is usually kept low just above the buttock crease. Excess soft tissue and skin is removed, and the buttock is lifted. Sometimes, instead of removing the excess tissue, flaps of this tissue can be rotated into the buttock region to augment them. If a buttock lift is performed as an isolated procedure, then it is often performed in patients who have undergone a previous abdominoplasty or an extended abdominoplasty. It may be combined with buttock augmentation as well. The procedure usually takes about two hours, and recuperation time is about one week. Dr. Wallach recommends that patients avoid aerobic type exercise for at least three weeks and strenuous exercise for at least six weeks after surgery.
Who is a Good Candidate for Buttock Augmentation?
Candidates for buttock augmentation should be physically healthy, non-smokers who are unhappy with the appearance or size of their buttocks. Patients who feel their buttock is too small, or are unhappy with the general shape of their backside can often benefit from this procedure. Buttock augmentation can balance out your frame, creating a more shapely and desirable figure.
A consultation with Dr. Wallach can help to determine if a buttock augmentation if right for you. During your consultation, you will discuss your expectations and goals for the surgery, as well as go over any questions you may have. Dr. Wallach will create an individualized surgical plan to help meet your buttock augmentation goals.
If you would like more information about New York Plastic Surgeon Dr. Wallach and his success with New York City buttock augmentation, we hope that you will not hesitate to contact our Manhattan offices at (212) 257-3263 or by mail at 1049 5th Avenue, Suite 2D in New York, NY 10028; or using our contact form to request additional details.
Buttock Augmentation Questions and Answers
How can I get bigger buttocks?
There are two types of procedures that can produce larger buttocks. One is called a Brazilian Buttock Lift. This procedure is performed by first harvesting fat from donor sites, commonly from the abdomen, waist, bra/back rolls, and thighs, and then taking that fat and injecting it into the buttocks to enhance the size of the buttocks. The limiting factor for this procedure is the availability of donor sites.
If a person is very thin, then they likely do not have enough donor sites to harvest fat so that the buttocks can be adequately augmented. Some surgeons recommend patients put on weight in that situation, but many patients after the procedure like to get back down to their pre-procedure weight, and unfortunately, as weight is lost, the fat cells shrink and the buttock will likely not maintain the volume placed. For those patients that do not have significant donor sites, buttock augmentation can be performed using specifically designed Buttock Implants. These are commonly placed through incisions in the buttock crease between the two cheeks. This can also be performed on patients who had a brazilian buttock lift but felt that they did not achieve the desired volume.
Is a buttock augmentation painful?
Buttock augmentation includes two types of procedures: 1) a Brazilian Butt Lift which incorporates LIPOSUCTION to harvest fat from donor areas, and then buttock enhancement by injecting fat into the buttocks, or 2) Buttock Augmentation with Implants. The Brazilian butt lift probably is less painful than implant surgery because fat is injected into the subcutaneous plane and muscle layers, but none of the muscle is divided.
Operations in which muscle is divided are usually more painful. Buttock implant surgery can be performed in three different planes. The implants can be placed in a subcutaneous pocket, a subfascial pocket , or in an intramuscular pocket. In general, the intramuscular pocket is the most painful. However, the intramuscular pocket usually provides more soft tissue coverage to the implant. But with adequate rest, and good post-operative analgesia, the procedure is usually well tolerated during the post-op period. A non-invasive buttock augmentation entails a series of injections and is not particularly uncomfortable.
Risks of buttock augmentation?
In general, there are minimal risks associated with buttock augmentation. If a Brazilian buttock augmentation is performed in which fat is injected to the buttocks to enhance their appearance, then the more common issues are loss of fullness due to poor take of the fat, or inadequate donor sites to create the desired look. Other less common risks include sensory changes, fat necrosis, hematomas, fluid collections like seromas, infections, and contour irregularities both at the donor site and recipient sites. Even more uncommon are things like skin or soft tissue necrosis. Extremely low risks are related to the anesthesia, and potential risks of fat emboli, or deep vein thrombosis.
With buttock implant surgery, the risks are similar to those with a Brazilian buttock lift, but mostly on a local level since there are no donor sites. One of the biggest risks for buttock implant surgery is dehiscence of the wound and exposure of the implant which can happen for several different reasons. One of the most common reasons this can happen is due to poor compliance with post-operative instructions.
Patients are instructed not to put pressure on the buttocks for two to three weeks, which basically means no sitting on them for about that amount of time. Infection is another risk of having implants. If an infection develops or a dehiscence happens with exposure of the implants, it is likely that the implants will have to be removed.
What is the recovery time of a buttock augmentation?
I think the recovery for a buttock augmentation depends upon the procedure performed. In general, I think that Brazilian butt lift (BBL) patients heal a bit quicker and have less overall discomfort with the procedure. Postoperative instructions include not sitting on the buttocks for about two weeks and wearing a specific compression garment with the buttock region exposed. In general, the patient can go back to light duty desk work within five to seven days.
For a buttock augmentation patient, they have a bit more discomfort and may need a few more days to recover than a BBL patient. The compression garment I prefer is a standard garment that has a closed buttock or at least does not put pressure on the incision line.
In general, both types of patients can start light aerobics by about four weeks and heavy lifting by about six to eight weeks.
I want a Brazilian butt lift. Should I lose weight?
This is a common question. I prefer patients be at a weight that they are comfortable with. Having fat reserves is important so that they can be used as donor sites for a Brazilian butt lift. Certainly being at your goal weight is nice if you so choose.
Should I Gain Weight for a Brazilian Butt Lift?
I do not usually recommend patients gaining weight for a Brazilian butt lift. But if they do not have reasonable donor sites to harvest the fat for injection into the buttocks, then they may be better off getting buttock implants. The consistency of the buttock implants are a bit different than those available for breast surgery. The ones available in the U.S. are more solid gels.
Would buttock implants be a better option for me if I am thin and do not have fat reserves?
Absolutely. If you are very thin, and do not have fat reserves for fat injection to the buttocks then you might be better off with buttock implants.
How much fat can you inject into my buttocks?
The amount of fat that is capable of being injected into the buttocks is dependent on a lot of factors. First, it depends upon how many donor sites you have and the quantity of fat available. Second, often there is a limitation of fat that you can remove in one operative setting. Therefore, sometimes secondary procedures are done to get to the desired volume. Some patients may need less than others as well. It is not uncommon to place 750 -1000 cc’s in each buttock in any one setting.
When can I sit after my buttock procedure?
I usually allow patients to sit on their buttocks after three weeks. Some surgeons prefer that patients avoid all sitting for six weeks. I suggest to my patients to not sit for long lengths of time on the buttocks, and they should change their position often. As for sleeping position, I suggest to patients to sleep in any position that they feel comfortable, but I prefer that they do not lie on their buttocks as much as possible.
Can I have a tummy tuck done at the same time as a Brazilian butt lift?
This is a very common question. I prefer to stage the Brazilian butt lift and the tummy tuck, or ABDOMINOPLASTY. I like to harvest as much fat from the abdomen to use to augment the buttocks. I feel that there is more risk to the abdominal flap if they are performed at the same time when wide dissection of the abdominal flap is performed. The blood supply to the elevated abdominal flap changes when it is elevated, and liposuctioning of this flap can potentially cause wound healing problems. Some surgeons will not perform wide undermining of the flap and maintain arterial perforating blood vessels to the flap to minimize the risk. The undermining is limited just enough for the surgeon to tighten the midline abdomen. I prefer to perform the tummy tuck at a later time. I often will consider performing the tummy tuck at about four months after the Brazilian butt lift.
Where do you place the fat for buttock augmentation?
My goals in creating an aesthetically pleasing buttock region are to selectively liposuction the surrounding areas, like the lower back, and grafting fat to the areas of the buttock and hips that the patient wants to fill. The discussion of goals is performed during consultation and during the patient’s pre-operative appointment. Fat can be placed in the central buttock region. Some patients want what is referred to more of a buttock “shelf,” and therefore it can be placed higher as well. Still others want wider hips and some fat is placed there as well. It is a very individual choice.