Buttock augmentation and buttock aesthetics are not a new procedure. There are several procedures plastic surgeons can use to sculpt and enhance the buttock including: placing silicone implants in the Gluteus Maximus muscle, or the “Brazilian Butt Lift (BBL)”. The BBL is a form of augmentation that involves liposuction of the trunk/thighs, then reinserting the fat into the buttock to reshape and enhance the rear view.

The initial excitement over placement of buttock implants has faded due to high complication rate including malposition and incision breakdown.  Of course, this option may be the only alternative for patients with limited fat for transfer.

In my practice, I find buttock augmentation, utilizing fat transfer, has worked well for my patients who want to reduce fluffy areas and at the same time enhance buttock volume. It is a win-win scenario. Liposuction is performed through small, inconspicuous incisions to remove the fat cells and then inject fat back into the muscles of the buttocks through one tiny incision. This gives a smooth, natural feel & contour to the buttock which is contrary to initial misconceptions on fat transfer.

Approximately 60% of the fat cells will survive the transfer to maintain volume and shape long term. The remainder of the fat cells will be resorbed by the body in about three months.

So, what is the recovery like? My patients wear a compressive garment for six weeks after the procedure and can return to work within 7-10 days. The discomfort is controlled with pain medication and usually resolves around four weeks after surgery.

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