Buttock augmentation or Butt enlargement surgery

Buttock augmentation can be performed using an implant or fat transfer/fat transplantation. Some women also opt to have other procedures after their buttock augmentation. These can include a tummy tuck and/or breast lift for a complete body makeover.

Buttock augmentation and butt lifts allow men and women with flat or poorly developed buttocks to enhance and shape the area to their liking. While many women will increase the size of their breasts, they find there is an imbalance between the front and the back and wish to contour their buttocks to fit their body size and shape. Many patients who come to us are frustrated that no amount of diet and exercise will shape their rears the way they desire. Now, buttocks augmentation is helping these men and women solve this once impossible problem! Our patients say their clothes fit better, they feel sexier, and their confidence levels are greatly improved with a fuller, shaped derriere.


The best candidates for a buttock augmentation:

  • desire a more attractive backside
  • have had moderate weight loss and want to restore their shape
  • have good physical health
  • are over 18 years old
  • are psychologically sound
  • have realistic expectations of their outcome

Pre surgery instructions

  1. Do not take Aspirin or anti-inflammatory medications, vitamin a or any blood thinning medications for 2 weeks prior to surgery.
  2. If you smoke, quit smoking for at least 1 month prior to your surgery and anticipate no smoking for the recovery, smoking greatly increases your risk of complications.
  3. Laboratory tests or blood work will be required several days prior. This checks your CBC for any present bodily infections, immune system deficiencies and general health.
  4. You will also have a thorough examination by a cardiologist and x-rays
  5. Talk to your doctor about low-sodium foods to reduce swelling .
  6. Prepare icepacks to reduce post-op swelling
  7. Laxatives - pain medications are often binding; - do not eat or drink anything after midnight on the evening prior to your surgery.
  8. If you bruise easily, notify the office immediately and certain medications will be prescribed for you prior to surgery to help prevent bruising.
  9. Take vitamin C capsules or tablets for approximately 3-4 weeks prior to surgery. This is necessary to promote good healing. You may continue this vitamin after surgery.
  10. Prior to surgery, should you develop any fever, chills or other signs of a cold or other infection, call the office immediately.
  11. Morning of surgery, wash thoroughly with an antibacterial soap.
  12. On the day of surgery, wear loose clothing which will be easy to get off and on after operation (consider a shirt that buttons in front).
  13. Follow your physician's directions carefully regarding medications, eating & drinking, etc.

Buttock lift surgery

A buttock lift is a surgical procedure to remove excess fat and skin on the buttocks and reshape them into a more aesthetically pleasing form. There were 3,710 buttock lift procedures in 2006, up from 1,356 in 2000, according to the ASPS.

A buttock lift is major surgery. An incision is made about where the lower back and upper buttocks meet, and skin and fat are removed. The skin of the buttocks is then lifted upward, and the incision is closed. Depending on how much fat and skin must be removed, the incision may reach around the hips. This incision will be hidden by clothing, including a bathing suit bottom, but will be visible when naked.

This type of butt lift surgical procedure may be especially beneficial after a large weight loss, such as that seen after weight-loss surgery such as stomach-stapling. It can be combined with a tummy tuck and a thigh lift into a procedure that is also called a body lift, or it can be combined with liposuction.

Butt injections, butt implants, and buttock lifts can be performed as outpatient surgery, where you go home the day of your surgery. However, you will need to arrange for someone to drive you home. All three types of procedures take from 1.5 to 3 hours to perform; longer if they are combined with other procedures. butt enhancement can be done in a surgeon’s office, a freestanding surgical clinic, or a hospital.

Butt enhancement surgery


During this phase, you are being prepped for surgery. Your surgeon will mark you to indicate where incisions will be made. These marks may be made while you are standing. The placement of these incision lines will be dictated by the procedure being done. At this time, you will be attached to monitors that will keep track of your vital signs and to an intravenous (IV) line.


The choice of anesthesia used during the butt enhancement procedure should be discussed between you and your surgeon before the day of your surgery. With butt enhancement, the usual choice is general anesthesia, where you are unconscious throughout the surgery. However, some surgeons opt to use a type of anesthesia called twilight sleep, where you are asleep or barely awake.

Surgical procedure

The surgical procedure begins after anesthesia is administered. The incisions will be made, and the surgery will be conducted. Once the incisions are closed, the surgical team will apply a dressing to protect the incisions and to keep tissue securely in place and reduce swelling. The bandaging may include elastic bandaging or a compression garment that is essentially a girdle.

Buttocks fat transplantation

Fat grafting uses excess fat from other areas of the body, which act as donor sites. The donor sites include the abdomen, hips, back or thighs to add shape to the buttocks. The fat cells are delicately removed with a gentle liposuction technique, and then inserted through small incisions into different layers of the buttocks. This method is more natural than the alternative buttock implants. Patients prefer the idea of using one’s own fat to add volume and shape to their rears. With fat transplantation, there is no chance of the body rejecting the fat cells. But the cells are sensitive and require careful and meticulous handling by an experienced buttocks augmentation surgeon. The fat must be placed strategically through tunnels in layers for smooth and natural result.


The butt enhancement procedure, usually performed under general anesthesia, takes about one and a half to two hours. An additional benefit is that in removing fat from donor sites, the patient also benefits from modified liposuction to those areas. An important consideration for buttock fat transplantation is the availability of donor sites. While fat is usually in abundance, some people may not have extra fat available. In these patients buttock augmentation with fat transplantation is not an option. The amount of fat transferred depends upon your individual aesthetic goals, and donor site availability. Because we use small incisions and evenly distribute the fat cells, the final result will usually appear smooth.


Discomfort is mild, and easily relieved by painkillers. You are able to sit soon after buttock augmentation surgery. You will need to wear a compression garment for 1-2 weeks and may return to work in 3-5 days. You can resume progressive exercise after 2 weeks. We encourage postoperative massage and ultrasound treatments which are provided in-house beginning 1 week after surgery. For our out of town patients these treatments can be administered by a physical therapist. Your results will be evident after 6-8 weeks.

Frequently asked questions?

How will you look after your buttock augmentation?

Your backside will be rounder and fuller, and your waist will look smaller. You will have a shapelier figure. The results are immediate, however, as there will be some swelling. You will gradually see your true results emerge over time. It can take 6 months to a year to see your final result.


The main risk is that there is a 30% chance of significant absorption of fat within 6-8 weeks after surgery. There is no way of predicting this prior to surgery. Therefore one must have adequate donor fat available to allow for secondary grafting. After a second grafting it unlikely that further grafting will be necessary. Aside from absorption, occasionally a minor touch-up may be necessary to correct minor irregularities or asymmetry.

Other possible complications include bleeding, infection, asymmetry, and scarring. But these are very uncommon.

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