Buttock Augmentation

Alsoknown as : Brazillianbutt-lift (BBL), buttenlargement


Buttock augmentation is a procedure that reshapes and enhances the gluteal area, providing an uplifted and shapelier buttock. The most common methods for enlarging and reshaping the buttocks are fat grafting using your own natural fatty tissue (popularly referred to as the Brazilian Butt Lift or BBL) or using buttock implants or both. These procedures are ideal for anyone looking to add volume to the derriere.

Some common reasons why you may want to consider buttock augmentation:

- Your buttocks are too small and flat or square for your body frame and you want a more balanced look.

- Weight loss or the aging process has left your buttocks loose, sagging or flat.

If you are in good general health, have a positive attitude and realistic expectations, you are most likely a good candidate for this procedure


Whatdoes the procedure achieve ?

While popularly called a “butt lift,” the BBL procedure is primarily about improving body torso contours, improving the waistline, reducing back rolls,and providing a more curvaceous figure. While some may think this procedure is only for women, that is not quite true since men turn to this procedure as well when their goal is to enhance their overall figure or when they have been unable to improve the gluteal area purely with workouts.


Any patient above 18 years of age who is physically and mentally healthy and wants to improve the shape and appearance of their tummy and lower back region is an eligible candidate. Patients with uncontrolled medical conditions, taking blood thinners or with cardiac ailment must approach this surgery with extreme caution


Your surgeon will recommend an approach based the following:

- The size and shape of your buttocks

- The quality of your skin

- What kind of buttock augmentation is appropriate depending on your goals and body type

- Appropriate Adequacy of fat donor sites, if a Brazilian butt lift is planned.

There are various permutations and combinations of what is best for you. Buttock implants may be chosen if you desire a more rounded appearance to your buttocks while fat grafting is an excellent way to contour and reshape your butt. If you are very slender with little excess fat, then implants may be appropriate; however, if you have sagging buttocks after massive weight loss, then a combination of fat and butt implant surgery may be more effective.

NOTE: Silicone injections are an unsafe and unacceptable option for buttock augmentation and are mentioned here only to be condemned. These injections are often offered by unlicensed unqualified individuals and should be strictly avoided.

Always consult with a qualified plastic surgeon if you are considering as important a procedure as buttock augmentation.


The procedure is commonly done under general anaesthesia but may be performed under spinal and epidural anaesthesia.


Some of the potential complications as for all surgeries are:

- Adverse reaction to anesthesia

- Hematoma or seroma (an accumulation of blood or fluid under the skin that may require removal)

- Infection and bleeding

- Changes in sensation

- Scarring

- Allergic reactions

- Damage to underlying structures

- Unsatisfactory results that may necessitate additional procedures

- Risks specific to buttock augmentation are:

Risks of Autologous fat transfer:

- Fat absorption – may be as much as 20-40% – which may produce asymmetry, making this procedure more difficult to predict and requiring additional fat grafting sessions over time to attain the desired “look"

- Fat embolism - this is a rare risk of fat being injected into a blood vessel and traveling (embolizing) to the heart or lungs. Most surgeons have never had a patient with this complication, but in the unfortunate event that it occurs, this can be a fatal event.


- Implant slippage or rotation, causing asymmetry

- Wound dehiscence

You can help minimize risks by sincerely following the advice and instructions of your qualified plastic surgeon, both before and after your buttock augmentation surgery.


After a successful fat transfer buttock augmentation, the fat that remains at the end of 6-9 months will stay there for the rest of your life, provided your body weight is maintained. Like the rest of the tissue in your body, this fat will grow and age with you. 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. A healthy diet and exercise regimen can be incorporated into your daily routine to maintain your look.