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Butt Augmentation
Gluteal Shaping

Butt Augmentation Normal aging causes our buttocks to droop and change shape. But because several high profile movies stars, including J-Lo (Jennifer Lopez) and Beyonce underwent buttock enhancement to make their derrieres curvier and more round, many more women are now asking their plastic surgeons about butt augmentation. And it’s no wonder: in virtually all cultures, shapely buttocks have always been one of the most important determinants of the female figure. Moreover, modern fashions reveal more body parts, making us more aware of our imperfections, however slight. Yet another factor driving women to plastic surgeons for butt augmentation is actually too much working out and athletics. Some women are so physically fit, they have lost virtually all the fat from their buns, making those rear ends too flat.

Butt augmentation, (also known as Gluteal Lifts, Gluteoplasty and Gluteal Shaping) involves harvesting fat from more fleshy areas of the body and replanting it on the buttocks, a technique known as "fat grafting." Some practitioners harvest fat from the sides of the buttocks to make the patient’s rear end narrower while making the peak of the butt more pronounced. Of course, the outcome of the procedure depends on the patient’s wishes, the surgeon’s experience and the patient’s anatomy which will be either round, square V or A-shaped.

Who would best Represent an ideal Candidate for Buttock Augmentation?

The ideal candidate for butt augmentation is in good health, within normal weight ranges and wears an eight to 12 dress size. But if a potential patient wears a size two to four dress, she may not have enough fat to spare. That’s one case in which the surgeon may ask her to go home and gain some weight before again being evaluated.

Where Do I Begin?

Because only a handful of surgeons have substantial experience with butt augmentation through fat transfer, the best place to begin is with a computer search on the Internet. Once you find a surgeon who offers the procedure, ask the usual questions every patient should ask her plastic or cosmetic surgeon.

Moreover, your surgeon will want to know what you consider an attractive rear. Exactly what comprises an attractive pair of female buns depends on your ethnicity and where you are from. Some want a larger and rounder rear, some want narrow and athletic while still others want a derriere that falls somewhere in the middle.
Finding a plastic surgeon in your area will be the first step.

What are the Benefits to this Procedure?

Benefits include a trimmer, often athletic-looking rear end which enhances the most current fashions in slacks, dresses, workout garb, bathing suits (including thongs!) and other revealing garments. As with other surgical rejuvenations, you will most likely enjoy an increase in self-esteem and confidence after everything heals.

How is Butt Augmentation Performed?

Surgeons start by taking fat from the body via liposuction. But before they use an extraction wand (the cannula,) they inject large amounts of anesthetic agents and intravenous fluids into the fatty area. That makes collection easier and prevents some swelling.

Often, while the patient is on the table, the surgeon will also perform liposuction on the upper and outer sides of the buttocks, the love handles and the outer thighs. Reducing those areas also help add to the appearance of a younger, curvy and more highly lifted derriere.

Where the procedure is performed depends on the patient’s overall health and weight. The operation can be performed on an outpatient basis in a surgeon’s surgical suite, in an ambulatory surgical center or in a hospital. Generally, heavy patients with a Body Mass Index over 31 have the procedure done in a hospital. Both excess weight and smoking cause problems for patients undergoing general anesthesia. Smokers are asked to stop four weeks before the operation.

When the fat cells have been separated from blood and other fluids, the surgeon, using a large syringe, injects the prepared fat cells into the peak of the buttocks by laying down “pearls” or strings of fat between layers of muscle. Some surgeons say fat grafting gives them more flexibility in the size and placement and that the patient suffers less pain, recovers faster and risks fewer complications.

What type of anesthesia is used?

Typically, buttocks augmentation requires only a local anesthesia. Sometimes intravenous sedation is given to more fully relax the patient.

What Should I Expect after Undergoing Surgery?

After the procedure, the patient’s tush may look boxy because of the swelling. But the swelling, along with some bruising, should only last about 48 hours. The typical period of down time after the operation is ten days to two weeks. Also, the typical patient must sleep on her stomach for about ten days while wearing a compression garment. Moreover, she can’t drive a car for those ten days and may return to her gym after one month.

What Are the Risks and limitations To Butt Augmentation?

The most common complication of butt augmentation is infection which happens in under two percent of cases. The incisions used to insert the liposuction cannula are very small and may require only a single stitch to close; some are just closed with a butterfly bandage while others are left open so that leftover solution, blood and serum can drain.

The incisions where fat was injected are often so small, they require no closure at all. Other very slight risks include changes in skin sensation, dimpling, lumpiness, numbness, scarring, discoloration, or sagging skin in the liposuctioned area along with nerve injury.

What Are the Results of Butt Augmentation and How Long Do They Last?

Results are usually excellent after healing. But human fat in the best of hands can be unpredictable and the body will normally absorb some. Many surgeons who specialize in the technique report that 50 to 75 percent of the fat remains, when injected into the buttocks properly and under all the right conditions. Usually, whatever fat remains after three months will remain permanently. Moreover, patients do not have to worry about rejection because the material added to their butt is their own. And, no pre-testing is required.

However, the prospective patient must also be aware that cosmetic surgery is designed for improvement, not perfection. Patients should have realistic goals and expectations for their buttock augmentation. Women deciding to undergo buttock augmentation must do so for their own reasons, and not anyone else’s. Be sure to discuss your reasons for wanting to undergo this operation with the doctor during your consultation visit. All of these factors will help determine your candidacy for the procedure.

What Are the Typical Costs Associated with Buttock Augmentation?

The general range of gluteal augmentation varies between $8,000 and $18,000, depending on the area in which you live. The costs can be high because human fat is difficult to work with and often requires a surgeon and several nurses several hours to process before injecting purified fat into the buttocks.

Ten Questions Patients Should Ask Their Surgeons About Butt Augmentation.

To gain a more thorough understanding about the surgery, and help form realistic expectations, it is recommended that the patient view before and after photographs of the surgeon’s previous patients and speak with them. It is also important for patients to ask questions about anything they do not understand about the procedure. Here are some recommended questions:

  1. Is what I described realistic?
  2. Where is the surgery performed and how long will it take?
  3. In my case, what technique is most appropriate in helping me achieve my cosmetic goal?
  4. What kind of anesthesia will be used during the surgery?
  5. How much does the surgery cost and what elements factor into that cost such as hospital fees, anesthesia, and so on?
  6. What is the surgeon’s level of experience in performing the surgery?
  7. What percentage of patients experience complications?
  8. What is the surgeon’s policy about correcting or repeating the procedure if the first operation does not meet agreed upon results?
  9. What should I expect, post-operatively, in terms of soreness, scaring, activity level, and so on?
  10. Have you ever had your malpractice insurance coverage denied, revoked or suspended?

Patients should also inform their surgeons about any allergies, serious medical conditions, and medications they may be taking. provides information about plastic and cosmetic surgery and is designed to help users make decisions regarding their own treatment options. However, the medical information provided is not the same as medical advice – the application of medical treatment to an individual’s specific circumstances. Although we go to great lengths to make sure our information is accurate and useful, we recommend that you consult a qualified medical practitioner if you want the professional assurance that our information, and your interpretation of it, is appropriate to your particular situation.

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