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What is Buttock Augmentation? 

Buttock or gluteal augmentation is a cosmetic procedure aimed at enhancing the volume, shape, and overall contour of the buttocks. This procedure can be achieved through various techniques, including fat grafting (also known as BBL or Brazilian Butt Lift) and silicone implants, or a combination of both.  


However, with the rising popularity of buttock augmentations, there has been a significant increase in the number of physicians performing this procedure. It is crucial to note that gluteal augmentation surgery is technically intricate and requires specialized training for safe execution. A qualified board-certified plastic surgeon should possess a comprehensive understanding of the anatomical structures specific to the gluteal region to ensure optimal outcomes and patient safety. 


Who is a good candidate for the procedure? 

  • Physically healthy individuals with realistic expectations 

  • Dissatisfied with buttock shape, particularly if perceived as asymmetrical, flat, or lacking volume 

  • Stable and healthy weight without excess sagging skin 

  • Consideration for buttock lift and/or tuck if excess skin laxity is present 


The procedure:  

Gluteal implants: Silicone implants can be placed either below the fascia in the subfascial plane or within the gluteus muscle intramuscularly. Subfascial placement eliminates the need for muscle dissection, reducing the risk of sciatic nerve injury. However, this method may result in a more prominent implant contour due to the shallower depth of the subfascial plane compared to the intramuscular plane. 


The intramuscular plane offers the advantage of a natural contour provided by the thick muscular covering of the gluteus maximus muscle over the silicone implant. However, this method involves dissecting the gluteus maximus muscle, which prolongs recovery and heightens the risk of permanently damaging nerves that innervate the muscle. Nerve injury can lead to paralysis and atrophy of the gluteus maximus muscle, resulting in asymmetry and dysfunction.  


Silicone implants are available in round or oval shapes and various sizes, with the ideal size and shape determined by factors such as pelvic size, height, and desired augmentation degree. We will discuss all options and create a customized surgical plan tailored to your anatomy and aesthetic goals. 


Brazilian Butt Lift (BBL): Liposuction targets areas for improved body contour, often harvesting fat from multiple regions like the flanks, abdomen, and back. Purified fat and stem cells are injected into the subcutaneous layer (below the skin, but above the muscle) of the buttocks, with approximately 50-75% of the injected fat surviving. Some patients may opt for multiple Brazilian Butt Lift procedures to enhance volume further. 


How is the recovery after butt augmentation?  

Recovery after butt augmentation involves managing moderate to strong pain effectively with over the counter and prescription medications, as well as adhering to strict post-operative instructions. This usually includes wearing compression garments. Patients are advised to avoid sitting directly on their buttocks for at least 2 weeks after gluteal implant surgery and 8 weeks for BBL surgery. However, we will show you how you can sit on a chair with a pillow taking pressure off the buttocks starting at day 1 after surgery.  


Strenuous activity should be avoided for at least 4 weeks. Return to work typically occurs  2-3 weeks after surgery. Final results are typically appreciated around 3 months post-procedure. Compliance with these recovery guidelines is essential to minimize the risk of complications and ensure optimal outcomes. 


If you want to learn more about buttock augmentation and how it can enhance your appearance, feel free to reach out to us for further information and personalized guidance! 


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