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What is Buttock Augmentation?

A buttock augmentation, or Brazilian butt lift, is a procedure designed to create fuller, curvier buttocks and hips. The procedure is not actually a ‘lift’, but rather a transfer of fat from another area of the body to the buttocks. Unlike butt implants, buttocks enhancement through fat transfer creates a more natural look and feel.

There is a lot of hype about having fuller buttocks, but there are some things you need to know before deciding to enhance your figure. Learn more about the pros and cons of buttock augmentation to decide whether it is right for you.

Preparing for buttock lift surgery

It is important for the doctor to know of any health problems, current medications or prior surgeries you may have had. Make sure to list these things on the medical forms at the initial consultation.

Tips for a successful buttock lift

Stop using any type of medication that can act as a blood thinner, unless the doctor has authorized its use. Some over-the-counter medications that can thin the blood are aspirin, Ibuprofen, naprosyn, St. John’s Wort and vitamin E. However, this is not a complete list of blood thinning medications.

Nicotine can impair blood flow and slow down the healing process. Doctors often advise people to stop smoking or using any type of nicotine supplement two weeks before surgery and to remain nicotine free for at least a week afterward.  

Alcohol dehydrates the body. Doctors frequently ask patients not to drink for two weeks before and after the buttock augmentation.

Buttock augmentation options

There are two methods most often used for buttock augmentation. The first is called autologous fat transfer or a Brazilian butt lift. This procedure uses fat grafts from other areas of the body to implant into the buttocks. The second procedure is a gluteal implant surgery, which can be done alone or with fat transfer for additional shape and lift.

Brazilian buttock lift procedure

The surgeon will administer an anesthetic called tumescent fluid which is generally combined with adrenaline. This combination is administered to help numb the area and control bleeding.

Once the anesthetic has taken effect, the fat removing procedure can take place. This procedure is called tumescent liposculpture. It is done by removing fatty tissues from a different part of the with a tool called a cannula. Next, the fat is transferred into the buttocks. During this autologous fat transfer, the fatty tissue is processed, washed and injected into the buttocks.

Gluteal implant surgery

This surgery is most often used when the patient has limited to no natural definition in their buttocks. An anesthetic called tumescent fluid will be administered to help numb the area and control any bleeding that may occur.

During the gluteal implant procedure, a soft silicone implant is placed inside a tiny incision that is made within the natural crease of the buttock. The implant is then positioned directly under the patient’s gluteal muscle and right below the pelvic bone. Once it is in place, the incision is closed and a drain tube is inserted. Patients who undergo this form of buttock augmentation must wear a compression garment for a few months following surgery.

Buttock implant aftercare

Your buttocks will be a bit tender and you may still be woozy from the anesthetic when it is time to go home. Arrange for a family member or friend to drive you home after your procedure. Ask them to bring comfy pillows to help prop you in a comfortable position for the ride.

After you are home, you still may need someone to help you with everyday activities until you are feeling better. You may also experience drainage from the injection site.

Pros and cons of buttock implants

Here are the top three pros and cons to consider when you are thinking of getting a buttock lift.


There are several reasons you may be considering buttock enhancement

  • You want to feel good about the way you fill out your clothes.
  • Your body will appear shapelier and better proportioned.
  • You will gain a more youthful, curvaceous appearance because your buttocks will be rounder and uplifted.


While all of this can improve your self-esteem, there are downsides to consider as well

  • In some cases, the fat can be reabsorbed, causing one or both buttock implants to sag.
  • Patients who have very little natural fat in their buttocks may require implants in addition to augmentation surgery. In these cases, fat transfer techniques alone often do not work to achieve the desired buttock shape.
  • Post-operative swelling may mask the results of the buttock augmentation surgery for up to six months.

As with any plastic surgery procedure, having a buttock augmentation may come with risks. Make sure you are informed not only of the benefits, but also of all the risks that may occur before making your decision.

Risks of buttock augmentation

At the initial consultation, you should be provided with a complete list of possible complications to sign. Make sure to read this fully before moving forward with the buttock augmentation.

Risks of gluteal implant

The risks associated with gluteal implants include:

  • Site infection or bleeding
  • Implant rupture or opening of the incisions with implant exposure
  • Scarring or nerve damage
  • Poor firmness in the buttocks
  • Implant migration
  • Fluid accumulation
  • Pressure on your sciatic nerve
  • Anesthesia risks such as allergic reaction

Brazilian buttock lift complications

Several risks are associated with analogous fat transfer

  • Bruising, bleeding or hematomas
  • Deep vein thrombosis, causing cardiac and pulmonary complications
  • Numbness and pain
  • Fat embolism, an injection of fat into the bloodstream that can lead to lung inflammation
  • Infection
  • Fluid shifts and lidocaine toxicity
  • Complications of liposuction or anesthesia
  • Asymmetry
  • Fat necrosis (tissue death)
  • Oil cysts, stretch marks, and cellulite deposits

How long does buttock enhancements last?

The results of any plastic surgery will vary from patient to patient. However, in most cases a buttock augmentation has lifelong results. The Brazilian butt lift uses your body’s own natural tissue. Like the rest of your tissue, it continues to rejuvenate throughout your life. If implants are used, they too have the same longevity. 

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