Boosting Your Buttocks: What You Need To Know

bottom250x250Up until a few years ago, requests for surgery to change one’s buttocks were few and far between, and in fact, a decade or so ago it was more common to have a request to reduce the buttocks than to enlarge or lift them. According to the American Society for Aesthetic Plastic Surgery, in 2014 (the most recent year in which statistics are currently available), buttock augmentation procedures increased by an impressive 86.1% year over year.

It is interesting to speculate on why this shift is occurring. There is no doubt that having better surgical techniques and improved results over time has played a factor. There has also been the growing influence from South and Central America where the desired aesthetic has always focused on buttock shape. And even the influence of certain celebrities has had an effect . . . think Kim Kardashian or Jennifer Lopez.

The vast majority of patients that come into our office seeking buttock augmentation are asking about the “Brazilian Butt Lift”. This is a term that is a source of amusement to my Brazilian plastic surgeon colleagues as it is not a term they use. For us in the U.S., this term has become synonymous with buttock enhancement using one’s own fat to create a fuller, more rounded shape to the buttock, and doesn’t require synthetic implants. Unlike Brazil, in the U.S. we don’t have implants specifically available for buttock enhancement as an alternative to fat grafts, as none of the implants have been approved by the Food and Drug Administration (FDA). This can be a source of frustration for some patients who have too little fat to provide adequate volume of grafts, as there are currently few additional options.

To be a good candidate for buttock enhancement a patient needs to be of a healthy weight, typically with a body mass index, or BMI, of 32 or less. You must have enough fat on other areas of the body to “harvest” the fat through liposuction. This provides a great benefit for buttock enhancement – not only do you get improvement in the buttocks, but other areas like the tummy, thighs, and love handles can be improved at the same time. The procedure is done on an outpatient basis, so you’ll go home the same day, but you will need to have a responsible adult with you for the first 24-48 hours. Many normal activities (such as driving) are typically comfortable after 7-10 days, and most patients are able to start light exercise within 3-4 weeks, sometimes sooner. The scars are generally very small – about a quarter of an inch – for typical liposuction plus fat grafting. Not infrequently, patients may combine fat grafting to the buttocks with a tummy tuck, in which case the tummy tuck incision would obviously be longer.

While the majority of patients coming to see us are interested in boosting their buttocks, there are special circumstances when we might suggest other options. For instance, if a patient has lost a large amount of weight through lifestyle changes or bariatric surgery, then he or she might be a good candidate for a buttock lift which not only adds volume to the flattened buttocks, but which directly lifts the tissues by excising skin above the buttocks, a procedure which is often combined with a tummy tuck and thigh lift.

If you think that enhancing the buttocks might be for you, come see one of the board certified physicians at the Emory Aesthetic Center for a complimentary consultation. We’ll take a close look at your medical history and the amount of tissue that is available for harvesting to see if you are a good candidate for surgery. We’ll explain the process in detail, and what you as an individual might expect to achieve with the procedure.


or call us at 404-778-6880 to schedule a consultation

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