What is buttock augmentation?
Buttock augmentation is a cosmetic procedure that aims to improve the volume, shape and overall contour of the buttocks. This procedure can be performed using various techniques, including fat grafting (also known as BBL or Brazilian Butt Lift) and silicone implants, or a combination of both. As buttock augmentation has become increasingly popular, the number of doctors performing this procedure has also increased significantly. It is important to know that the operation is technically complicated and requires special training to be carried out safely. A qualified plastic surgeon should have a thorough understanding of the anatomical structures of the gluteal region to ensure optimal results and patient safety.
Who is a good candidate for this surgery?
- Physically healthy people with realistic expectations
- Dissatisfaction with the shape of the buttocks, especially if it is perceived as asymmetrical, flat or lacking volume
- Stable and healthy weight without excessive skin laxity
- Consider a butt lift and/or correction if the skin is too loose
Butt implants
Silicone implants can be placed either underneath the fascia in the subfascial plane or intramuscularly in the gluteus muscle. Subfascial placement eliminates the need for muscle dissection, reducing the risk of sciatic nerve injury. However, this method may result in a more clearly visible 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 created by the thick muscular cover of the gluteus maximus muscle over the silicone implant. However, this method requires splitting the gluteus muscle, which prolongs recovery and increases the risk of permanent damage to the nerves that supply the muscle. Nerve injuries can lead to paralysis and atrophy of the gluteus maximus muscle, resulting in asymmetry and dysfunction.
Form
Silicone implants are available in round or oval shapes and in various sizes, with the ideal size and shape depending on factors such as pelvic size, body size and the desired degree of enlargement. 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 to improve body contour, often removing fat from multiple regions such as the flanks, abdomen, and back. Purified fat and stem cells are injected into the subcutaneous layer (under the skin but above the muscle) of the buttocks, retaining approximately 50-75% of the injected fat. Some patients choose to undergo multiple Brazilian butt lift procedures to further increase volume.
What is the recovery like after buttock augmentation?
Recovery from buttock augmentation requires treatment of moderate to severe pain with over-the-counter and prescription medications and strict adherence to postoperative instructions. This usually involves wearing compression garments. It is recommended not to sit directly on the buttocks for at least 2 weeks after gluteal implant surgery and 8 weeks after BBL surgery. However, I will show you how to sit in a chair with a cushion to reduce pressure on the buttocks from the first day after surgery. Strenuous activities should be avoided for at least 4 weeks. Return to work usually occurs 2-3 weeks after the procedure. The result is usually stable around 3 months after the procedure. Compliance with aftercare recommendations is important to minimize the risk of complications and achieve an optimal result. If you would like to learn more about butt augmentation, please feel free to contact me for more information and personal advice!