Butt Augmentation: Implants vs. Fat Grafting – Which is Right for You?

What is Butt Augmentation?

Butt augmentation is a modern cosmetic surgery procedure that increases buttock volume, ideal for enlarging and reshaping the buttocks when they appear flat, flabby, or lack roundness. Demand for this procedure, aimed at correcting imperfections and achieving a fuller, more proportionate shape, is steadily rising. It's important to note the difference between poor projection (flat buttocks) and ptosis (buttock sagging), as the best approach varies depending on the individual case.

 

Who is a Candidate for Butt Augmentation?

Buttock augmentation is suitable for patients who wish to:

  • Increase buttock volume to improve body proportions;
  • Restore shape and volume to sagging, flabby buttocks caused by significant weight loss and/or the natural aging process;

There's no strict age limit, but it's best to wait until full body development is complete, typically around the age of majority. If planning to lose or gain weight, postponing surgery until body weight stabilizes is recommended to maximize results.

 

Before Butt Augmentation

A thorough preoperative assessment is essential before any butt augmentation surgery. This allows the surgeon to personalize the procedure to the patient's specific needs and characteristics.

Beyond assessing the patient's anatomy and determining the optimal surgical technique, it's crucial to evaluate overall health, identifying conditions like hypertension, impaired healing, or clotting disorders that could affect the outcome.

Following the surgeon's recommendations regarding diet, alcohol, drug, and tobacco use is crucial.

 

Butt Augmentation with Implants and Fat Grafting: The Procedures

Butt Augmentation with Implants

Silicone implants used in buttock augmentation are specially designed for durability, as they must support the patient's body weight while sitting. Implant placement is performed under general anesthesia. Implants can be placed above the muscle (subfascial), within the muscle (intramuscular), or below the muscle (submuscular). Drains and dressings are typically in place for about seven days post-operation.

 

Further intramuscular injections in the buttocks should be avoided, as they could damage the implants. The complication rate is statistically around 10%, potentially including infection, capsular contracture, asymmetry, or implant rupture.

 

Butt Augmentation with Fat Grafting

Fat grafting for buttock augmentation is generally safer and has fewer complications. This procedure is performed under general or local anesthesia with mild sedation. Liposuction is first used to harvest fat (usually 1000-1500 cc), which is then injected into the buttock area using micro-cannulas.

 

Up to 30% fat absorption is normal, but a significant advantage is the low risk of infection, which is usually treatable with antibiotics. Postoperative care is simpler, requiring only an elastic compression garment for about 4-5 weeks. Daily activities can usually resume within a week, but it's best to wait at least a month for strenuous activities.

 

Results of Butt Augmentation

Results of Butt Augmentation with Implants

Butt augmentation with implants is a moderately complex procedure, similar to breast augmentation, providing excellent and long-lasting results. As with any surgery, potential risks and complications should be carefully discussed with the surgeon.

 

Results of Buttock Fat Grafting

Performed by a qualified plastic surgeon, buttock fat grafting increases buttock volume and reshapes the overall figure, including the waist, abdomen, and thighs. Experienced surgeons minimize complication risks.

 

The results of fat injection buttock augmentation are often very natural because the surgeon uses fat from other areas like the thighs, abdomen, or hips. This creates fuller buttocks and can even result in a slimmer waistline. There's no risk of allergic reactions since the fat is autologous (from the patient's own body).

 

There are no scars on the buttocks as micro-cannulas are used. A compression garment should be worn for about 30 days, and a special pillow should be used to avoid compression. A return to normal social activities is usually possible within a week, and sports activities can be resumed after about four weeks.

 

Additional Procedures That Can Be Combined with Butt Augmentation

Butt augmentation, whether with implants or fat grafting, can be combined with other procedures such as facial surgery (facelift, facial fat grafting, rhinoplasty, etc.) or other body contouring surgeries like extensive liposuction, arm lifts, or thigh lifts. Abdominoplasty and breast surgery are generally avoided initially due to post-operative positioning needs.

 

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