Buttock Augmentation

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Buttock Augmentation

Buttock augmentation surgery is right for someone who does not like the shape of their buttock or is looking to balance their body. It is commonly performed in one of two ways, with implants or fat transfer. The fat transfer procedure is commonly known as a “Brazilian butt lift.”

This procedure can:

  • Increase fullness, roundness and projection of your buttock
  • Improve the balance of your figure
  • Enhance your self-image and self-confidence

How is Buttock Augmentation performed?

Your buttock augmentation surgery can be achieved through either the use of implants or through transferring your unwanted excess fat. Your cosmetic surgeon may choose between a variety of incision patterns and techniques.

The appropriate technique for you will be determined based on:

  • Buttock size and shape
  • The amount of fat that is available for use through liposuction
  • Your goals and activity level
  • Skin quality and elasticity as well as the amount of extra skin

Buttock Implants are silicone implants which may be of various types – Some of these variations are based on shape (round and oval); filling (cohesive silicone or solid silicone); and surface (type, smooth or textured). We at Make a Change, typically uses the smooth, round, solid silicone butt implants.

The pre-operative preparation is vital. You will be instructed to shower with an antiseptic soapy solution for atleast 2-3 days prior to your surgery. Similarly, you will be given medicines to evacuate your bowels completely on the day prior to surgery.

The surgery is performed in an operation theater under regional or general anaesthesia. The incision that we prefer to use is situated on the upper inner aspect of your buttocks such that the lower ends are approximately 1.5 to 2 cm apart and the upper ends are approximately 5 to 6 cm apart. Each incision is 5 to 6 cm long. Working through this incision an appropriate sized pocket is created for accommodating the implant. The pocket may be created under the muscle (gluteus maximus), within the muscle or superficial to the muscle (but deep to the investing fascia – which is a tough connective tissue layer over the muscle). We at Make a Change prefer to use the superficial plane or within the muscle (intra-muscular) plane.

Small drain tubes may be inserted to suck out any fluid that may possibly accumulate. The incisions are closed in layers and a compressive dressing is applied.

Brazilian butt lift surgery is the procedure to enhance buttocks using your own body fat. It involves three basic steps:

  • Liposuction to collect the required fat – This is commonly done from the abdomen, lower back or thigh regions. The adjacent areas around the buttock are commonly tackled so as to further enhance the buttock contours (Lipo-sculpture).
  • Processing of fat – The harvested fat is processed to separate the unwanted components (such as fluid, blood and oil) from the injectable fat.
    At Make a Change, we offer you the latest technique of Water-jet liposuction for harvesting this fat. This state of the art machine collects the fat in a gentle manner and separates the unwanted components without requiring to needlessly handle the fat or exposing the fat to air. This method has now been established as the best technique for harvesting fat so as to have maximum fat survival rates.
  • Transfer of fat – The fat is then injected in to the buttock region from a distant small incision using precise cannula. The fat is injected as small droplets and from deep to superficial layer (right from the muscle to the subcutaneous fat layer) so as to ensure maximum fat survival rates.

The incisions are closed and a gentle conforming dressing is applied.


After Implants – You will be instructed to wear a support garment “around the clock” following your surgery.This will help the skin re-drape properly and provide support to the augmented buttocks. You will be instructed to rest in the prone position (lie on your tummy) in the early post-operative period. You will also be advised to limit your movements for the initial few days. You will be able to move around normally by the 5th to 7th day after surgery. Final results are noticeable three months after surgery. At this point, most of the swelling will be gone and the implants will be settled in their normal position. Similarly, the implants also tend to feel softer and more natural as the initial healing process wanes off.

After Fat Transfer – You will be asked to avoid prolonged sitting for about two weeks (some surgeons prefer longer). This is very important because prolonged sitting will damage the fat.You will also be encouraged to sleep face down or on your side. When you do have to sit, you will have to use a pillow or cushion placed behind the legs (hamstring muscles) to help raise the buttock avoiding pressure onto the fat grafts.You will also be provided with a support garment that will apply even compression to the areas that were treated with liposuction.

Your surgeon may encourage you to seek a lymphatic massage to reduce swelling and to ensure smooth contours. You can generally resume exercise after six to eight weeks.

Possible Risks

Buttock augmentation is a surgical procedure and has some potential problems associated with it. You will be asked to sign consent forms to ensure that you fully understand the procedure and any risks and potential complications.

Possible buttock augmentation surgery risks include:

Buttock Implants –

  • Infection
  • Bleeding
  • Opening of the incisions with implant exposed requiring removal
  • Scarring
  • Nerve damage
  • Firmness
  • Implant rupture
  • Implant migration
  • Fluid accumulation (seroma)
  • Pressure on your sciatic nerve (associated with placement of implant under the muscle)
  • Anesthesia risks

Fat Transfer to buttocks –

  • Excessive loss of blood
  • Blood clots, bruising
  • Deep vein thrombosis, cardiac and pulmonary complications
  • Possibility of revision surgery due to variable fat absorption and survival
  • Numbness and pain
  • Fat embolism, injection of fat into the bloodstream that causes inflammation in the lungs
  • Infection
  • Complications of liposuction
  • Complications of anesthesia
  • Asymmetry
  • Fatty tissue found deep in the skin might die (fat necrosis)
  • Oil cyst


During consultation be prepared to discuss:

  • Your surgical goals
  • Medical conditions, drug allergies, and medical treatments
  • Current medications, vitamins, herbal supplements, alcohol, tobacco, and drug use
  • Previous surgeries

Your aesthetic surgeon will also:

  • Evaluate your general health status and any pre-existing health conditions or risk factors
  • Examine and measure your buttocks, including detailed measurements of their size and shape, skin quality etc.
  • Take clinical photographs
  • Discuss your surgery options. The implant size will be decided as per your goals as well as your body characteristics.
  • Recommend a course of treatment
  • Discuss likely outcomes of and any risks or potential complications

It’s very important to understand all aspects of your procedure. It’s natural to feel some anxiety, whether it’s excitement for your anticipated new look or a bit of preoperative stress. Don’t be shy about discussing these feelings with your cosmetic surgeon.