Butt Augmentation


It is said that beauty is in the eye of the beholder, but many perceive age as the enemy of beauty. When it comes to the buttocks, aging often results in a loss of perkiness and volume in specific areas of the backside that can only be properly reshaped with lifting or volume.

There have been many studies from Brazil evaluating the perfect behind, and this knowledge has allowed well-trained plastic surgeons to understand the aesthetic goals and skillfully recreate a youthful appearance. For instance, when women wear high heels, two things happen: The legs appear longer and the arch of the back is exaggerated which gives the illusion of firmer buttocks. This is called hyper-lordosis, a very attractive feature in women that is created with posture, high heels, or yes, even plastic surgery.


A better butt can be created with your own unwanted fat from liposuction. Dr. Neavin prefers using a combination of liposuction above the buttocks to reshape the lower back and transferred fat from multiple areas of the body, which is placed into the buttocks for reshaping.


A beautiful butt starts from the lower back. The slope from the back is often lost with age or fat deposits due to weight gain. In some cases, you may not need to be augmented to improve shape. The removal of unwanted fat above the buttock where it meets the lower back can dramatically give the illusion of youthful perkiness. When liposuction in this area doesn’t provide sufficient fat for transfer, the buttocks can be augmented with either implants or fat from other areas of the body.

Buttock implants can produce amazing, long-lasting results. The downside is that they can feel firm in very thin people, they require an incision, and there are higher rates of infection and malposition than with breast implants. In truth, butt implant surgery is a totally different animal than breast implant surgery. Gluteoplasty or buttock augmentation is a good alternative to someone with a flat backside that has no fat to harvest. However, when fat is available for transfer, a BBL, or Brazilian butt lift is the preferred surgery for enhancement.

A Brazilian butt lift refers to fat grafting to the butt. When a saggy or flat butt is filled with fat, it looks perkier. This is a great surgery for women or men who have adequate fat in unwanted areas. It is not a good choice for very thin men and women since large volumes of fat must be extracted to create the desired results. Approximately 200 cc is needed for each buttock cheek to achieve sufficient enlargement. Some men and women don’t have 400 cc of extra fat that is amenable to liposuction. In these individuals, implants offer a better choice. Large fat transfers may include up to 500 cc or more per side.

It is important to note that not all fat removed from the body will survive when injected into the buttocks. The true survival rate of these fat cells is probably 40 to 50 percent. Thus, over-correction is often the rule with a BBL. Transfer of fat over certain reasonable volumes will not necessarily offer better enhancements. Rather, excessive transfers increase risks and should be avoided.

Liposuctioned fat is processed in the operating room and injected into the buttock mounds in multiple tissue planes. The goal is to restore projection and perkiness, and at times, widen the buttock and hips. The results are immediate, dramatic, and permanent. Buttock augmentation with fat grafting is a great operation for someone who wants a slimmer waist and fuller butt.

If you are dissatisfied with the curves on your backside, buttock augmentation might be the right choice for you. To learn more about this procedure, schedule a consultation with Dr. Neavin at 310‑858‑8811 or text 323‑975‑1287.

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