The volume and projection of the buttocks can be augmented with either natural fat injection /grafting or with Buttock Implants.

Buttock Augmentation with an implant can give a very satisfactory result. The implants come in different sizes and shapes and they can even be custom made. They are made of solid silicone, which has the same consistency, and feel as that of a buttock. Unlike silicone breast implants, buttock implants don’t leak, because they are solid. These implants are permanent and do not need not be replaced over time.

Although buttock implants can provide significant prominence to the buttocks they generally have a much higher rate of complications compared to fat grafting/ injection which is also known as the "Brazilian Butt Lift".

Buttock augmentation with fat grafting or injection, involves harvesting your own body fat from other areas of excess and injecting it into the buttock tissue. For example excess fat in the flanks, lower back, thighs, or abdomen is liposuctioned, processed and then injected into the muscle and soft tissue of your buttocks. During this fat grafting process the buttocks can be contoured to the desired profile. Unlike buttock implants, there is some loss of volume after fat grafting due to resorption of the injected fat. Therefore, the injection might need to be repeated.

How is Buttock Augmentation with Implants performed?

This procedure is performed under general anesthesia, on an outpatient basis.

With this technique a 4 inch incision is placed in the middle of the buttock crease between the buttock cheeks to insert the implant. The buttock muscles are exposed and the implants are usually placed between the two layers of the buttock muscles. This keeps the implant from sagging, gives it a more natural shape, and reduces the chance of having complications.

It is also possible to place the implants through the fold under the buttocks. This scar tends to be more noticeable and the implants often end up being placed too low. After placement of the implants the wounds are closed. Some plastic surgeons use temporary drains to remove excess fluid buildup.

Content provided by Board Certified Plastic Surgeon Sean Younai. Dr. Younai is located in Beverly Hills and Encino California.