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Buttock augmentation

In recent years, increasing attention has been given to the appearance of the buttocks as an attractive feature. For individuals with excess fat deposits in other areas of the body, the effect of a lifted, reshaped, and augmented buttock can be achieved through fat transfer. However, for patients for whom this is not an option—such as those who are very slim and desire a round, prominent buttock—solutions include buttock augmentation with implants or the “Brazilian Butt Lift” (BBL) method.

Who are candidates for buttock augmentation with implants?

Candidates for buttock augmentation with implants include both women and men, especially those who cannot achieve augmentation through fat transfer from other parts of the body or those seeking a more immediate and noticeable result.

Reasons for choosing buttock augmentation with implants may include:

  • Inability to achieve gluteal muscle growth despite consistent exercise.
  • A disproportionately small buttock compared to the rest of the body.
  • A buttock that is too flat.
  • Sagging skin in the gluteal area due to significant weight loss or the natural aging process.

How is buttock augmentation with implants performed?

Before the surgery, you will have a consultation with the surgeon, during which the doctor will explain the entire procedure, discuss your options, and mark the incision lines.

The procedure begins with the patient being placed under general anesthesia. A small vertical incision, 3 to 6 cm in length, is made on each side near the anus. These incisions are used to insert silicone implants into the space beneath the large gluteal muscles, while simultaneously tightening the buttocks.

The results are immediately visible and permanent. If, after several years, an implant shifts or ruptures, the procedure can be repeated to replace the implants.

The surgery typically lasts 1 to 2 hours.

It is recommended to wear a special compression garment after the procedure to reduce swelling and bruising, which helps ease and shorten the recovery period.

What should you do before the surgery?

You will need to stop taking aspirin, vitamin C, or other supplements at least one week before the procedure.
It is important to refrain from consuming any food or drinks for a minimum of 12 hours before the scheduled surgery. You must remove any nail polish or gel polish from your fingernails. Additionally, you should completely remove makeup, piercings, and jewelry. Avoid applying body lotion for 4–6 hours before the surgery. If you have hair in the area where the surgery will be performed, it is recommended to depilate the area a few days prior.

You should bring personal hygiene items, a photo ID (ID card or passport), your complete medical documentation, and any medications that are part of your chronic therapy.

What is the recovery process like after buttock augmentation with implants?

In the first few days after surgery, you may experience pain that can be managed with prescribed pain medication. Swelling and bruising may also occur but typically subside within 2–3 weeks. You can use cold compresses to reduce discomfort. During this period, you should avoid heavy lifting, bending, exercising, and other physically demanding activities.

From the first day after surgery, special attention must be given to the hygiene of the intimate area. Since the anal region naturally harbors many bacteria, there is a risk of infection.

Patients typically stay in the hospital for one day, with daily dressing changes. Antibiotics are prescribed for 7–10 days to prevent infection.

For the first seven days, avoid sitting as much as possible, as the pressure from sitting can cause implant displacement. Sleeping on your stomach is recommended. Most patients can return to work two weeks after the surgery. When sitting, you may use a cushion under your thighs to reduce pressure on the buttocks. However, even at work, avoid prolonged sitting whenever possible.

For most patients, full recovery is achieved within four weeks.

Are there risks associated with buttock augmentation with implants?

The most common side effects include swelling and bruising. In rare cases, there may be an accumulation of lymphatic fluid or blood beneath the implant.


As with any surgery, there are risks of bleeding and infection. However, these risks are minimized when the procedure is performed in a completely sterile environment and by an experienced surgeon following strict protocols.

FAQ

Are the results of buttock augmentation permanent?

Yes, the results of buttock augmentation with implants are permanent. However, implant replacement may be necessary if shifting or damage occurs after several years.

  • Immediate and significant improvement in buttock shape and size.
  • Permanent results.
  • Ability to wear clothing that fits better and enhances your curves.

Buttock augmentation with implants, like any surgical procedure, carries certain risks. The most common risks include infection, bleeding, and the possibility of improper placement or shifting of the implants, which may require additional surgery.

It is essential to discuss all potential risks with your surgeon before deciding on the procedure. Your surgeon will work to minimize these risks by using the latest techniques and adhering to strict safety protocols.

Recovery typically lasts between 6 and 8 weeks. During the first 10–15 days, patients should avoid sitting directly on their buttocks. Throughout the recovery period, the use of special cushions for sitting is recommended, as well as sleeping on the stomach or sides.

Light activities, such as brisk walking, can be performed one month after surgery. Intense exercises, such as running or weightlifting, can be resumed after 8 weeks.

Yes, methods are often combined. Liposuction can be used to contour the waist, with the fat transferred to the buttocks for optimal results. For slim patients, implants can be used alongside fat transfer to achieve additional volume.

The incisions are small (around 3–4 cm) and typically placed in natural body folds, such as near the tailbone area, making them difficult to notice.