You may be a good candidate for buttock augmentation surgery if you have a flat bottom in jeans/clothes or if you have lost your back/buttocks or lateral buttock silhouette. When observed from the side, patients may notice replacement of the back buttock natural silhouette involving the gentle back curve of your back onto the buttocks with a more flattened silhouette. On front view, the patient may notice replacement of the lateral buttocks curve with a less desirable double hump appearance. Increasing flank and lateral thigh prominence following excess weight gain and concurrent loss of buttocks projection creates the undesirable changes and increasing buttocks droop. Individuals who have drooping of the buttocks region and flattening of the buttock cheeks due to aging can benefit from implant augmentation surgery Patients must be in good general health, both physically and emotionally, in order to pursue buttock augmentation surgery.

To perform buttock augmentation surgery, parallel incisions are made along the intergluteal crease (otherwise known as buttocks crack) and which extended superiorly and laterally following the natural curve of the buttocks mound. This incision is dissected down to the gluteus muscle, which is released over its superficial fibers to allow for creation of symmetric pockets within the muscle. A semi-solid silicone implant is then inserted into each pocket. The silicone implant is fit tightly in order to prevent implant migration. The dissected incision is then repaired in layers and includes the superficial fibers of muscle previously released as well as the soft tissue and the buttocks skin. Prior to closure, a large drain is placed and secured in order to remove any postoperative fluid accumulation. Finally, an expanded buttocks tape is applied to the incision lines and maintained for two weeks in order to minimize shear stresses on the implant and surgical incision lines.

On your initial visit, your surgeon will evaluate your health status by obtaining blood work and requesting a preoperative clearance from your primary care physician. Patients with underlying medical conditions will have to optimize their health status prior to proceeding. Patients with difficulty breathing or underlying pulmonary conditions, may not be found suitable for this surgery as it requires prolonged duration of lying on your stomach. In addition, smokers will be asked to quit smoking for 4 weeks prior and 6 weeks following surgery. Finally, you will need to arrange for a friend or a spouse to care for any small children who may need to be lifted since you will be sore for the first couple days following surgery.

Since your surgery will require general anesthesia, you must take several precautions prior to surgery. First, you will have to avoid eating and drinking after midnight on the day before surgery. This precaution ensures that your stomach is clear of digested foods that could potentially be aspirated into your lungs during induction of anesthesia. Since, you will have anesthetic medications administered throughout the case, you will remain groggy for several hours and will require a ride to and from the surgery center. You should choose a caretaker who is conscientious and who can spend the first night with you. As you will have to avoid sitting upright for the first two weeks, you should also ensure that your ride has a generous back seat that you can lay on your stomach for the ride home.

Buttocks augmentation surgery will lead to enhancement of the buttocks shape and improved projection of the buttocks contour. Patients are usually extremely satisfied with their immediate results and enjoy a lifetime of aesthetically balanced lower back to buttocks silhouette. A thorough preoperative assessment, safe intra operative course, and explicit postoperative instructions and monitoring with frequent visits ensure that patients experience a speedy recovery and a return to a more productive and rewarding life. Patients are extremely pleased with buttocks augmentation surgery and radiate increased physical and mental confidence.

Buttocks augmentation surgery can be performed at an office-based surgical facility, outpatient surgical facility, or at a hospital operating room. If your operation is performed at an office-based surgical facility, it is of utmost importance for patients to make sure that a surgical accreditation body such as AAAASF accredits the office-based facility.

Since your surgery will require intra-muscular dissection and placement on your stomach for a prolonged period, general anesthesia will be required.

Patients can usually resume light activity several days following surgery. Patients may experience numbness of the buttocks skin overlying the implant that disappears over the first few days after surgery. Pain medication and antibiotics will be prescribed by your surgeon. Patients will wear both a specialized tape and garment over their buttocks region to secure the placement of the silicone implant during the swelling phase immediately following surgery. Patients may find most constraining the inability to sit upright for the first two weeks following surgery. In addition, patients are encouraged to sleep on their stomach for the first two weeks following surgery. Patients are allowed full physical activity and wearing of routine undergarment four weeks following surgery.

Several factors can help you decide which procedure is the best option for your Buttocks Augmentation and these include:

• Fat Grafting (Brazilian buttocks lift)
  • possessing asymmetric buttocks size/shape
  • maintaining generous body fat reserves
  • desiring moderate buttocks augmentation
  • demonstrating contour irregularity
• Buttock Implant
  • possessing symmetric buttocks size/shape
  • maintaining a thin body habitus with minimal fat reserves
  • desiring moderate to significant buttocks augmentation
  • demonstrating no contour irregularities

The factors above will help you determine which buttocks augmentation procedure is the best option for you. You may benefit from a combination of both procedures depending on your desired improvement. A consultation with Dr. Paris will allow you to select the ideal buttock augmentation procedure. We encourage you to call for your complimentary consultation today.

Buttock augmentation surgery is unique in that your results are immediately visible. Post-surgical swelling will resolve within weeks and your incision line will fade with time. We take great pride in optimizing your incision line healing by use of operative tapes (steri-strips), followed by topical scar reduction creams (Biocorneum), and Intense Pulse Light therapy as needed.

The average cost of buttock augmentation with an implant starts at $7900 and with fat grafting ranges between $6,300 to $9500. This cost covers:

• Surgeon’s fee
• Facility fee
• Anesthesia fee
• Garment fee
• Postoperative visit fees

Surgical fees may be modified if you require contouring of the areas surrounding the buttocks which include lateral thigh/flanks/love handles/medial thigh. These areas may need liposuction contouring and/or a lateral thigh lift(buttocks lift) or inner thigh lift (medial thigh tuck).

You are most likely a candidate for buttock enhancement surgery if you feel your buttocks are sagging, deflated, asymmetric, not in balance with your body and breast; most patients express that their buttocks are too small and not filling their pants or are generally dissatisfied with the shape and roundness of your buttocks.

Silicone buttocks implants have proven to be safe, predictable, and maintain a low-risk of complications. There have not been reported cases of allergic reactions involving silicone buttock implants. Additionally, buttock implants are made of solid silicone material and thus do not risk rupture and leak as observed in breast silicone implants.

Silicone buttock implants are made from solid silicone material customized to fit the size and shape of your buttock deficiency. Since the implants are placed intramuscularly and deep to the skin, patients do not feel the firmness of the implants as being unnatural. There may be transient buttock numbness following surgery but this will subside over several months. Since buttock implants are customized for each individual, the surgeon is able to improve the look of your buttock region by correcting buttock deficiencies specific to you.

Buttocks augmentation is recommended in patients with moderate to significant buttock deflation. For patients with minimal to moderate redundant buttock skin, the buttock augmentation alone will suffice. In patients with significant redundant buttock skin, a lateral thigh lift (buttock lift/tuck as well as buttocks augmentation may be suitable; the buttock lift can be combined with a tummy tuck and presented as lower body lift (Please refer to post bariatric surgery chapter for more information).

Buttocks augmentation surgery should utilize two separate incisions, which are located over the upper part of the intergluteal crease (crease that separates the buttock cheeks) and shaped as a gentle arch curving around the buttock prominence. Using two separate incisions rather than a single one has been shown to decrease the incidence of implant infection and extrusion.