Buttock Enhancement

Buttock Enhancement can be accomplished using several procedures that have been designed to improve the buttock appearance. The buttocks enhancement surgeries performed include:

  • Fat grafting (also called Brazilian Butt Lift)
  • Buttock augmentation using butt implants (Buttocks Implant Augmentation)
  • Lateral thigh tuck (butt lift), and/or d) inner thigh lift (medial thigh tuck).

One or all of these modalities can be utilized to optimize both buttock size and shape. The first two buttock enhancement surgeries, i.e. Brazilian Butt lift and use of butt implants are used to specifically improve the appearance of the buttock cheeks; the latter two surgeries butt lift and inner thigh lift are critical to improving the frame around the buttock cheeks that is created by the lower back and flanks, lateral thighs, and inner thighs.

Buttock Enhancement surgeries can increase the fullness, roundness, and projection of your buttocks as well as correct asymmetry and any contour irregularities. Improving buttock size and shape will help balance your figure, improve your feminine silhouette, and enhance your body image with the ideal buttock shape.

If you are unsatisfied with the shape of your buttocks and are looking to enhance the harmony of your back and buttocks contour, buttock enhancement surgery in Orange County may be the best treatment for you. Our Surgical Team is internationally recognized for his buttocks enhancement outcomes. Orange County plastic surgeon Our Surgical Team takes several measures to optimize your outcomes including:

  • Accurate evaluation of your buttock's aesthetic and body contour in order to determine if you will be best treated by fat grafting versus buttock implant.
  • Accurate measurement of your buttock's cheek height, width, projection, lateral cheek dimple position, and intergluteal crease.
  • Buttocks assessment tool to give you the opportunity to convey to Our Surgical Team the exact buttock enhancement you are desiring.
  • Thorough preparation including:
    1. Minimizing the risk of infection
    2. Optimizing nutrition
  • Thorough intraoperative maneuvers including:
    1. Stabilizing butt implants entirely in the gluteus major muscle
    2. Multi-layer fathering of fat cells using a micro-papule technique
    3. Use of Closed-loop fat graft processing and transfer
    4. Minimizing the risk of fat emboli
    5. Vaser liposuction of the buttocks frame including the lower back and flanks, lateral thighs, and medial thighs.
  • Thorough postoperative maneuvers including:
    1. Customized compression garments
    2. A tutorial regarding safe sitting techniques
    3. Close follow up with every day or every other day postoperative messages
    4. Review of physical activity limitations

If you think that Buttock Enhancement may be a priority for your contouring goals, we recommend that you contact the Cosmetic Plastic Surgery Institute to get an estimate of buttock reshaping costs. The average cost of buttock enhancement with a butt implant is $8500 and with fat grafting, it ranges between $8000 to $10000 which also includes the lower back, flank, and lateral thigh liposculpture.

Butt lift using a lateral thigh tuck ranges between $6000 to $8000 depending on the extent of soft tissue fullness and length of excision required.  These costs cover the surgeon’s fee, facility fee, anesthesia fee, garment fees, and postoperative visit. Postoperative lymphatic messages, if recommended, will be paid individually.

Are you curious whether you are a candidate for Buttock Enhancement surgery? You are most likely a candidate for buttock enhancement surgery if you feel your buttocks are sagging, deflated, asymmetric, or 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 their buttocks aesthetics.

Buttocks Aesthetics

Although buttocks enhancement has been popular in Europe and South America for over a decade, it has only recently gained favor in the states. Over the last few years, we have become as appreciative of the buttocks aesthetics as we have been of our breasts.

Undeniably, the desirable female silhouette is defined as much by perky and robust breasts as it is by a tight waistline and well balanced and prominent buttocks contour. Well-proportioned buttocks make for an appealing torso and lower back; one which will fit nicely in a pair of jeans, skirt, or bathing suit.

The ideal buttocks contour should appear round and firm and be the most prominent region of the torso framed by a narrower lower back and lateral thigh contour; this ideal female silhouette is characterized by the “hourglass” shape.

When the lower back, i.e. flanks or love handles, and lateral thighs are more prominent than the lateral buttocks contour, then an undesirable “double bubble” appearance is observed. This consequence can become even more pronounced by aging buttocks that have undergone undesirable changes including deflation from loss of fat and muscle volume and subsequent sagging resulting from redundant and lax upper buttocks skin.

When considering Newport Beach buttock Enhancement, there are two viable options including buttock enhancement with silicone butt implants, or fat grafting, as popularized by the Brazilian butt lift.

Butt implants are intended for patients desiring a generous increase in central projection and in patients with limited, excess fat donor sites. In contrast, the Brazilian butt lift i.e. BBL is intended for patients desiring minimal to moderate increase in central projection and moderate to extensive enlargement in lateral buttocks and lateral hip, or if they desire buttocks reshaping, and who possess adequate, excess fat donor sites.

Finally, the above procedures are combined with a lateral thigh tuck (butt lift) and/or inner thigh lift (medial thigh tuck) procedures. In order to determine which combination of buttocks enhancement procedures are best for you, we encourage you to make a complimentary consultation with Newport Beach plastic surgeon Our Surgical Team.

Buttocks Enhancement with Brazilian Butt Lift (BBL)

The Brazilian Butt Lift (BBL) involves a comprehensive removal of excess and undesirable fat from the entire body including the arms, abdomen, flanks, pubic region, medial and lateral thighs, and back followed by strategic transfer of the purified fat into the deflated buttocks.

Newport Beach, Orange County Plastic Surgeon Our Surgical Team, routinely removes up to 5 Liters of fat which when purified allows for 500 to 1200 cc of fat grafting per buttocks cheek. Our Surgical Team guides the injection of fat into preplanned buttocks zones in order to improve buttocks aesthetics. Placement of fat over the central buttocks to improve buttock projection and into the lateral buttocks and hip region to improve the roundedness and exaggerate the hourglass appearance.

Our Surgical Team utilizes several techniques to maximize fat graft survival and these include:

  • Use of Vaser liposuction to harvest fat cells
  • Limiting the intensity of the negative pressure exposure on the fat cells during fat harvesting. Limiting the suction strength of the liposuction to approximately 15mm Hg avoids pressure damage to these fragile fat cells.
  • Minimizing transplant time to less than 20 minutes; this is the time fat cells are out of
  • Minimizing fat cell contamination and injury by using a closed-loop system such that fat cells are not exposed to the external environment.

Finally, Our Surgical Team employs accurate fat cell transplantation using strategic fat cell injection during your BBL to ensure both fat cell survivability as well as buttocks aesthetics based on your feedback using the buttocks assessment tool. If you are interested in a BBL, please contact the Cosmetic Plastic Surgery Institute to take obtain your buttocks assessment tool.

Buttocks Enhancement with Brazilian Butt Lift (BBL)

Patients who present desiring significant enlargement of their central buttocks following moderate to severe deflation of their bottoms and/or who do not possess adequate fat reserves are ideal candidates for buttock implants.

Buttock implants are made of semi-solid silicone and possess a textured surface. This semi-solid design of the implants makes them resilient to daily mechanical stresses exposed to by virtue of being on our bottoms. The textured surface ensures adherence of the implant to the soft tissues and stable positioning of the implant that prohibits migration and displacement of the implant.

Butt implants are inserted using well hidden and limited length inter-gluteal vertical incisions placed in a gentle arc to follow the natural curve of the buttocks cheek.

Newport Beach plastic surgeonOur Surgical Team carefully dissects identical and symmetric intramuscular pockets where the silicone implants are to be positioned and then insert them using minimal touch technique. Placement of the implant in an intramuscular (gluteus maximus) pocket provides several advantages including an implant that is well cushioned so that its edges are not visible and not easily palpable as well as minimizing the risk of infection or implant rejection.

Minimizing risk of infection is ensured by meticulous attention to sterile technique, non-traumatic surgical dissection, and multi-layered closure of the incision lines following placement of butt implants.

Buttocks Enhancement with Brazilian Butt Lift (BBL)

Older patients may desire improvement of not only a deflated buttocks size but a sagging appearance of not only the buttocks but also the lateral thighs and posterior thighs. These patients require not only filling of the buttock cheeks but also a lifting of the soft tissues.

Our Surgical Team performs butt lifts routinely using a strategic removal of soft tissues and skin with final incision lines to be tailored to fall onto the junction of the upper buttocks and lower back. This surgical incision line must frame the buttocks cheek so that it becomes transparent.

Our Surgical Team utilizes a modified butt lift technique using a fat flap that allows for maximizing upper buttocks filling to avoid buttocks cheek flattening following this lateral thigh and buttock tuck technique. Infrequently, the lateral thigh and buttocks lift must be extended circumferentially termed a lower body lift. In order to determine if you are a good candidate for a butt lift or in combination with a lower body lift, please contact our office for a complimentary consultation.

Frequently Asked Questions:

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.

Your HD liposuction will be performed at one of our accredited surgery centers. Since the fat is removed comprehensively it requires scraping of the fat off of the muscles which can be painful if awake. As such, patients are provided general anesthesia to alleviate any pain in an accredited state of the art surgical center.

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.

Patient-Specific Questions:

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

  • Fat Grafting (Brazilian buttocks lift)
  1. Possessing asymmetric buttocks size/shape
  2. Maintaining generous body fat reserves
  3. Desiring moderate buttocks augmentation
  4. Demonstrating contour irregularity
  • Buttock Implant
  1. Possessing symmetric buttocks size/shape
  2. Maintaining a thin body habitus with minimal fat reserves
  3. Desiring moderate to significant buttocks augmentation
  4. 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 Our Surgical Team 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.

Buttock augmentation surgery involves correction of moderate sagging and deflated buttocks prominence and shape by insertion of a solid silicone implant. This surgery can significantly improve the balance of your back to buttocks silhouette. This improvement in buttock to back silhouette is most appreciated in the profile view. Additionally, the buttocks to lateral thigh proportions are also improved especially when buttock augmentation is combined with liposuction of the thighs; this improvement is most appreciated in the direct view of the buttocks (posterior to anterior view).

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.

For patients with minimal to moderate buttock deflation, fat graft transfer may be used as an alternative to silicone implant augmentation. Fat that is carefully harvested by a modified liposuction technique is processed and transferred back into the buttocks region (Please refer to fat graft chapter for more information).


A Body Lift That I Cannot Be Happier with

I am very pleased with the results of my surgeries and I love my new body. Thank you Our Surgical Team, James, and the whole team for the time and care throughout my process. I am very have Our Surgical Team to thank.

Full body lift after 150 weight loss. Mom of 2, almost 50, overweight for 15 plus years. Weight loss surgery 6 1/2 years ago.

Took me over six years to decide to do this surgery, was not covered by my insurance and was not something to be taken lightly. It took me over a year shopping around for doctors and weighing out my options, in the end I had to go with the doctor I was most comfortable with and put my trust and faith in him. 

Really happy to have all the excess skin gone, happy to have my breasts where they belong and feeling good in my own skin. Wish I could have done this years ago!

34 Years Old No Kids

Laguna Beach, CA

First off I love Dr Molawvi! He is awsome and so confident in his work! Now I see why! I'm not even 1 month post op and I have to say I'm so in love with my results already. He said what he could do and my results were on point. Him and his staff made me feel comfortable through it all!! Team Molawvi!!

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