Buttock Enlargement FAQs

Brazilian Buttock lift
Plastic surgery techniques for buttock enlargement and/or buttock lift have made substantial strides over the past few years. Previously only silicone elastomers were available for enlargement of buttocks. These silicone blocks led to firm buttocks with a high rate of complications and I use them rarely due to patient dissatisfaction.

Over the past years a new technique using the patient’s own fat has gained popularity especially amongst Brazilian plastic surgeons and has come to be known as the Brazilian buttock augmentation / enlargement or buttock lift.

The procedure involves liposuction of several liters of fat from the patient’s hips, thighs and abdomen and injection of fat into buttocks using multiple passes of a small tube to place fat in linear channels under the skin and in buttocks muscle. The surgery is an outpatient surgery under general anesthesia and takes about 2-3 hours to perform. Recovery is speedy but a garment must be worn for several weeks and direct pressure on buttocks must be avoided.

Although it is expected that some of the fat cells will die and be absorbed, 70-80% are expected to survive and be incorporated into the body as normal fat cells; growing larger with weight gain and getting smaller with weight loss. However, since a sculpting has also been performed of the torso, this result will always remain and not be affected by weight fluctuations too much.

Buttock enlargement FAQs

How long does the surgery take?
Depending on the amount of fat to be injected into the buttocks, the surgery can take from 2-3 hours.

How long is the recovery?
Most resume normal activities within 4-5 days. No sitting is allowed for a few days and no exercise is allowed for two weeks.

What are the risks of the surgery?
The major risks of the surgery is infection which occurs uncommonly. Bleeding is also a small risk. Some of the fat is expected to resorb over time which may lead to a diminished result in some patients.

What type of anesthesia is used?
The surgery is usually performed with general anesthesia, though smaller injection can be done under local tumescent anesthesia.

What technique is used?
Tumescent liposuction is performed with a technique that allows maximum viability of fat cells. Cells are then separated from other fluids and blood with which they are aspirated, and then injected into buttocks in a linear manner within fatty tissues as well as skin layers.

Is there much discomfort with the surgery?
Patients are sore for a few days after surgery but the pain is controlled easily with medications.