Buttocks plastic surgery 


 Buttocks plastic surgery 


buttock shapes

 I recently saw a classification for buttock shapes. It turns out there are pear, apple, mandarin and tomato buttock shapes.  Funny but no one told me that during my training. It also appears that the citrus fruit among these, mandarin, is the shape most aspire to: two round balls for buttocks. Buttocks plastic surgery keeps on evolving!

From a cosmetic plastic surgeon’s perspective, there are three types of buttocks plastic surgery that can be performed: patients want their buttocks larger, smaller or just lifted.


Making buttocks bigger

The options for making buttocks larger are:

1. Silicone implants

In this outpatient cosmetic procedure, a 2-3 inch incision is made between the buttock cheeks and a solid silicone implant is placed under the buttock (gluteus) muscles.

  • Silicone implants used are different from ones used in breast augmentation and are firmer to touch
  • Implant have to be placed higher in buttocks, as you cannot sit on implants for fear of rupture; we all sit on the bone under our buttocks
  • Healing takes about 10 days and full recovery 1-2 months

2. Fat injections – Brazilian buttock lift

  • Even though the Brazilian buttock lift has “lift” in its name, it’s a plastic surgery procedure that both enlarges and lifts buttocks
  • Liposuction of abdomen and hips is performed, and harvested fat is injected into buttocks
  • I typically inject about 800 cc into each buttock at one surgery for maximum effect
  • This is an outpatient cosmetic surgery requiring 3-4 days for recovery and 1 month for full healing
  • About 30% of  fat injections will naturally disappear, but some will remain permanently; everyone is different


Making the buttocks smaller

There is really only one cosmetic procedure to make buttocks smaller, and that is liposuction. In this procedure, three to four small incisions are made around either cheek and fat is removed, leaving behind a smaller buttock. The cosmetic danger is in removing too much fat and turning a plump cheek into a flat and droopy one—not a good idea.


Lifting the buttocks

There are two options for this cosmetic procedure, buttock lift surgery and, again, Brazilian buttock lift.

Buttock lift surgery

In this surgery, a scar is placed in a crease under the cheeks and the skin is turned in to give a modest lift.

The problem is that the plastic surgeon is trying to push and hold your skin and fat tissues in a high position against gravity’s force; given the weight of skin and fat, gravity wins. The scars are not great from this surgery, and I try hard not to perform it!

Brazilian buttock lift
As above, fat injection will not only make a buttock larger but will also lift it, in the same way an empty bag is “lifted“ when full. With liposuction I can actually change the shape of the buttocks to to make them larger and lifted or smaller and lifted!

The concept to keep in mind with all these surgeries is that by changing the shape of the skin and fat around an area I can change the apparent shape of the area itself!

The update

I first wrote this blog in 2010. 4 years later not much has changed other than…

I now perform a lot more Brazilian buttock lifts than before; it is a routine procedure now.

I do very few silicone implants these days

I have not done a simple lift with cutting of the skin in 4 years! – It is just not a good surgery.

We still do not know how come much fat cells survive in some areas and not in others as well!

Washington DC, Northern Virginia, Maryland


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  • Mornique Tynes says:

    How much does this procedure cost. Are injections a health risk years later.

    • admin says:

      The cost is depenedent on the number of areas of liposuction needed to harvest the fat. The more areas needed, the higher the cost but as an average it ranges from $3000 to $7000. Obviously the more fat is injected, the larger the buttocks will be but I find there is a limit of about 800-000ml injection on each side for a good result.
      There are no known longterm risks with fat injection into the buttocks. The only long term dangers that are a possibility are with injection of fat into the breast for breast enlargement. There is some evidence that it may lead to future breast cancer but its still being debated. There is no risk of cancer with injection into the buttocks. It’s just breast tissue that gets stimultaed by the stem cells in the fat.

  • someone says:

    Can you make your butt smaller?

  • Jonathan says:

    Can you make buttocks smaller? If so what will be the steps and how much will the over all treatment cost?

    • admin says:

      Liposuction makes buttocks smaller- consult with a board certified plastic surgeon. Cost varies depending on where you are but usually between $3000-$6000.

  • Someone human says:

    Hey! Can u change your butt shape from square to heart or round shape ??? Also what that procedure and cost will be ? And is this procedure will be applicable on both man and woman ? Answer me hurry please!

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