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Buttocks Augmentation

Brazilian Butt Lift and Buttock Implants with Birmingham, AL Plastic Surgeons

Buttocks Augmentation, or Gluteal Augmentation, involves using buttock implants, fat grafting or a combination of both to increase the size of the buttocks. Buttocks augmentation procedures performed with fat transfer are commonly known as the Brazilian Butt Lift.

Buttocks augmentation is an option for people who are dissatisfied with the size and shape of their rear end and are looking to balance the proportions of their body. Buttock Implants and the Brazilian Butt Lift at our Birmingham, Alabama cosmetic surgery center can increase the fullness, roundness and projection of your buttocks, improve the overall balance of your figure and enhance your self-image.

Buttocks Augmentation Candidates

You may be a good candidate for buttocks augmentation if:

  • You are bothered by the feeling that your buttocks are too small.
  • You are unhappy with the roundness or general shape of your buttocks.
  • Your buttocks are asymmetrical.
  • You are physically healthy.
  • You have realistic expectations.

Your Buttocks Augmentation Consultation

By choosing a member of the American Society of Plastic Surgeons (ASPS) for your buttocks augmentation procedure, you can be assured that you are choosing a highly-trained, board-certified plastic surgeon. ASPS Member Surgeons must meet rigorous standards for training, ethics, physician practice and research in plastic surgery.

During your consultation for buttocks augmentation, be prepared to discuss:

  • Why you want the surgery, your expectations and the desired outcome.
  • Medical conditions, drug allergies and previous medical treatments.
  • Use of current medications, vitamins, herbal supplements, alcohol, tobacco and drugs.

Your plastic surgeon will also:

  • Evaluate your general health and any pre-existing health conditions or risk factors.
  • Take photographs.
  • Discuss your body contouring options and recommend a course of treatment.
  • Discuss the likely outcomes of buttocks augmentation and any risks or potential complications.

Be sure to ask questions at your consultation. It is very important to understand all aspects of your buttocks augmentation procedure. It's natural to feel some anxiety, whether preoperative stress or excitement about your anticipated new look. Don't be shy about discussing these feelings with your plastic surg

Buttocks Augmentation Risks and Safety Information

The decision to have buttocks augmentation surgery is extremely personal. You will have to decide if the benefits of buttocks augmentation will achieve your goals and if the risks and potential complications are acceptable.

The risks of buttocks augmentation with implants include:

  • Infection.
  • Bleeding.
  • Opening of the incisions with implant exposed requiring removal.
  • Scarring.
  • Nerve damage.
  • Firmness.
  • Implant rupture.
  • Implant migration.
  • Fluid accumulation (seroma).
  • Pressure on your sciatic nerve.
  • Anesthesia risks.

The risks of buttocks augmentation with fat transfer (Brazilian Butt Lift) include:

  • Excessive loss of blood.
  • Blood clots.
  • Bruising.
  • Deep vein thrombosis, cardiac and pulmonary complications.
  • Possibility of revisional surgery.
  • Numbness and pain.
  • Fat embolism, injection of fat into the bloodstream that causes inflammation in the lungs.
  • Infection.
  • Fluid shifts and lidocaine toxicity.
  • Complications of liposuction.
  • Complications of anesthesia.
  • Swelling and bruising.
  • Asymmetry.
  • Possible need for a revision surgery at a later date.
  • Fatty tissue found deep in the skin might die (fat necrosis).
  • Anesthesia risks.
  • Oil cyst.
  • Hematoma.
  • Stretch marks.
  • Cellulite.

These risks and others will be fully discussed prior to your consent. It is important that you address all of your questions directly with your plastic surgeon. You will be asked to sign consent forms to ensure that you fully understand the procedure and its risks and potential complications.

Preparing for Buttocks Augmentation

Prior to buttocks augmentation surgery, you may be asked to:

  • Get a blood test.
  • Take certain medications or adjust your current medications.
  • Stop smoking.
  • Avoid taking aspirin and certain anti-inflammatory drugs as they can increase bleeding.

Buttocks augmentation may be performed in an accredited outpatient or ambulatory surgical center or a hospital. Be sure to arrange for someone to drive you to and from surgery and stay with you for at least the first night.

Buttocks Augmentation Procedures

Your buttocks augmentation surgery can be achieved through the use of Buttock Implants, the Brazilian Butt Lift (transfer of your existing fat) or a combination of both. Your surgeon may choose between a variety of incision patterns and techniques. The appropriate technique for you will be determined based on:

  • Buttock size and shape.
  • The amount of body fat that is available for use through liposuction.
  • Your goals and activity level.
  • Skin quality and elasticity as well as the amount of extra skin.

Anesthesia choices for buttocks augmentation surgery include intravenous sedation and general anesthesia. Your doctor will recommend the best choice for you. No matter which type of buttocks augmentation procedure you have, anesthesia will be used to ensure your comfort during the procedure.

Buttock Implants

Buttock Implants Incisions

The incision can be made toward the top on both sides of the upper buttocks, toward the bottom in both of the gluteal creases (the areas where your "cheeks" meet the top of your thighs), between both cheeks (hidden in the crease) or with one incision placed down the center of the sacrum (the crease between the buttocks). The length of the incision and scar is directly related to the affected areas.

Buttock Implant Placement

A silicone implant specially made for the buttocks is inserted either in the muscle or above the gluteal muscle on each side. The method for implant insertion and positioning depends on the type of implant, degree of enlargement desired, your body type and your surgeon's recommendations.

Incisions are closed with layered sutures in the buttocks tissue and with sutures, skin adhesive or surgical tape to close the skin.

Fat Grafting (Brazilian Butt Lift)


Liposuction is performed through small, inconspicuous incisions. First, diluted local anesthesia is infused to reduce bleeding and trauma. A thin hollow tube, or cannula, is then inserted through the incisions to loosen excess fat using a controlled back and forth motion. The dislodged fat is then suctioned out of the body using a surgical vacuum or syringe attached to the cannula. In general, your surgeon may liposuction up to three times the amount of fat than what will actually be injected into the buttocks.

Fat Injection

The fat, tissue and blood that were removed through liposuction are processed. The syringes are then connected to a special cannula. Your surgeon will use this cannula to transfer the fat through small injections all over your buttocks.

Buttocks Augmentation Recovery

Your doctor will give you specific instructions on how to care for yourself after surgery. Following your physician's instructions is key to the success of your surgery. These instructions may include:

  • How to care for your buttocks and any areas that were liposuctioned.
  • Medications to apply or take orally to aid healing and reduce the risk of infection.
  • Specific concerns to look for at the surgical site or in your general health.
  • When to follow-up with your plastic surgeon.

After buttocks augmentation surgery, you will be taken into a recovery area to be closely monitored. You may be permitted to go home after a few hours.

It is important that the surgical incisions are not subjected to excessive force, swelling, abrasion or motion during the time of healing.

You will be instructed to wear a support garment around-the-clock following your surgery. Your surgeon will tell you how long you need to wear the garment and if there are any other garments that you may have to wear during your recovery.

Be sure to ask your plastic surgeon specific questions about what you can expect during your buttocks augmentation recovery period:

  • Where will I be taken after my surgery is complete?
  • What medication will I be given or prescribed after surgery?
  • Will I have dressings/bandages after surgery?
  • How long will I wear the compression garment?
  • Are stitches removed, and when?
  • When can I resume normal activity and exercise?
  • When do I return for follow-up care?

Buttocks Augmentation With Implants Recovery

You will wear a support garment for approximately 2 to 3 weeks after your procedure. This will help the skin redrape properly and provide support to the augmented buttocks.

Buttocks Augmentation With Fat Grafting Recovery

You will be asked to avoid prolonged sitting for about 2 weeks, though some surgeons prefer longer. This is very important because prolonged sitting will damage the fat. When you do have to sit, you will have to use a pillow or cushion placed behind the legs (hamstring muscles) to help raise the buttocks, avoiding pressure on the fat grafts. You will be encouraged to sleep face-down or on your side.

You will be provided with a support garment that will apply even compression to the areas that were treated with liposuction. Small temporary drains may be placed in existing incisions beneath the skin to remove any excess blood or fluids.

Your surgeon may encourage you to seek lymphatic massage from a licensed massage therapist. You can generally resume exercise after 6 to 8 weeks.

Buttocks Augmentation Results

Over time, post-surgical swelling will resolve and incision lines will fade. It may take several months for the swelling to fully dissipate. As it does, satisfaction with your new contours and enhanced self-image should continue to grow as you realize the fulfillment of your goal for fuller buttocks.

The final results of your buttocks augmentation with implants will appear over the next few months as your implant, buttock shape and position continue to settle. Final results are usually noticeable 3 months after surgery. At this point, most of the swelling will be gone and the implants will be settled in their normal position.

If your procedure was performed with fat transfer, it can take up to a year to see your final results. Some of the fat will be reabsorbed by your body. Brazilian Butt Lift patients retain an average of 60% to 80% of the transferred fat.

The natural looking and feeling results of your buttocks augmentation procedure will be long-lasting. Over time, the size and shape of your buttocks can continue to change due to aging and gravity. As you gain or lose weight, your results may change since the transferred fat can grow or shrink just like any other fat in your body. You will be able to retain your new look longer if you maintain your weight and a healthy lifestyle.

Procedure Information © American Society of Plastic Surgeons

Buttocks Augmentation balances your body with fuller, more attractive buttocks at the cosmetic surgery practice of Hedden & Gunn Plastic Surgery.

Birmingham, AL Office & Surgery Suites

Hedden & Gunn Plastic Surgery
140 Village Street
Birmingham, AL 35242
205-980-1744 or 800-HeddenMD
American Society of Plastic Surgeons American Society for Aesthetic Plastic Surgery
Hedden and Gunn Plastic Surgery

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Questions About Body Contouring?

Contact Hedden & Gunn Plastic Surgery today to learn more about Buttocks Augmentation with implants or the Brazilian Butt Lift.

To schedule your consultation at the earliest possible date, please call 205-980-1744.

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