Body Procedures: Buttocks Augmentation

• It permanently increases the volume of the buttocks.
• It is the only feasible procedure when there is not enough fat in other areas of the body to transfer to the buttocks.
• It enhances the buttocks’ profile, especially when this procedure is combined with liposuction of nearby areas such as thighs and waist.
• It evens out the bodies of people who work out to develop and build their muscles, but who cannot develop the muscles of their buttocks as much as other parts of their bodies.

• It permanently increases the volume of the buttocks. Fat injections are more worthwhile when applied in the buttocks than in other areas, since the buttocks have the particularity of being an area in which adipose tissue tends to accumulate. However, it must be taken into account that the volume achieved may sometimes be reduced in part or completely if the fat is reabsorbed by the body.
• The buttocks are enhanced not only because of the increase in volume, but also because of the contrast they get with nearby areas from which the fat is recollected and whose volume is inevitably reduced.

It does not tighten sagging skin.

Anesthesia
According to the characteristics of your case and to what you and your surgeon decide, anesthesia may be local, epidural or general.

How long will it take?
The surgery lasts about 2 hours, both for buttocks augmentation with microfat grafting and with implants.

How long will I have to stay hospitalized?
You may return to your hotel about 4 or 6 hours after the surgery.

How is buttocks augmentation surgery performed?
a) With silicone implants
The surgeon makes an incision between the buttocks, right in the midline. He makes a pocket inside each buttock and places the cohesive silicone gel implants inside of them, sliding them through the incision, which is between 2 and 3 inches long (5 and 7 cm).
b) Microfat grafting
The surgeon collects the fat from other areas of the body with a cannula; this procedure is very similar to liposuction. The most frequent areas from which fat is collected are the lower back, abdomen, waist and hips. Then he purifies the fat collected and injects it on the buttocks, drop by drop, very close to blood vessels to be sure that the injected fat will have an adequate blood supply.

What kind of bandages will I need, when will they be removed?
To heal properly, after any of these procedures, you will have to wear a special bandage on the treated area for about two or three weeks. It is a bit uncomfortable but, unfortunately, it is necessary.

Will I feel a lot of pain?
From medium to severe. The surgeon will indicate you to take analgesics every 6 or 8 hours; this will make you feel quite relieved.

When will the stitches be removed?
In both cases, between 7 and 15 days after the surgery.

What about swelling and bruises?
Bruises will probably develop; they may remain there for 10 days and may migrate to the legs before disappearing completely. The inflammation will diminish progressively during 3 or 4 weeks, after reaching its peak at the third day after the surgery.
During the first three or four weeks the swelling may diminish unevenly, causing asymmetries.

What will the scars look like?
Microfat grafting
Small scars will form on the areas from which the fat was collected. They will soon become very difficult to notice if we do not know where they are, since they will be about 0,1 inches (3 mm) long.
Silicone implants
It is very important to keep the area clean. The scar tends to be of about 2 or 3 inches (6 or 7 cm) long, but do not worry about it, it will be concealed between the buttocks.

You may rest only on your belly until the stitches are removed. From the seventh day onwards, you may try to sit again and to go back to work, but only if you will not have to sit for long periods and if you will not have to do intense physical efforts.
According to your evolution, you will have to wait about 30 days before doing any hard work and exercise.
During the recovery period, some people may feel quite depressed. You may even come to think that you made a big mistake. But don’t worry. Most of the people who are happy today and who are satisfied with the results obtained, have also felt somewhat depressed.

Every surgery, no matter how simple it may be, has certain risks, and we should not rule them out. However, it is very unlikely for buttock augmentation surgery to present any complications when performed by a qualified surgeon.

• Asymmetry. Even though the surgeon marks the areas he will operate on very carefully, there may be asymmetries.
• Adverse reactions to anesthesia.
• Infections may develop but, if you take the right antibiotics, they will be less likely to develop.
• Large bruises that may need to be drained.
• Seromas, or fluid accumulation beneath the skin, may develop. In some cases, they will have to be drained with a syringe.
• Temporary loss of pigmentation of the skin of the treated areas.
• Thrombosis. If a blood clot travels through the bloodstream and reaches the lungs, it may cause a cardiopulmonary arrest. To prevent this, try to get up and to move your legs as soon as you can. This is not a usual risk; it is more related to buttock augmentation with microfat grafting that with implants.
• When silicone implants are used, they may puncture or rupture if a violent pressure is applied or if they are hit strongly. Even though the implants are filled with a cohesive gel that does not leak, if they rupture they must be replaced.
• An injection could puncture the implant. You must be very careful not to have injections applied in the area where the implants are placed, they can be applied on other muscles of your body, which are as appropriate for this as the buttocks.
• When microfat grafting is the procedure used, there may be an excessive loss of fluids associated to liposuction; this may cause decompensation.
• Also, some of the grafted fat could be reabsorbed by the body if there is no adequate blood supply. This is a natural process that takes some months. It does not cause any discomfort and it does not give rise to any risks, but some of the volume gained is lost.

In general, buttocks augmentation surgery has lasting and very satisfactory results. Your new curves will make your body look more female. When you dance, when you walk, your movements will have a new charm that you would have never obtained by other means.