Hydrogel/Silicone Butt Injections: Is This Safe and Legal?

I was interested in enhancing my butt but I don't want surgery or anesthesia. I was looking on line and found something called Hydrogel injections but its hard to find a surgeon who does this. Is this an effective way to augment the butt area, and where is it available (in the northeast)?

Doctor Answers (21)

Hydrogel Injections for Butt Augmentation-- Don't do it!


The reason it is hard to find a qualified Plastic Surgeon is because this hydrogel is not an FDA approved product for Butt Augmentation. Furthermore, media reports are not good, and some are terrifying. I have seen several patients who have been deformed by Hydrogel Injections by another practitioner. The sad thing is that non-physicians are  engaged in providing this service.  When things go wrong, they have no idea what to do.

If you desire Butt Augmentation, it is best to use your own adipose fat. This procedure is called the Brazilian Butt Lift.  It is natural and safe. Save your money until you can afford it. If not, it is better to not do anything . Or-- just buy a pair of butt enhancing Spanx! 

More information about the risks for Hydrogel Injections are provided in the link below.

Dr. Ricardo Rodriguez

Baltimore Plastic Surgeon
4.5 out of 5 stars 42 reviews

Don't even think about it!


Material other than your own fat can be dangerous to your health. This is a terrible procedure. Enhance your front not your back. Some one needs to develope padded shorts.

William B. Rosenblatt, MD
New York Plastic Surgeon
4.0 out of 5 stars 9 reviews

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FIVE THINGS you must know about Hydrogel Buttock injections


1. This is not approved in the US by the FDA.  A big tip off right there. 
2. This procedure has had several reported problems with infections and other complications.
3. It is not necessary to use Hydrogel when more superior ways such as fat injections or a very nice implant are the way to go.
4. Many times fat injection can be done in combination with an implant to obtain a more custom shape.
5. Don’t trust you backside to anyone but a Boarded Plastic Surgeon with plenty of before & after photos as well as happy patients you can speak with.

Good luck!!

Douglas S. Steinbrech, MD
New York Plastic Surgeon
5.0 out of 5 stars 18 reviews

Avoid hydrogel injections into the butt

While it may sound appealing to beta gel injected into your butt and avoid surgery... However you need to realize. That this is not done by reputable surgeons because of the horrific complications that come from this procedure. In our clinic we offer fat injections or butt implants (if the patient does not have sufficient fat) Sincerely, Martin Jugenburg, MD

Martin Jugenburg, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 143 reviews

Hydrogel butt injections are extremely dangerous and illegal to inject in the US. Not FDA approved.


Many patients call our office asking for the hydrogel injections.  There isn't any safe or legal ways to increase butt size without surgery.  Brazilan butt lift used your own fat cells to enhance the butt.  The abdomen is liposuctioned and the fat is used in the butt.  If you are still considering PMMA or hydrogel injections, think twice about what you are injecting into your body.  If you are against having surgery, forget about any butt procedures. 

Otto Joseph Placik, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 44 reviews

Hydrogel not available for Buttock Enhancement in the US


Hydrogel is not avialble in the US.

Even if you can find medical grade hydrogel (Aquamid) to inject into the buttock it will cost several thousands of $ to inject 300-500 cc in each buttock.

The safety of hydrogel is not fully known yet.

Samir Shureih, MD
Baltimore Plastic Surgeon

Buttock Injection - Silicone

I would NOT have silicone injections or any other substances injected into your buttock that is not fat. That is a set-up for life long problems. Some people have these injections and are fine, but the people that have problems have them for life. Do not have silicone injections to your buttock.

The only injection that you should use to enhance your buttock is fat. Anything else would not be recommended. Patients have had tremendous results with the Brazilian Butt Lift (fat transfer to the buttock). This procedure allows your surgeon to shape your entire body.

With that said I would tell you that when it comes to your body, I would not choose your surgeon by who is the cheapest or have something injected just because it is easy. It is important to have several consultations with board certified plastic surgeons. Also make sure that your surgery is being performed in an accredited surgery center or hospital.

It is important to ask the right questions during your consultation:

  • 1.Is your surgeon a board certified plastic surgeon?
    • a.Be sure he or she is a plastic surgeon, there are a lot surgeons that are cosmetic surgeons or board certified in other fields other than plastic surgery. They do not do the same training as a plastic surgeon.
    • b.You can check the American Board of Plastic Surgery website for a list of plastic surgeons in your area.
  • 2.Does your surgeon commonly perform this procedure?
    • a.Ask to see before and after pictures or look online for reviews on the procedure.
  • 3.Where is the surgery performed
    • a.Is the procedure performed in an accredited surgery center or hospital?
  • 4.Who performs the anesthesia for the procedure?
    • a.Is an anesthesiologist performing the anesthesia?
I would advise you to see a board certified plastic surgeon that performs a lot of fat transfer procedures. In my practice the Brazilian Butt Lift is one of the procedures where patient are extremely happy after surgery.

I hope this helps. 

This is not an effective treatment


There is no FDA approved injectable that has been created for large volume injectiona to the buttocks. The only thing you should consider is either fat grafting or buttock implants. Fat grafting is preferable.

Saeed Marefat, MD
Washington DC Plastic Surgeon
5.0 out of 5 stars 15 reviews

Buttock augmentation alternatives?


The Brazilian Butt Lift (liposuction of your lower back, waist, abdomen, etc, and injection of this fat into your buttocks) is a SAFE, effective buttock augmentation technique. I STRONGLY suggest you avoid any alternative injections (I have seen men and women with liquid silicone injected into their buttocks with HORRIBLE results and complications, wounds, infections, etc).

If you're interested in buttock augmentation surgery, I suggest you visit with an experienced Board Certified PLASTIC SURGEON.

I hope that helps and wish you all the best!

James Knoetgen, III, MD
Fresno Plastic Surgeon
5.0 out of 5 stars 22 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.