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Not Enough Fat for Brazilian Butt Lift

I'm slim and petite, and I have a small butt. I want a noticabely bigger and rounder butt, but what if I don't have enough body fat for a Brazilian Butt Lift? What are my other options?

Asked 39 months ago by leeannc06 in limerick
Sort 16 expert answers by:
+1

Too thin for a Brazilian Buttock Lift

If you do not have enough fat for a Brazilian buttock lift (fat transfer) your only other option is a silicone buttock implant. Thin patients who do not have enough donor fat to transfer to their buttock will require a shaped, silicone implant placed under their gluteal muscle. The disadvantage of these implants is that they require a larger incision to be inserted, they can become infected, they can move/shift or develop hard scar tissue (similar to breast implants). The buttock implants... more
William Bruno, MD
Beverly Hills Plastic Surgeon
+2

Brazilian Buttock Lift-- Maximizing the results

To get the best result with Brazilian Buttock Lift, you need the following; Adequate fat Equally as important  the transplanted fat should be processed non-traumatically to maximize the viability of the tissues and their survival. Contouring of the surrounding tissues such as the hips and lower back to create a more attractive shape. Patients should not sit on the buttocks for a period of two weeks to avoid trauma to the area. Generally speaking,... more
Ali Sajjadian, MD
Orange County Plastic Surgeon
+2

Butt Implants is the other option

Butt Implants is the other option. However it does not appeal to many surgeons and patients due to the high problem rate with these implants. Stay away from any artificial filler e.g silicone, hydrogel, etc..
Hisham Seify, MD, PhD
Los Angeles Plastic Surgeon
+2

Not enough fat for Brazilian Butt Lift

If that is truly the case, then there are two options. My first suggestion is to consider gaining some weight. I know this sounds counter productive, but as long as you gain it in areas other than your breasts, we can remove it with liposuction and use that fat to transfer to your buttocks. If this is not an option for you, then I would consider buttock implants. Both myself and my patients (some of whom have had prior buttocks implants) greatly prefer the results and feel of using your own... more
Daniel P. Markmann, MD
Baltimore Plastic Surgeon
+1

Buttock Augmentation in a slender patient

Even slender patients can have fat lurking in areas that an observant surgeon can find. Option two - you can 'supersize' yourself in a manner of speaking by gaining weight and  then suctioning the fat. Outside of the U.S. there are other synthetic fillers that some are using. Unfortunately when these fillers go bad it can be a huge nightmare for the unfortunate patient. If all else fails buttock augmentation with silicone implants can be performed. This is a reasonably good... more
Jon F. Harrell, DO
Miami Plastic Surgeon
+1

Not enough fat for a Brazilian Butt lift?

A Brazilian butt lift is a safe and effective procedure that combines liposuction of the abdomen hips waist and back and then fat grafting to the gluteal region. This is a safe and effective way to contour the lower body. In our practice, we often see patients who are interested in the glial augmentation but do not have enough body fat. There are several good options in this case. If the patient is a borderline weight, we recommend that the patient gain 5 to 10 extra pounds before... more
B. Pat Pazmino, MD
Miami Plastic Surgeon
+1

Alternatives to fat grafting to the buttocks

In order to obtains a meaningful enlargement of the buttocks and adequate amount of fat needs to be placed.  On occasion even in a thin patient there is enough fat around the hips and thigh areas to achieve this, assuming that the surgeon uses very specific techniques to obtain the fat, process it in proper fashion and inject it so that there is maximum take of the fat. If there is truly inadequate fat for Brazilian but lift, than the only other option is buttock implants. ... more
Boris M. Ackerman, MD
Newport Beach Plastic Surgeon
+1

Alternatives to the Brazilian Butt Lift.

First of all, you should be examined by a qualified plastic surgeon who is skilled in fat transfer techniques.  Sometimes even though you are thin, selective liposuction in the surrounding areas above and around the buttock can have a very positive effect. Assuming that you are too thin, the only real alternative is buttock augmentation with implants.  Very nice results can be obtained with these implants, even in very thin individuals.  It is true that any type of... more
Kevin F. Hagan, MD
Nashville Plastic Surgeon
+1

Fat needed for Brazilian Butt Lift

Some people are surprised when they think they may not have enough fat to be liposuctioned, but they actually do. That is why it is important to consult with your plastic surgeon before making the decision whether you are a candidate or not. If your doctor notifies you that you do not have enough fat available for your Brazilian Butt Lift, then you may be advised to gain more weight in order to have the procedure done, or to use buttock implants instead.
Siamak Agha, MD, PhD
Orange County Plastic Surgeon
+1

How small is too small for a brazilian butt lift?

The brazilian Butt lift is all about waist hip proportion. Even if you are small, you can alter your body proportions by judicious liposuction and injecting whatever fat you have available. Ironically, butt implants are not the best in small thin patients because the implant can easily been seen and felt. Check out the linked pictures of a patient that weighed 94 pounds, and the video of my approach to fat grafts. see video
Ricardo Rodriguez, MD
Baltimore Plastic Surgeon
+1

Butt Implants vs. Brazilian Butt Lift

The Brazilian Butt Lift is normally the recommended procedure for butt enhancement, but without enough fat to inject, butt implants are the next best option. see video
Usha Rajagopal, MD
San Francisco Plastic Surgeon
+1

Two options if fat is not enough for Brazilian Butt Lift

If you really do not have enough fat to remove then you have two options: 1: Buttock Implant, They come in different shapes and sizes 2: Dermis fat graft if you have enough for a Tummy Tuck
Samir Shureih, MD
Baltimore Plastic Surgeon
+1

Fuller butt still possible even if there's not enough fat

Lee Ann, Based on your question it sounds like a buttocks enhancement with silicone implants may be the only option for you. Fat transfer to the buttocks has certainly gotten much more publicity these days but silicone implants are a reasonable options for patients that are not candidates for liposuction and fat transfer. I do not currently recommend weight gain just to have liposuction and fat transfer. Just take your time and visit with surgeons in your area that perform the procedure and... more
Earl Stephenson Jr., MD, DDS
Atlanta Plastic Surgeon
+1

Can I have a Brazilian Butt Loft if I'm slim?

Hi there- In patients who want a larger, more full buttock volume with improved shape, the two alternatives are Brazilian Butt Lifting, in which fat is removed from some areas and transferred to your buttocks, and buttock implants. In some cases both are used to achieve the patient's goals. In my practice, when patients do not have enough fat to achieve their goals, but the also do not wish to consider implants, we have achieved great success (and the patient's goals) by putting them on a... more
Armando Soto, MD
Orlando Plastic Surgeon
+1

Alternatives to lipotransfer

As Dr. Dreyfuss mentions there are alternatives to lipotransfer. Some of these alternatives have serious consequences. Buttock implants have larger scars, are prone to infection like any artificial substance implanted into your body and because, unlike breast implants, they tend to be under more stress (being sat on for example) they can be more subject to wound healing problems and even extrusion and scar tissue formation which can make them hard or painful. No implant should be... more
Steven H. Williams, MD
San Francisco Plastic Surgeon
+1

Buttock augmentation with a silicone implant is possible.

Although not as simple as a fat transfer, silicone gel buttock augmentation is a very successful operation. The implants are quite soft and if placed correctly have a very natural shape and feel. The procedure is done thru a vertical incision in the crease of the buttock. The incision needs to be at least 4-5 cm in length to place the implants correctly. The preferred location is submuscular/subfascial. This will provide the most long lasting result and feel most natural. It is also... more
David A. Dreyfuss, MD
Chicago Plastic Surgeon
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