Are there insurances that cover butt augmentations or Silhotte?

Thanks for the sending along a photo.  Of course a consultation with a direct physical exam of the area would be more telling, but typically a Buttock Tuck is recommended for this problem.  It is somewhat like a tummy tuck but is performed at the lower horizontal crease of the buttock...

The amount of fat needed for a Brazilian butt augmentation depends on how much projection you want to have. In other words, the bigger the butt or the more fat is needed to get the best shape, the more fat you will need. Typically, during this procedure about 5-7 liters of fluid are removed...

If you're seeking buttock augmentation without the use of implants or fat transfer, there are alternative options that focus on enhancing the appearance of the buttocks. Keep in mind that the effectiveness and safety of these procedures can vary, and it's important to consult with a qualified...

It is hard to tell without seeing photos of your condition.  Sounds like you need to see a board certified plastic surgeon to get a direct answer. 

Your only other choice is butt implants which are not as popular as the fat injections due to the high complication rate.  You are sitting on the implant and causing stress on it and the pocket it is sitting in. 

Hi there- Fat grafting to the buttocks, in the Brazilian Butt Lifting technique, is the ONLY safe method of augmenting or re-shaping the buttocks (other than implants). There are now MANY women who have had scary and life-threatening experiences after having "hydrogel",...