Browse Butt Augmentation before & after photos shared by doctors on RealSelf.

age 18-24

age 25-34

age 35-44

age 45-54

age 55-64

age 65-74

age 75 and up

African American

hispanic

Caucasian

Asian

olive skin

female

male

transgender woman

nonbinary

buttocks

butt

enhancement

3 months post-op

implant

fat graft

1 month post-op

enlargement

6 months post-op

2 months post-op

back view

side view

oblique view

front view

bottom view

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Woman treated with Liposuction, Liposculpture, Butt Augmentation

This woman in her mid-thirties wanted to enhance the appearance of her abdomen, flanks, and buttocks, but did not want to proceed with a tummy tuck currently. She and Dr. Howell discussed her options, and she chose to have liposuction of the abdomen and flanks with BBL (fat) injections to the buttocks. She has been very happy with her contour results and is pictured before and three months after surgery.

35-44 year old woman treated with Butt Augmentation

Woman treated with Butt Augmentation using 275cc round silicone implants

Woman treated with Butt Augmentation

This patient was unhappy with her tummy tuck done by another surgeon.  I did a REVISION:  removed excess skin and lowered her scar, re-plicated her abdominal muscles, did VASER ultrasound liposuction of her abdomen, flanks to sculpt her waist.  Liposuction fat was then added to her butt as a skinny BBL.

35-44 year old woman treated with Tummy Tuck Revision, Butt Augmentation, Vaser Liposuction, Liposuction, Liposculpture

A year after trusting Dr. Katzen to reverse past decisions, this patient (35) returned for a BBL with vaser hi-def liposuction.

Our patient is a 39-year-old Hispanic female who came to Dr. Timothy Katzen with worsening pain, burning, itching, discoloration, and migration after having unregulated foreign body injections performed. Because injected materials can spread and keep irritating tissue, Dr. Katzen recommended a posterior butt lift with an open silicone injection removal technique to remove the affected tissue directly and restore a smoother contour. Under general anesthesia, he made a planned incision to access the affected layers, separated healthy tissue from inflamed pockets, and removed silicone-laden tissue in a controlled, step-by-step manner. In total, 7 lb of injected tissue was excised, thereby reducing pressure and chronic discomfort. After cleansing the area and controlling bleeding, Dr. Katzen tightened the deeper support layers, removed excess loose skin, and lifted the posterior tissues so that the transition between the upper buttock and lower back appeared more even. The incision was closed in layers for strength, and compression with close follow-up helped manage swelling and fluid during recovery. These photos were taken 1 month after surgery, and her results are already remarkable, with improved shape and a healthier appearing buttock region. The open approach lets Dr. Katzen see and remove migrated material directly. She was advised to walk gently, limit sitting pressure as directed, and care for the scar as swelling improves.

Posterior Butt Lift and Open Silicone Removal After Illegal Silicone Injections

After losing a significant amount of weight, our patient wanted a body contouring plan that would not only reduce stubborn fullness but also rebuild areas that looked flat after weight loss. He is a 44-year-old White male who previously struggled with morbid obesity, reaching a maximum weight of 315 pounds before lowering to 165 pounds through diet and exercise. Dr. Timothy Katzen included a fat transfer to the buttocks in his surgical transformation plan, using fat removed by torso liposuction to naturally enhance buttock shape and projection. Under general anesthesia, Dr. Katzen first performed liposuction of the torso region to sculpt the waist and surrounding areas while harvesting usable donor fat. That fat was then carefully cleaned and purified to isolate the healthiest fat cells for transfer. The focus of this procedure was the buttock fat transfer, in which Dr. Katzen injected the processed fat into carefully selected areas of the buttocks to improve fullness, refine the contour, and create a more lifted, balanced appearance. This type of body contouring and gluteal fat grafting is especially helpful for patients after major weight loss, as it can restore volume in areas that may have become deflated while also improving the surrounding shape. Photos taken 2 months after surgery already show remarkable results, with a more sculpted torso and a stronger, more defined buttock contour that complements his full-body transformation.

Fat Transfer to Buttocks After Torso Liposuction for Post-Weight Loss Shape

Our patient is a 36-year-old Hispanic female who came to Dr. Timothy Katzen with pain and discomfort after foreign body injections were placed in the buttocks by another surgeon. She also believed the product had migrated to the left leg, a phenomenon that can occur when injected material spreads through tissue planes and forms inflamed, firm pockets that feel tender and tight. Dr. Katzen recommended an open silicone injection removal with a posterior butt lift to directly remove the affected tissue and rebuild a smoother, safer contour. Under general anesthesia, he made a carefully planned posterior incision to access the involved layers, then identified the injected material and surrounding inflamed tissue that was contributing to symptoms. Using an open approach allows direct visualization rather than blind suction, which is critical when the material is irregular, scarred, or has migrated. Dr. Katzen removed silicone-laden and reactive tissue in a controlled, step-by-step manner, focusing on symptom relief while preserving healthy tissue and the skins blood supply. After removal, he performed the posterior butt lift by tightening deeper support layers and removing loose skin to improve shape and smooth the transition from the lower back into the buttocks. The incision was closed in multiple layers to reduce tension and promote scar healing. Post-operative compression with close follow-up helped manage swelling and fluid accumulation as tissues settled.

Migrated Silicone Injection Removal with Posterior Butt Lift Reconstruction

Our patient is a 39-year-old Hispanic female who weighed 150 lbs at the time of surgery, came to Dr. Timothy Katzen for relief from foreign body buttock injections that had migrated and caused persistent pain and discomfort. Dr. Katzen recommended an open silicone injection removal with a posterior butt lift so that the foreign material could be removed under direct vision and the area could be reconstructed to achieve a smoother, healthier contour. Under general anesthesia, he made a planned posterior incision, separated healthier tissue from inflamed silicone-laden pockets, and removed the involved tissue in a controlled, step-by-step fashion to reduce pressure and irritation. After cleansing and careful control of bleeding, he tightened the deeper support layers and trimmed excess loose skin. He lifted the posterior tissues to improve the transition from the lower back into the buttock region. The incision was closed in layers to support strength and reduce tension. These photos were taken 3.5 years after surgery, showing remarkable long-term results and a more comfortable daily life. Our patient shared that she is happy to be relieved from most of her pain. Direct visualization facilitates more precise targeting of migrated material, and aftercare commonly includes compression, walking, and close follow-up. Dr. Katzen focuses on smooth contours by removing tissue evenly and protecting the skin, so the result looks natural in clothing and from multiple angles as healing matures.

Migrated Silicone Removal with Posterior Butt Lift for Smoother Contour

before and after BBL: This patient wanted a rounder butt with more projection. When doing a BBL I always prioritize shape over size. I call the technique a skinny BBL. Some surgeons simply add as much fat as possible emphasizing size over shape. This is not a good idea as it does not age well and creates an unnatural result. With a skinny BBL patients can expect a perfectly shaped butt that is in proportion to their body type.

Butt Augmentation Before & After Photos

3022 Butt Augmentation pictures shared by doctors

Eduardo Gongora, MD

Hampton A. Howell, MD

Gregory Turowski, MD, PhD, FACS

Eduardo Gongora, MD

Hampton A. Howell, MD

Gregory Turowski, MD, PhD, FACS

John L. Burns Jr., MD

J. Timothy Katzen, MD, FACS

J. Timothy Katzen, MD, FACS

J. Timothy Katzen, MD, FACS

J. Timothy Katzen, MD, FACS

J. Timothy Katzen, MD, FACS

J. Timothy Katzen, MD, FACS

J. Timothy Katzen, MD, FACS

J. Timothy Katzen, MD, FACS

J. Timothy Katzen, MD, FACS

J. Timothy Katzen, MD, FACS

J. Timothy Katzen, MD, FACS

J. Timothy Katzen, MD, FACS

J. Timothy Katzen, MD, FACS

J. Timothy Katzen, MD, FACS

J. Timothy Katzen, MD, FACS

J. Timothy Katzen, MD, FACS

J. Timothy Katzen, MD, FACS

J. Timothy Katzen, MD, FACS

J. Timothy Katzen, MD, FACS

J. Timothy Katzen, MD, FACS

J. Timothy Katzen, MD, FACS

John L. Burns Jr., MD

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3022 Butt Augmentation pictures shared by doctors

Eduardo Gongora, MD

Hampton A. Howell, MD

Gregory Turowski, MD, PhD, FACS

Eduardo Gongora, MD

Hampton A. Howell, MD

Gregory Turowski, MD, PhD, FACS

John L. Burns Jr., MD

J. Timothy Katzen, MD, FACS

J. Timothy Katzen, MD, FACS

J. Timothy Katzen, MD, FACS

J. Timothy Katzen, MD, FACS

J. Timothy Katzen, MD, FACS

J. Timothy Katzen, MD, FACS

J. Timothy Katzen, MD, FACS

J. Timothy Katzen, MD, FACS

J. Timothy Katzen, MD, FACS

J. Timothy Katzen, MD, FACS

J. Timothy Katzen, MD, FACS

J. Timothy Katzen, MD, FACS

J. Timothy Katzen, MD, FACS

J. Timothy Katzen, MD, FACS

J. Timothy Katzen, MD, FACS

J. Timothy Katzen, MD, FACS

J. Timothy Katzen, MD, FACS

J. Timothy Katzen, MD, FACS

J. Timothy Katzen, MD, FACS

J. Timothy Katzen, MD, FACS

J. Timothy Katzen, MD, FACS

John L. Burns Jr., MD

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EMAILS