How could I add volume to my butt if I have very little fat and don't want to get Butt Implants?

Question

I am 20 years old live around the chicago area with one kid and I have a small butt I want it to be bigger butt without it looking unatural. I weigh around 125 and most of the fat goes to the right places but I just want to be fuller. How could I do this and How much would it cost? Are there payment plans or do you always have to pay in full?

Alexander Aslani, MD · Answer

This is a very common question.In my practice, fat has become the gold standard for buttock enhancement surgery. Fat gives very nice results and allows the surgeon to shape individually.Most patients have enough fat for a good outcome,.if you have very little fat to spare, you can gain weight or consider two sessions of grafting.

Ryan A. Stanton, MD · Answer

Allow me to share with you some information that you may not hear elsewhere. There are
only two proven safe and relatively effective methods for Buttock Augmentation
and Hip Augmentation: 1) Autologous Fat Transfer (using your own fat,
transferring from one area of the body to the other) and 2) Buttock/Hip
Implants (semi-solid silicone rubber implants that cannot rupture &/or
leak). Both are very good options so what it comes down to, like any surgery,
is proper patient selection.

Indeed
because at least 50+ % of the fat transferred will melt away within a year,
most patients are not good candidates because they lack an adequate amount of
fat to harvest. Another tip is that if you purposely gain weight (i.e. fat) for
the procedure, the fat you lose first as you get back to your baseline weight
is that very same fat that was transferred into your buttock...so don't fall
victim to this recommendation.  Although using your own fat is relatively
safe, the one serious complication that can rarely (< 1%) happen is
"fat embolism" in which some of the fat gets into the blood stream
and travels up into the lungs, heart, and/or brain causing serious problems.
This complication is more likely to happen with the larger amount of fat being
transferred. This is
even more likely to happen when using fillers like PMMA and hyaluronic acids.
Also fillers, when injected in large quantities, have a relatively high
tendency to migrate away from the original area they were placed and tend to
stimulate a lot of inflammation and a subsequent disastrous amount of scar
tissue/hardening.

Thus
buttock/hip implants become a very good, safe, and long term reliable option
for most patients seeking buttock augmentation (at least in my practice). I
prefer to insert the buttock implants through a 2 inch long incision over the
tailbone (concealed within the crevice between the buttock cheeks) and the hip
implants through a ~ 1 inch incision just below the beltline above the hip
region. The buttock implant should always be placed under or within the gluteus
maximus muscle. In this position, the implant is less palpable, less visible,
and does not sag or shift/migrate over time unlike implants placed on top of
the muscle. Therefore it is extremely important to seek consultation with a
board certified plastic surgeon who specializes in this procedure (in fact both
implants and fat transfer so that s/he is not bias). And in this case too, at least in
my surgical practice, the infection rate is minimized to ~5%. Glad to help.

Depending
upon the amount of your current fat reserves and their distribution, you may or
may not be a reasonable candidate for fat transfer.  If you are wanting to
utilize the fat to further augment your buttock in addition to implants, then I
caution you against this.  The reason being that the fat needs to be
placed into the buttock muscles for optimal survival, however, this is exactly
where the implant needs to reside and thus risks infection and/or death of the
fat.  Because of this risk, I frequently avoid fat grafting into a buttock
that has an implant.  Bottom line, I recommend consulting with a board
certified plastic surgeon specialist in buttock augmentation (BOTH implants and
fat transfer) to determine what option is best for you.  Glad to
help.

Kenneth Hughes, MD · Answer

I perform the Brazilian buttlift on models and thinner women frequently with very nice results.Find a board certified plastic surgeon who performs hundreds of Brazilian buttlifts and
liposuction procedures each year.  Look for great reviews and great 
before 
and after pictures.Kenneth Hughes, MDLos Angeles, CA

Tania Medina de Garcia, MD · Answer

Hello dear!!
Thanks for the question and provided information as well. 
Unfortunately, without pictures, it is very difficult to give you a proper answer. 
In general, you need to be physically healthy and at a stable weight, have realistic expectations, be a non-smoker and your BMI needs to be 30 or less. l recommend you to make an appointment with a board certified plastic surgeon to talk about your goals and anything you need to know.
Good luck :)

George Lefkovits, MD - Account Suspended · Answer

There are many areas from where donor fat can be taken from including the abdomen, hips, thighs, back and arms. If you do not have sufficient fat then you can gain weight. But you need to examined by a Board Certified PS with extensive experience performing the BBL to see whether you have enough fat or whether you need to gain weight. Good luck!

Maan Kattash, MD, FRCS, FACS - Account Suspended · Answer

It is difficult to give you the correct assessment without pictures. This depends the distribution of your "fat deposits" as well as your expectations. The concept of BBL relies on using your "disposable" fat stores for augmentation. I performed these procedures on patients with size "4" waist who desired an enhancement that may improve their outer contour.For this procedure, I believe that most surgeons require payment in full prior surgery. This remains individualized per practice.

How could I add volume to my butt if I have very little fat and don't want to get Butt Implants?

Answers (6)

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