Silikon 1000 and Hydrogel Filler for Butt Augmentation

Question

I'm a 25 yr old mom of a son. I'm 5'5 120lbs and I wear a size 5 pants. I have a nice size rear but I wish for behind to be rounder and filler. I don't want to consider the butt implants. What is there for me to use?

Otto Joseph Placik, MD · Answer

I would HIGHLY advise against fillers (especially Silikon) for buttock augmentation.
The volume required would necessitate hundreds of injections. This much silicone would likely result in foreign body granulomas which would be nearly impossible to remove. Furthermore the cost of this would be prohibitive.
The better option would be to use your own body fat if available in sufficient quantity.

Johnny Franco, MD, FACS · Answer

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 performeda.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.

Ryan A. Stanton, MD · Answer

Fillers for buttock augmentation pose two potential major problems: 1) cost prohibitive - if the surgeon is using an authentic medical grade filler than the cost for any significant result will be $150,000.00+ and 2) high rate of complications - such as infection, movement/migration of the material, and/or hardening of the material. Best to stick with either Fat Transfer, which based upon your ht and wt is not an option (i.e. you do not have enough fat to harvest for transfer to the buttock) or Buttock Implants which can actually create very safe and satisfying results but only when done by a surgeon very experienced in the technique. Make sure to see a board certified plastic surgeon whom does both procedures so that you receive a professional unbiased consultation. Best of luck...RAS

John Nguyen, MD, FACS · Answer

I would strongly discourage anyone from undergoing free silicone injections into the buttocks.  The health risks are high and the long term health detriments are unknown.  Please see a board certified to get sound advice and options.  Good luck and be safe.John T. Nguyen, MD, FACS, FICSDouble Board Certified Plastic Surgeon

Jaime Perez, MD · Answer

Everyone wants a high, round, full, and sexy behind. However, because of age, genetics, pregnancy, weight loss, or weight gain, many women and men are left with a flat, square, or saggy derri&egrave;re. Fortunately, there is a way to correct this&hellip; Originating in South America, the&ldquo;Brazilian Butt Lift,&rdquo; is one of the newest and most popular aesthetic surgery procedures now being performed in the United States.

	The &ldquo;Brazilian Butt Lift,&rdquo; or gluteal lift/augmentation is a procedure designed to improve the shape and appearance of the gluteal region. This surgery uses a combination of liposuction and fat grafting (i.e. fat injections with the patient&rsquo;s own fat) to produce a fuller, firmer, more youthful-appearing buttocks.

	Schedule a consult with a board certified plastic surgeon who is experienced in performing this procedure for best results. Good luck.

Thomas Fiala, MD, FACS, FRCSC · Answer

Please, please, please - do NOT have injections of fillers of any kind to your buttocks, whether its silicone, hydrogel or something else.  Not only have there been fatal complications from these procedures (Miss Argentina, for one), there is no FDA-approved filler for this use.

	Either use a fat transfer technique, or a solid silicone FDA-approved buttock implant.

	Your safety is the #1 concern.

Steven H. Williams, MD · Answer

Thanks for your question -
There is no safe FDA approved filler for buttock augmentation in the United States that I am aware of.
In our San Francisco area practice we have been using autologous fat grafting with excellent results.  This means we perform liposuction and transfer that fat to your buttocks.  Patients can have dramatic permanent improvement.
Find a board certified plastic surgeon experienced with this technique.  Good luck.

Gabriel Chiu, DO · Answer

Thank you for your question. If you really don't want to consider solid silicone buttock implants, then your only good permanent option is fat transfer, or a Brazilian Butt lift. I know some of my colleagues have said that you do not have the height/weight ration needed to harvest enough fat for a good result, but in all fairness, none of us have evaluated you, nor do we even have any photos of you to support an answer. The best approach for you is to find an experienced plastic surgeon who has a lot of before and after photos of similarly proportioned women who received the kind of results you are looking for. If this is not enough for you, then you might have to reconsider silicone implants.
By all means, do not consider fillers, especially silicone (Silikon is a brand name). None of them, even Hydrogel, Macrolane, and Sculptra, are approved for buttock augmentation by the FDA. Not only can they leave you with significant complications (foreign body granulomas, infection, hardening of material, and migration of material to name a few) but can change into an unnatural shape over time, similar to the look of a wet diaper.
Again, the first thing to do is to find an experienced plastic surgeon who performs many BBL's. Best of luck!

Paul Fortes, MD · Answer

The best and safest method to add volume to the buttock is with fat grafting.  Stay away from Hydrogel and Silicone, as those products are "foreign" and can put you at risk for a lifetime of problems including hard lumps, irregularities, and infections.

James Knoetgen, III, MD · Answer

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!