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 plastic surgeon to discuss your goals, preferences, and the most suitable options for your individual case. Here are a few non-implant, non-fat transfer options: Sculptra Injections: Procedure: Sculptra is an injectable filler that stimulates collagen production. It is commonly used for facial rejuvenation but can also be used off-label for buttock augmentation. Results: Gradual and subtle increase in volume over several months. Considerations: Multiple sessions may be required, and results are not permanent. Thread Lifts: Procedure: Thread lifts involve inserting dissolvable threads under the skin to lift and tighten the tissues. Results: Immediate lift with ongoing collagen production for improved contouring. Considerations: Results are temporary, and the procedure may need to be repeated for long-term effects. Exercise and Muscle Building: Approach: Focusing on targeted gluteal exercises can enhance muscle tone and shape. Results: Improved muscle definition and a lifted appearance. Considerations: While this won't add volume, it can enhance the natural shape of the buttocks. Dermal Fillers (Off-label): Procedure: Certain dermal fillers, such as those containing hyaluronic acid, can be injected to add volume. Results: Immediate augmentation with temporary effects. Considerations: Use of dermal fillers for buttock augmentation is often off-label, and the longevity of results can vary. It's important to note that the effectiveness and safety of these procedures can depend on various factors, and individual results may vary. Additionally, off-label use of certain products may have limitations, and you should discuss these considerations thoroughly with your surgeon. Always seek consultation with a board-certified plastic surgeon who can assess your anatomy, discuss your goals, and provide personalized recommendations based on your unique situation. They can guide you through the available options, potential risks, and expected outcomes to help you make an informed decision.