Butt Augmentation with Fat Grafting: Is It Realistic to Expect Perfect Results?

Doctor Answers 9

Perfect buttock augmentation results is a matter of preference

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What is considered a perfect result for buttock augmentation? Some of my patients feel that a perfect buttock is a very large one, while others want a purky one. I also have patients that want wider hips and curvy figure.  In my opinion it is possible to get the "perfect buttock" as long as you don't have unreasonable expections and know that there are limitations depending where you start from. it is also easier to give you that Perfect Beverly Hills Buttocks when you have a lot of fat to give for fat grafting.

Beverly Hills Plastic Surgeon
4.3 out of 5 stars 51 reviews

Buttock Augmentation with Fat Transfer

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This is a very common question as patients want the result to last and be natural in appearance and feel if they are going to undergo surgery. I think it is a lot to ask for perfection in medicine, it always depends on the starting point.  However the vast majority of patients are extremely happy with the results.  

Fat transfer has become so popular because it allows your surgeon to use your own body tissue for the augmentation. After the first several months the buttock will feel and look natural as it is your own body fat.

The results tend to last for years to come if your weight is stable. Just like any liposuction procedure, this does not prevent your body from being able to put on weight.

With the fat transfer patients typically lose about 30% of the fat that is initially transferred, the fat that is present six months post-op will remain as long as your weight is stable. If you lose weight you can lose some of the transferred fat, and if you gain weight you can increase the size of your buttock. The benefit of the fat transfer is that the fat is your own and acts just like the fat in other parts of your body. The benefit of the Brazilian Butt Lift is not only the fat transferred to your buttock but the shape transformation. This new shape will last for years as you will now have more of an hourglass figure than a square shape.

If you are at a healthy weight and maintain that you will be able to enjoy your results for year to come.

The amount of fat needed depends on the shape and needs of each individual patient, however in general at least 500cc per buttock need to be placed to see a significant difference. On average patients typically receive around 800cc per buttock side for a total of 1600cc of fat transfer. However just like a breast augmentation the amount of fat needed various from patient to patient. In your particular case I would put at least 800cc/per side for you.

When considering this procedure it is very important that you have your procedure performed by a board certified plastic surgeon that commonly performs this procedure.

I hope this helps.

Butt Augmentation with Fat Grafting: Is It Realistic to Expect Perfect Results?

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A few thoughts for you

“A beautiful thing is never perfect.”

“The artist who aims at perfection in everything achieves it in nothing.” - Voltaire

“Have no fear of perfection - you'll never reach it.” - Dali

“Perfectionism is slow death” - Prather

“Perfectionism is the enemy of creation, as extreme self-solitude is the enemy of well-being.”

As perfectionistic and gifted as a surgeon may be, no ethical surgeon can promise you perfection and you will be thoroughly disappointed if you expected it. All we can do is pick our patients wisely, pick the right operation for the particular circumstances and do the best we can.

Dr. Peter A Aldea


Peter A. Aldea, MD
Memphis Plastic Surgeon

What is a "perfect" result...

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A "perfect" result is when the outcome has met the expectations of the patient.   Whether you will be happy with your outcome all depends on your expectations.   An experienced board certified plastic surgeon will be able to tell you honestly if you are a good candidate and will help you understand what is realistic in terms of what can be achieved.  Depending on where you start (how your buttock looks now) will help determine what can realistically be achieved.  I hope this helps.

Brazilian butt lift results.

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Talk to your surgeon and ask them what results you can expect.  Better candidates have better results.  Make sure you choose a surgeon with lots of experience doing the procedure.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 86 reviews

Expectations with fat transfer to the buttock

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There is no such thing as a perfect result.  However most patients will have excellent results with fat transfer to the buttock for augmentation.  Patients who are the best candidates are those who end up having the best results.  Good candidates will have enough fat to remove(ex. from abodmen, thighs, lower back) in order to transfer it to the desired area (buttock). Remember that some of the fat will dissolve over the course of the first few months after surgery, so this needs to be taken into consideration.

Best wishes,

Dr. Bruno

William Bruno, MD
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 412 reviews

Perfect Results with Fat Grafting

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In cosmetic surgery, the most important criteria in the doctor-patient relationship is realistic expectations.   Perfect results are not always possible based on patient anatomy and surgical limitations.  It is important that the doctor and patient effectively communicate on this.   It is possible to achieve very natural results with fat grafting to the buttock, that was not possible with previous implant techniques.   Take time to meet with a board certified plastic surgeon to fully understand the expected outcomes and limitations of cosmetic surgery.   I wish you a safe and happy result.

Paul S. Gill, MD
Houston Plastic Surgeon
4.8 out of 5 stars 95 reviews

Perfect result

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Only GOD can give you perfect results.


Samir Shureih, MD
Baltimore Plastic Surgeon

It is NEVER realistic to expect PERFECT results in aesthetic surgery!

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Hi there-

I am happy to say that I perform a great many buttock enhancement procedures, and that because of our large experience our patients are very happy with their experiences and outcomes as a rule...

But I will also tell you that even very experienced surgeons have patients who are occasionally less than completely satisfied, and that on the rare occasion when this has occurred in my own practice it was because of a disconnect between what could be realistically achieved surgically, and what the patient was expecting.... despite my very best efforts to help her understand what was realistic, and despite her agreement that she understood.....

Please know that while the procedures are safe and effective, miraculous transformations and "perfect" outcomes are not reasonable to expect, or responsible to offer. A reputable plastic surgeon should be able to help you understand what is possible for you- but it's your job to listen carefully and understand.


These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.