Hydrogel/Silicone Butt Injections: Is This Safe and Legal?

I was interested in enhancing my butt but I don't want surgery or anesthesia. I was looking on line and found something called Hydrogel injections but its hard to find a surgeon who does this. Is this an effective way to augment the butt area, and where is it available (in the northeast)?

Doctor Answers 28

Hydrogel Injections for Butt Augmentation-- Don't do it!

The reason it is hard to find a qualified Plastic Surgeon is because this hydrogel is not an FDA approved product for Butt Augmentation. Furthermore, media reports are not good, and some are terrifying. I have seen several patients who have been deformed by Hydrogel Injections by another practitioner. The sad thing is that non-physicians are  engaged in providing this service.  When things go wrong, they have no idea what to do.

If you desire Butt Augmentation, it is best to use your own adipose fat. This procedure is called the Brazilian Butt Lift.  It is natural and safe. Save your money until you can afford it. If not, it is better to not do anything . Or-- just buy a pair of butt enhancing Spanx! 

More information about the risks for Hydrogel Injections are provided in the link below.

Dr. Ricardo Rodriguez

Baltimore Plastic Surgeon
4.5 out of 5 stars 94 reviews

Hydrogel butt injections are extremely dangerous and illegal to inject in the US. Not FDA approved.

Many patients call our office asking for the hydrogel injections.  There isn't any safe or legal ways to increase butt size without surgery.  Brazilan butt lift used your own fat cells to enhance the butt.  The abdomen is liposuctioned and the fat is used in the butt.  If you are still considering PMMA or hydrogel injections, think twice about what you are injecting into your body.  If you are against having surgery, forget about any butt procedures. 

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 81 reviews

Hydrogel not available for Buttock Enhancement in the US

Hydrogel is not avialble in the US.

Even if you can find medical grade hydrogel (Aquamid) to inject into the buttock it will cost several thousands of $ to inject 300-500 cc in each buttock.

The safety of hydrogel is not fully known yet.

Samir Shureih, MD
Baltimore Plastic Surgeon
4.2 out of 5 stars 7 reviews

Butt Augmentation

There are no legal buttock injections in the United States. Board-certified plastic surgeons perform autologous (your own) fat injections using liposuction, and then inject, contour and sculpt your fat back into your buttocks. Any other form of injection is dangerous and can lead to severe health complications.

Brian Coan, MD, FACS
Raleigh-Durham Plastic Surgeon
4.9 out of 5 stars 58 reviews

FIVE THINGS you must know about Hydrogel Buttock injections

1. This is not approved in the US by the FDA.  A big tip off right there. 
2. This procedure has had several reported problems with infections and other complications.
3. It is not necessary to use Hydrogel when more superior ways such as fat injections or a very nice implant are the way to go.
4. Many times fat injection can be done in combination with an implant to obtain a more custom shape.
5. Don’t trust you backside to anyone but a Boarded Plastic Surgeon with plenty of before & after photos as well as happy patients you can speak with.

Good luck!!

Douglas S. Steinbrech, MD
New York Plastic Surgeon
4.9 out of 5 stars 35 reviews

Avoid hydrogel injections into the butt

While it may sound appealing to beta gel injected into your butt and avoid surgery... However you need to realize. That this is not done by reputable surgeons because of the horrific complications that come from this procedure. In our clinic we offer fat injections or butt implants (if the patient does not have sufficient fat) Sincerely, Martin Jugenburg, MD

Martin Jugenburg, MD
Toronto Plastic Surgeon
4.9 out of 5 stars 458 reviews

Don't even think about it!

Material other than your own fat can be dangerous to your health. This is a terrible procedure. Enhance your front not your back. Some one needs to develope padded shorts.

William B. Rosenblatt, MD
New York Plastic Surgeon
4.2 out of 5 stars 12 reviews

Hydrogel/Silicone Butt Injections: Is this Safe and Legal?

Thank you for your question. There are two common ways to enhance a buttock, but each requires surgery. The most common method is through the use of fat-grafting, popularized as the "Brazilian Butt Lift", or BBL. This procedure involves performing liposuction of diet and exercise resistant areas of the body (typically the abdomen, waist, hips, and back), followed by processing and purifying the fat before injecting the fat back into the glutes. This fat can be used to recontour the buttock region, while adding volume and firmness. The second method of butt augmentation is through the use of buttock implants, a better option for those with otherwise little body fat.

Injections of any other material is at best, unsafe, and at worst, can be dangerous to your health. Please do not entertain this option.  Specifically Hydrogel and silicone butt injects are not safe, and are not legal in the US.

 Hope that this helps.

Nelson Castillo, MD
Atlanta Plastic Surgeon
4.9 out of 5 stars 65 reviews

Buttocks Injections

Unfortunately, injecting silicone, hydrogel, or other substances has not been shown to be safe.  Despite this, you can find people even here in the United States who are doing this.   I would strongly caution against it as it can have very serious complications.  That being said, there are two very safe and effective ways to augment your buttocks if you are interested.  The first is to have liposuction performed elsewhere on your body and then have the fat transferred into the buttocks.  This is known as a Brazilian Butt Lift.  The second is to have implants placed.  Both are great options in the right patient.  Best of luck.

Sacha Obaid, MD
Dallas Plastic Surgeon
4.8 out of 5 stars 134 reviews

Hydrogel/Silicone Butt Injections: Is This Safe and Legal?

Simply DO NOT do this.  Period.  There are so many safer, proven techniques of buttock enhancement.  Good luck and be safe.

John T. Nguyen, MD, FACS, FICS
Double Board Certified Plastic Surgeon

John Nguyen, MD, FACS
Houston Plastic Surgeon
4.7 out of 5 stars 82 reviews

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.