Dear Journey, If you want a "teardrop" booty that last for long time , consider only butt implants because fat injection does not last beyond 6 - 12 monthe as I have noticed in my surgery center on patients who came for butt implants after having fat injection by other surgeons. Now, technically, in order to obtain "teardrop" booty with projection you need to have the butt augmentation in the sub fascial plane and use an oval round implants that are placed in a pocket that starts at the posterior iliac crest . The pocket should be extended downward as musch as necessary and should not extend excessively laterally. I hope this is helpfull. Best of luck, Dr Widder