Fat grafting for buttocks augmentation is a great option for many women. Fat for grafting may be harvested by various forms of liposuction, of which, Vaser is one. Fat obtained from the Vaser procedure has been shown to provide excellent quality fat with a high "take" rate. Limitations fat grafting include: (1) getting enough fat out to give adequate results (it usually takes a minimum of 200 mL - almost a measuring cup) per cheek to have decent results, but often we may inject up to 1000 mL or more; (2) unpredictability of end result: we know that some percent of the injected fat will die and not provide a lasting result - whether that is 50% or 20% or less, depends upon many variables, most of which are NOT in the control of the surgeon performing the procedure, but more to do with "patient factors," such as age, smoking, underlying health status, and genetic factors. Surgeons who perform fat grating often use many additional technologies, such as "stem cell enhancement" or platelet-rich plasma (PRP) to provide additional growth factors and to improve their "take rate." These add-ons are also likely to add to the bottom line.From the photos you provided, you appear to be a good candidate. The cost of the procedure will depend on many things too: the process used to "clean" the harvested fat, the number of body areas required to obtain the required fat volume, and type of anesthesia used. Based on your photos, I would recommend liposuction of the abdomen and waist or "love handles" and possibly the outer thighs and bra roll areas too - that should provide enough fat to make it worthwhile and give you a good result. In my practice, that would run somewhere between $6,000-$10,000, or more if more areas of liposuction are done or if any of the add-ons are included. Harvested fat can also be cryopreserved (specially frozen) for use at a later date or to "touch up" an area that may not have had as good fat retention. Most surgeons prefer to do these procedures with the patient under general anesthesia, however, I often do them under sedation with local (numbing) agent, depending upon patient preference.
