What Materials Are Being Used for Butt Enhancement Injections? Are They Safe Long Term?

Doctor Answers 6

Curiosity and the Cat

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Dear Curious,

The injectable material that I see most frequently in patients presenting to my office is hydrogel.  That is also probably the material that you may have heard of and seems to be the most popular for buttock augmentation.  Hydrogel is a synthetic liquid polymer that is NOT approved for injection for ANY cosmetic indication in the United States.  In other words, it cannot be obtained in this country except by illicit methods.  We do not know the effectiveness or, more importantly, the safety of the material.  So, fat taken from one part of your body and injected into the buttocks appears to be the safest material available at this point in time.  Good luck!

What material is used for Buttock enhancement injections

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The popularity of buttock enhancement has enormously increased in the past several years. The safest way of enlarging the buttocks is using your fat. This provides the most natural result and can be customized to enhance your individula's buttock shape( or lack of). With the use of fat there will never be a foreign body reaction and a big bonus is that the donor areas from which the fat is taken will also be improved. There is about a 30% chance that there may be some absorption which is evident by 6 weeks. In this case a second fat transplantation procedure can be carried out after 3 months. It is uncommon to need more than 2 treatments and the results seem to be permanent. There are other injection materials which are illegaly being used by  unscrupolous individuals. These can lead to may complications including death. You must be very careful in not injecting anything into your buttocks other than fat. And you should seek out a plastic surgeon experienced in performing buttock enhancement using fat. 

Only fat is safe

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Nothing other than YOUR OWN fat is safe. That also has problems -- if often goes away and there is only a minimal result a year or two later. Many other things have been used, some have caused deaths and other such as industrial grade silicone have cause terrible problems. This is an operation that is not often advised.

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

Buttock enhancement

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The SAFE filler to the buttock is your fat. That is the BRAZILIAN BUTT LIFT.

Underground fillers are dangerous and have caused multiple deaths in the U.S.


Samir Shureih, MD
Baltimore Plastic Surgeon

What Materials Are Being Used for Butt Enhancement Injections?

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Everything you can think of has been injected into the buttocks and none of them are safe. In the US, all FDA approved fillers cost 400-600 dollars per 1 cc. Using such accepted fillers would be very expensive. ( IF butt "injectors" who often operate illegally injected 500 cc of Restylane for example at a cost of 500 dollars per cc, they would have to use 1,000 syringes and charge 500,000 dollars for the procedure).

Instead, these "injectors" use a variety of materials including Silicone caulking (frequently obtained from Hardware stores). This is a dangerous, life threatening trend which if you are lucky may only mutilate and deform your buttocks irreversibly.

Watch the video below.

Dr. Peter A. Aldea

Peter A. Aldea, MD
Memphis Plastic Surgeon

Brazilian butt lift uses your own fat

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The safest material to use for Butt Enhancement Injections is your own fat. During a Brazilian Butt Lift I remove fat from selected areas of your body, purify the fat, and then reinject selected donor fat cells into your buttocks. The process of fat reinjection involves scores (or hundreds of injections) and the procedure is designed to fill the upper quadrant of the buttocks so that the butt appears lifted and perky.

Butt implants made of silicon could be used but only if you're really tiny and simply have no body fat stored in your abdomen or elsewhere. Hydrogels are, and have been for several years now, impractical and often unsafe. Be sure to consult with a board certified plastic surgeon when discussing your options.

Ricardo L. Rodriguez, MD
Baltimore Plastic Surgeon
4.5 out of 5 stars 98 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.