I want buttocks enlargement, but what ones best suit me? (Photos)
Doctor Answers 6
I want buttocks enlargement, but what ones best suit me?
You have great options, and you wound want to combine procedures to include implants and fat grafting! Great job in doing that homework. The demand and popularity for buttock enhancement procedures in my practice is through the roof! It’s allowed me to perfect my technique over the years so that I produce safe, reliable and long-lasting results that will age well with my patients whether it’s using fat only, gummy bear butt implants only, or both. In the end, it’s important to choose whatever means necessary to achieve your desired goals for size, but more importantly shape!
My patients generally seek to have a perky or curvaceous butt that is shapely, whether they are full-figured and voluptuous or shredded fitness types, and everything in the middle. If you were gifted with a flat or shapeless butt or acquired it over the years, consider a consultation with a plastic surgeon who does all 3 major types of enhancements to understand all your options.
It’s important to understand that the terms relating to buttock enhancement are not as important as what your specifically tailored plan entails. Often the words Buttock Augmentation, Butt Lift, Brazilian Butt Lift, Buttock Fat Grafting, Buttock Reshaping and so on are used interchangeably. Get a consultation so that you can best understand what will help you achieve a sexier you.
If your main goal is to achieve volume of the buttocks, an implant works well. If you are more concerned with improving the shape of the buttocks, generally fat grafting is the best option. Of course this are just general rules. Be sure you are meeting with a board certified plastic surgeon (by the American Board of Plastic Surgery) for your procedure.
Thank you for your pictures. In my opinion to get you close to your desired buttocks shape, you would most likely need buttocks implants plus liposuction of your abdomen and waist. Please seek consultation from board certified plastic surgeons.
You might also like...
Your best option is a buttocks implant
Your best option is a buttocks implant; you don't have enough fat for a BBL; you are too young for a lateral thigh and buttocks lift; please see below for options.
I would suggest a buttock implant and liposuction in a combination procedure. This will give you the tiny waistline from your photos along with the projection and volume of the buttock. In my opinion you don't have enough fat to give you the size from your photos. Be sure to choose a board certified plastic surgeon with a great reputation and that specializes in buttock augmentation procedures.
Buttock implant sizing
In short, a combination of sculpting your waistline with liposuction and augmenting your buttock with implants provides the best chance for a long lasting "hour-glass" figure. Please read on for more surgical details:
Regarding buttock augmentation, let me start off by saying that I currently see at least 2 - 3 patients per week, from around the world, that failed "brazilian buttock lift" (i.e. the fat melted away after 10 - 12 months) and are now seeking a more reliable and permanent option (i.e. buttock implants).
One of the most important factors in creating the perfect derriere with implants is indeed selecting the right size AND shape. I have found the best way to assure this is to simply measure the actual dimensions of the patient’s buttock cheeks. With these anatomical measurements, I can select an implant that not only significantly augments the buttock but also supplies the correct 3-dimensional enhancement to look as real as possible...even in the most petite patients. Traditionally, teardrop oval implants have a 30+% risk of rotation and thus unnaturally change the buttock shape/appearance when doing so. However i have recently created and patented a new "Stanton Anatomic" shaped implant that avoids this issue. The benefit of this is the fact that ~80% of women patients have more of an oval shaped buttock cheek than round, thus creating a much more natural and harmonious buttock contour. Thus, the only way for you to know what implant works best is to consult with a board certified plastic surgeon specializing in this procedure and have him/her take your measurements before selecting an implant and proceeding with surgery.
The largest stock buttock implant currently available in the USA is a 690cc round implant. For the implant brand i prefer and my Stanton Anatomic Oval implants, the largest is 600cc. Indeed custom implants can be ordered larger, not only at a premium price but at a premium risk for most patients'. Unlike breast implants which are placed under the very expandable tissue of the breast and half of the pectoral major muscle, buttock implants should only be placed under or at least within the largest strongest muscle of the body, the gluteus maximus muscle, which is not nearly as expandable or forgiving. Thus most patients simply do not have a large enough native buttock muscle to fit an implant much over 500 ccs', without leading to significant complication such as wound breakdown/opening &/or implant exposure...necessitating removal. If a patient wants larger implants, 9-12 months after the initial implants have settled in to place and the muscle relaxed/stretched, then a second operation can be performed to replace them (similar to the process of going bigger with breast implants).
Be aware, the "subfascial" space that is sometimes talked about is not a real potential space to place a buttock implant. It is essentially the same as a subcutaneous pocket (ie on top of the muscle/under the skin and fat layer only) and therefore should be avoided at all costs.
Some of those sought after video-vixen and celeb-types (without mentioning names) with cartoonish bottoms could have either gotten extremely lucky with a huge oversized implant (very unlikely if properly placed under the muscle), had a very large volume of filler injected such as silicone, PMMA, Sculptra, or hydrogel - all NOT recommended because of high risk of severe infections, migration and/or hardening over time, and even deadly consequences in rare but significant instances (if mistakenly injected into the blood stream); and/or have been genetically "blessed" - although quite unlikely.
I generally do not recommend fat grafting at the same time as placing buttock implants because of a significantly increased risk of infection. For fat to survive it must be grafted into muscle, however that is also where the implant sits. Thus, if fat it injected into the implant or implant pocket then it will die and almost assuredly get infected - necessitating removal of the implant as well. Fat transfer later on must be done very carefully and cautiously, preferably by the original surgeon, for the very same reasons as above. In both instances, the risk/reward ratio is very high (meaning high risk to very low potential reward) because over 80% of the fat is likely to melt away yielding very small gains in augmentation.
Nonetheless, buttock implants are a proven safe and effective method of buttock augmentation as long as the recommendations of a board certified plastic surgeon specialist are adhered to.
Glad to help.