Best Option For Me- Butt Implants or Sculptra? (Photo)

Allow me to answer your question as best i can based upon your photo. However, please keep in mind that an in-person, or at least a virtual, consultation with physical exam is first necessary before any legitimate evaluation or final surgical recommendations can be made.

There are currently only two FDA approved surgical options for augmenting the buttock area: 1) Buttock Implants (which are soft semi-solid silicone rubber implants that cannot rupture &/or leak) and 2)Brazilian Butt Lift (aka BBL) - which utilizes the patients own fat from liposuction then transfers this fat into the buttock. Clearly you are not a candidate for BBL nor “skinny BBL”. Beware, if a surgeon asks you to purposely gain weight (i.e. fat) before BBL, know that the fat you lose first as you get back to your baseline weight after surgery is that very same fat that was transferred into your buttock, hence your new buttock shrinks first, the fastest, and the most...so please do not fall victim to this recommendation.

On the other hand, BBL using Sculptra is a dangerous, guaranteed waste of money, and is NOT FDA approved. Fillers such as Sculptra are cost prohibitive, provided enough volume is injected (i.e. at least 400 cc of active ingredient costing over $300,000) and last only 12 - 18 months.

So what it comes down to, like any surgery, is proper patient selection and long-term results. Implants provide the only guarantee for a sustained permanent result and tend to be ideal for perking up not only lean or deflated buttocks but also providing substantial projection to any butt, which is what every single patient wants. Please note that an extremely few number of board certified plastic surgeons specialize in buttock or hip implants, so you may need to travel far and away from home to find this particular surgeon. Glad to help.

You definitely appear to be a candidate for buttock implants. As for sculptra, you could also pursue that option, but depending on the amount of fullness you want to achieve you are looking at a lot of syringes and possibly close to the same amount or more than the buttock implants would cost you. It’s all your personal preference really. If you would like to be seen for a consultation here at Smith Plastic Surgery, feel free to reach out for a consultation.

Thank you for your question. You are an excellent candidate for buttock augmentation with implants. I perform this procedure on a regular basis. It definitely has its nuances. I believe that Sculptra is only a temporary solution with a very average result. My advice to use to seek out an experienced plastic surgeon who has considerable experience and buttock augmentation with implants. Best wishes to you.