Any Safe Temporary Fillers for the Butt?

Question

Okay, so I am unhappy with not the size of my rear end, but with the saggy/long appearance. I have a little fat on my sides which i could u se for a brazilian, but I am unconvinced the brazilian will fix the saggy appearance. Every brazilian butt lift I have seen looks worse and less femanine (like a male football player from behind). Im terrified of that appearance :( Can anyone suggest temporary fillers that could be used in that area, to see what perm results would look like?

Young R. Cho, MD, PhD · Answer

You can use dermal filler to augment the buttock region, but this can quickly become much more expensive than surgery.  The one dermal filler that could be an option and not exceed surgical consideration is Sculptra.  This would be the ideal product for someone who does not have a lot of donor fat, and wants a moderate augmentation.  Sculptra may take several sessions spaced several weeks apart.  There is minimal downtime associated with Sculptra buttock augmentation.  I often plan the degree of augmentation and verify with the patient how much Sculptra I may need by doing a pre-run using Saline.  If the patient ends up with a few hundred cc's (mls) of saline, then he/she would be better off with fat grafting or with implants.  If I can achieve with a great result with less than 50 cc's (mls), then Sculptra may be a great option for the patient.Though I use Sculptra and train other injectors on the use of Sculptra for facial rejuvenation, the fact that Sculptra generates a strong collagen response, allows me to use in other areas such as the buttock, ankles, liposuction defects, etc.  I would definitely go to someone with a lot of Sculptra experience if you are venturing for a buttock augmentation.

Johnny Franco, MD, FACS · Answer

This is a great question as butt augmentation has become one of the most popular procedures in America.  Patients have several options, the most common being a Brazilian Butt Lift (fat transfer to the buttock).  Some of my thin patients will have an augmentation with butt implants or a combination of butt implants and fat transfer.  The procedures have given patients incredible results that have not only enhanced their butt, it transforms them from square to an hourglass figure. 
However, there are patients that are not ready to undergo a surgical procedure or are looking for in-office procedures that have minimal downtime for their butt enhancement.  Sculptra is a great option for patients that want a butt or hip augmentation with minimal to no downtime. 
  
The Sculptra can be used for an initial butt or hip augmentation or to enhance the appearance of a butt augmentation that a patient has had previously.  The Sculptra works by stimulating the body to create its own collagen.  The Sculptra can be injected evenly though out the butt or hip area to give a natural and soft augmentation to the area.  
  
Sculptra is not a replacement for a Brazilian Butt Lift or butt implant enhancement, however it is a great alternative for patients wanting to improve their current butt augmentation or wanting to enhance their buttock without surgery and minimal downtime.  I explain to patient that this is similar to facial rejuvenation.  Fillers are not a replacement for a facelift, however they do help a tremendous number of patients and often put off the need for surgery for years.  It also allows your plastic surgeon to do some fine tuning of your butt after your BBL or implant surgery.  
  
The amount of Sculptra that is needed for the butt enhancement is dependent on the areas being treated, however it is more vials than is typically used in facial rejuvenation.  Several vials of Sculptra are injected into the buttock or hip area in the initial treatment. It takes six weeks to two months to see the full results of the Sculptra treatment.  Most patients will need two or three treatments to achieve their desired results.  
  
The good news is that Sculptra lasts longer then a lot of the fillers on the market.  The typical patient will get around a year and half from each treatment.  Also, Sculptra is different in that it stimulates the body to create its own collagen and thus give patients a very natural and smooth appearance to their butt.  
  
Please consult with a board-certified plastic surgeon that specializes in butt augmentation to discuss if you are a good candidate for Sculptra injections to enhance your buttock.  He will be able to discuss the advantages between Sculptra, Brazilian Butt Lift and Butt Implant surgery.

Stanley Okoro, MD · Answer

Brazilian buttock lift with your own fat is the best option for permanent buttock enhancement. If you are not sure if you will like the results, the only safe option is using sterile saline solution. Saline is an FDA approved substance in the medical field. Saline buttock enhancement will temporary expand your back side without the commitment of downtime or recovery. It is also perfect to temporary enhance your appearance before a special occasion. Saline buttock enhancement is temporary and will last 2 – 3 days. We offer this option for our patients who are thinking of buttock enhancement but not sure how they will look like or going to a special occasion.

Jed H. Horowitz, MD, FACS · Answer

all of the previoius answers are correct.   fat is the best filler.  all the others are not fda approved and would require huge amounts.

	sagging can be improved with a surgical lift and the incision may be a worthwhile trade-off for the shape that you obtain

William Bruno, MD · Answer

There are no FDA approved fillers for buttock augmentation. There are some fillers that are used for the face which could be used "off-label" for the buttock but will require numerous syringes and only give a temporary effect. The best material is your body's own fat.

	If you communicate with your plastic surgeon your aesthetic goals with regard to the shape and size you want, the two of you should be able to agree on a reasonable surgical plan. This depends on the amount of fatty tissue you have of course.

	A board certified plastic surgeon can examine you and determine if you are a good candidate.

	Best wishes,

	Dr.Bruno

Frank Agullo, MD · Answer

The only safe buttock filler is autologous fat transfer, also know as a "Brazilian Buttock Lift". There are no FDA approved temporary fillers. Some may use temporary fillers "off label", but the amount of filler necessary would make the cost of the injections prohibitive. You mention that you have a "long and saggy" buttocks. The only way to correct this would be to shorten, lift, and augment your buttocks. This can be achieved by performing a buttock lift with autologous buttock augmentation. The regularly excised tissue is used as an implant to to augment your buttocks!

Paul Fortes, MD · Answer

The safe temporary fillers like Restylane and Juvederm, which are usually used in the face in smaller quantities,  would be very expensive in the much larger quantities needed for the buttocks.  I would stick with using your own fat for buttock enhancement.  I recommend consulting with experienced board-certified plastic surgeons.  He or she can show you examples of their work and make recommendations based upon your specific goals.  Typically, a much more feminine, "hourglass" shape is created by the reduction of fat in the lower back and waist and the addition of  fat to the buttocks.  Sagging will also improve when the volume of the buttocks is increased with fat grafting.  When I speak to my patients I use the analogy of adding air to a partially filled balloon.  With more air, the balloon fills up and lifts.  The same thing happens to sagging buttocks with the addition of fat.

Shain A. Cuber, MD · Answer

Unfortunately there are no FDA approved fillers designed for the buttock. Usually, more volume is needed than most injectables will give. If you don't have enough fat to fill out your buttocks nicely, you would need a surgical procedure which may include buttock implants and possibly a lift. Arrange for a consultation with a Board Certified Plastic Surgeon and he/she can guide for in the best direction.

Anne Taylor, MD · Answer

Dear LidiaAnna- Hello! IT is my experience that fat is the best for buttock augmentation because it usually takes quite a bit of volume to change the contour-- and temporary fillers --used for the face mostly-- are just too small of volume! The issue with fat is that even some of this does absorb, and so a great result on day one can sometimes get a bit smaller due to this absorption. Good Luck! Dr. Anne Taylor

Mossi Salibian, MD · Answer

Dear LidiaAnna: There is no real substitute for an autologous fat transfer or "Brazilian Butt Lift." That said, I have on occasion used SCULPTRA for subtle buttock augmentation with great results. Sculptra, as you may know, is a man-made product that is FDA approved for facial volume loss. It is not a permanent filler, however, and after it is injected it is eventually turned into collagen by your own tissues. The use of SCULPTRA for buttock augmentation is an off-label use but a viable option if you do not have adequate fat to transfer. The outcome is not as dramatic as a buttock implant but may meet your expectations. The success of the procedure certainly depends on the technique of the plastic surgeon. A more definitive answer that applies directly to your case would require an in-office consult.

Any Safe Temporary Fillers for the Butt?

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