I'm looking to have wider hips and a bigger butt. Which procedure is best for me?

Question

What procedure can widen your hips? What if I don't have enough fat to transfer? Should I get implants?

Ryan A. Stanton, MD · Answer

Regarding buttock/hip augmentation, let me start off by saying that I currently see at least 2 - 3 patients per week 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 and/or hip implants). Allow me to share with you some information that you may not hear elsewhere. There are only two proven safe and relatively effective methods for Buttock Augmentation and Hip Augmentation: 1) Autologous Fat Transfer (using your own fat, transferring from one area of the body to the other) and 2) Buttock/Hip Implants (semi-solid silicone rubber implants that cannot rupture &/or leak). Both are options but what it comes down to, like any surgery, is proper patient selection.Indeed because at least 50+ % of the fat transferred will melt away within a year, most patients are not good candidates because they lack an adequate amount of fat to harvest. Another tip is that if you purposely gain weight (i.e. fat) for the procedure, the fat you lose first as you get back to your baseline weight is that very same fat that was transferred into your buttock...so don't fall victim to this recommendation.  Although using your own fat is relatively safe, the one serious complication that can rarely (< 1%) happen is "fat embolism" in which some of the fat gets into the blood stream and travels up into the lungs, heart, and/or brain causing serious problems. This complication is more likely to happen with the larger amount of fat being transferred. This is even more likely to happen when using fillers like liquid silicone,  PMMA, and hyaluronic acids. Also fillers, when injected in large quantities, have a relatively high infection rate, guaranteed tendency to migrate away from the original area they were injected, and almost always stimulate a lot of inflammation with a subsequent and disastrous amount of scar tissue/hardening.Thus buttock/hip implants become a very good, safe, and long term reliable option for most patients seeking buttock/hip augmentation (at least in my practice). I prefer to insert the buttock implants through a 1 1/2 inch long incision along the inner curve of each upper buttock cheek at the level of the tailbone, similar to two opposing parentheses ")(" (concealed within the crevice between the buttock cheeks) and the hip implants through a ~ 1 inch incision just below the beltline above the hip region. The buttock implant should always be placed under or within the gluteus maximus muscle. In this position, the implant is less palpable, less visible, and does not sag or shift/migrate over time unlike implants placed on top of the muscle.  On the other hand, hip implants are placed under just the fascia because no significant muscle exists in this region. However, because they are much smaller and lighter, their likelihood of migration is relatively low. Because all of this, it is extremely important to seek consultation with a board certified plastic surgeon who specializes in this procedure so that the implant placement is precise for both locations. And in this case too, at least in my surgical practice, the infection rate is minimized to <2% (much lower than and contrary to popular belief by many other surgeons not experienced in buttock implants).Depending upon the amount of your current fat reserves and their distribution, you may or may not be a reasonable candidate for fat transfer.  If you are wanting to utilize the fat to further augment your buttock in addition to implants, then I caution you against this.  The reason being that the fat needs to be placed into the buttock muscles for optimal survival, however, this is exactly where the implant needs to reside and thus risks infection and/or death of the fat.  Because of this risk, I frequently avoid fat grafting into a buttock that has an implant.  Bottom line, I recommend consulting with a board certified plastic surgeon specialist in buttock augmentation (BOTH implants and fat transfer) to determine what option is best for you.  Glad to help.

Jerome Edelstein, MD · Answer

Hello, Thank you for your question. You may want to discuss surgical options such as fat grafting or Silicone implants with a board certified Plastic Surgeon in your area. At your consultation, they will examine you, discuss your aesthetic goals and provide recommendations.All the best

Kenneth Hughes, MD · Answer

I can usually find enough fat to perform hip fat transfer.  Implants can be placed as well.Kenneth Hughes, MDBeverly Hills, CA

Alexander Aslani, MD · Answer

The answer to your question very much depends on your current anatomy. If you are thin and your BMI is less than 26, a combination of buttock implants  and fatgrafting will give you the most impressive results.Buttock implants are a safe and rewarding procedure in experienced hands and can likely give you the desired change. If you BMI is more than 26, fatgrafting would be preferred option.

Tania Medina de Garcia, MD · Answer

Hello dear!!
Thanks for the question and provided information as well.
Looks like you could benefit from a butt augmentation with implants, but unfortunately, without pictures, it is very difficult to give you a proper answer. 
l recommend you to make an appointment with a board certified plastic surgeon to talk about your goals and anything you need to know.
Good luck :)

I'm looking to have wider hips and a bigger butt. Which procedure is best for me?

Answers (9)

Answer: Buttock implants versus fatgrafting

Answer: Buttock implants versus fatgrafting

Answer: I'm looking to have wider hips and a bigger butt. Which procedure is best for me?

Answer: I'm looking to have wider hips and a bigger butt. Which procedure is best for me?

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Everything you need to know about Butt Augmentation

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I'm looking to have wider hips and a bigger butt. Which procedure is best for me?

Answers (9)

Answer: Buttock implants versus fatgrafting

Answer: Buttock implants versus fatgrafting

Answer: I'm looking to have wider hips and a bigger butt. Which procedure is best for me?

Answer: I'm looking to have wider hips and a bigger butt. Which procedure is best for me?

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Recommended reading

Everything you need to know about Butt Augmentation

Our mission is to create a world where every investment in modern beauty is Worth It.