Need doctors advice on butt augmentation/implant etc. (photo)

I'm 5'9 140 Athlete built little to no fat I had 3 kids and the only very little fat I have is in my stomach.. Can you tell me what is the best route for me? Do I need to gain a little more weight? Do I need to get butt implants or do I have enough fat in the stomach?

Doctor Answers 5

Buttock augmentation

without examining you in person it seems that the bulging in your abdomen is due to the stretched muscle and not fat.  You will most likely need a tummy tuck to get rid of the bulging.  Your muscle gets stretched out during childbirth.  With a tummy tuck we can go in and tighten the muscle so that its as tight as it was before children.  Many patients come in with the misconception that they need liposuction but that will not help the muscle. 

Buttock Implant

Based on the pictures posted, and the limited views, you seem to have very little fat. This is not enough to give you a significant improvement. The bulge in the abdomen is probably separation of the muscles.

A buttock implant could be the ideal solution to achieve the results needed.


Samir Shureih, MD
Baltimore Plastic Surgeon
4.2 out of 5 stars 7 reviews

Butt implant for sure

You definitely do not have enough fat to get your buttocks enhanced in size; The maximum size implant will be chosen for your after a consultation. Please see link below for out of town accommodations.

Arian Mowlavi, MD
Orange County Plastic Surgeon
4.9 out of 5 stars 44 reviews

Buttock augmentation

If you do not have a lot of fat, then you re better off with implants. Best of luck moving forward to have this done.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 24 reviews

"Need advice on butt augmentation"

 You are definitely not a candidate for fat transfer so don't let anyone tell you otherwise. 

Regarding buttock/hip augmentation surgery, let me start off by saying that I currently see at least 2 - 3 patients, domestic and international,  per week that failed "brazilian buttock lift" (i.e. the fat melted away after 10 - 12+ months and/or the projection result was grossly insufficient) 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 and long-term results. 
Indeed because at least 80+ % 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. Even those patients that had adequate amounts of fat pre-operatively, still end up seeking buttock implants after a year or so because most of the fat transferred melted away leaving them with minimal result.

 Although overall using your own fat is relatively safe, it not infrequently melts away unevenly leaving one butt cheek bigger than the other or with dimpling or hard fat cysts.  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, Sculptra, 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). To avoid high risk of healing problems with the central single incision, 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 (muscle thickness permitting) the gluteus maximus muscle. In this position, the implant is much less palpable & visible (ie it should feel similar to an Olympic sprinter's butt), and does not sag or shift/migrate over time unlike implants placed on top of the muscle or "subfascial". On the other hand, hip implants are placed under just the fascia because no significant muscle exists in this region. Because they are much smaller and lighter, their likelihood of migration is relatively low. 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. Glad to help. 

Ryan Stanton, MD
Beverly Hills Plastic Surgeon
4.8 out of 5 stars 103 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.