Tissue too firm for more fat transfer. Do I have any options To make my skin more elastic?

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: 1) Autologous Fat Transfer (using your own fat, transferring from one area of the body to the other) and 2) Buttock Implants (semi-solid silicone rubber implants that cannot rupture &/or leak).  Both are very good options so 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.  Although using your own fat is relatively safe, the one serious complication that can rarely happen is "fat embolism" in which some of the fat gets into the blood stream and travels up into the lungs causing serious problems breathing. This complication is more likely to happen with the larger amount of fat being transferred.  This can also happen when using fillers like PMMA and hyaluronic acids. Also fillers, when injected in large quantities, have a relatively high tendency to migrate away from the original area they were placed and tend to stimulate a lot of inflamation and subsequent scar tissue/hardening.

 

Thus buttock implants become a very good, safe, and long term reliable option for most patients seeking buttock augmentation (at least in my practice).  I prefer to insert the implants through a single 2 ½ inch long incision over the tailbone (concealed within the crevice between the buttock cheeks).  The 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.  Therefore it is extremely important to seek consultation with a board certified plastic surgeon who specializes in this procedure.  And in this case too, at least in my surgical practice, the infection rate is minimized to ~5%.  Hope this helps…RAS

 

You may need both an implant and fat transfer to achieve your desired look. This being said, the amount of fat a surgeon is able to place is dependent on the availability of fat to be harvested and the size and space of the area it is being put in.

There also reaches a stage where putting more fat is not useful and may be detrimental because the pressure interferes with the circulation and viability of the fat place. If an implant is not desirable, than one should plan for two or more procedures a few months apart to achieve the result

One can not evaluate the quality of the skin with pictures only. You need to be examined to asseess the quality of skin and decide if you have enough fat to do liposuction and clean the fat and still be able to get 1000 cc of fat for each side.  putting fat with fluid and oil will not survive and you may be happy for a short peroid till the fat absorb.