Buttock augmentation is one of the fastest growing procedures in the U.S. over the past few years. Buttock augmentation is sought when a male or female perceives that their buttock shape, size, or proportions are not adequate for their body. Common causes may be genetics, fluctuations in weight (especially weight loss), pregnancy changes, and aging. It is common to hear that patients are tired of trying to achieve the buttock they want with good old-fashioned diet and exercise. Currently, there are two surgical options for buttock augmentation. The first is autologous fat grafting (The Brazilian Butt Lift “BBL”) in which “your own fat” is harvested with liposuction and transferred to the buttocks. The second is augmentation with a semi-solid silicone implant.
Candidates for the Procedure@headingTag>
Those patients who want very full projection and more dramatic proportions, or do not have enough fat for a BBL such as patients with a BMI less than 22. It is not uncommon to have patients who have had a BBL and are dissatisfied with the volume and/or shape augmentation. These “fails” are usually due to the fact that only a limited amount of fat can be grafted in one session, and about half of the original graft does not “take”. Many patients after a BBL, may not have enough fat for another session of grafting. An implant is an option to give them a fuller shape.
These implants have been around for decades. They were originally designed as solid silicone, and they continue to be to this day. Solid silicone is more durable, and able to take the daily stress of sitting, moving of the buttocks. In the US, there are only a handful of companies manufacturing these implants. Until recently, these implants have been very firm, and may feel unnatural to some people. New advances in semi-solid silicone implant technology now have resulted in softer, and more natural feeling implant that is still safe and durable. These implants come in different volume, shapes and profiles similar to breast implants. An examination and discussion of the desired look is critical for the proper implant selection.
"Great experience - I am overwhelmed with the experience with Dr Morales. He is the only doctor I had consultation with, prior to my surgery, and I made immediate decision to chose him as my plastic surgeon. He made me feel as comfortable as possible during every visit. The surgery went really well and I was given the best care by Dr. Morales and his team. I would definitely recommend anyone to chose Dr Morales. - - I am overwhelmed with the experience with Dr Morales. He is the only doctor I had consultation with, prior to my surgery, and I made immediate decision to chose him as my plastic surgeon. He made me feel as comfortable as possible during every visit. The surgery went really well and I was given the best care by Dr. Morales and his team. I would definitely recommend anyone to chose Dr Morales."- P. / RealSelf / Mar 23, 2017
"Finally...Boobs! - Houston, TX - Dr. Morales is fantastic! Great bedside manner, very respectful. He has great staff as well! - - I have wanted breast implants since I was in college. I never really developed much, and although it didn't really bother me, clothes didn't fit the way they were supposed to fit. That got frustrating! I had two children (age 28 and 30) and we decided our family is complete. I breast-fed both of them for over a year each. I got a taste of what it was like to have larger boobs! Woohoo! And then... I stopped breast-feeding. My boobs got smaller...if that is even possible. I decided to have a consult when a friend of mine had a great result with Dr. Morales. I felt very welcome when I met everyone at the office. Pictures are weird...but a necessary evil with this type of procedure. I will say I loved that Dr. Morales didn't look at my chest while he was taking photos. He looked at the screen on the camera. It's small things like that that matter to me. I felt very comfortable after that. Trying on the fake sizes was very helpful! Fast-forward to the day of surgery! I was very anxious as this was my first time to "go-under". And I had been very hesitant because of pain. But I paid $300 extra for a different anesthetic to be used on me while I was in surgery. It was a 3 day pain relief I think..and it worked very well! I had very manageable pain, and my incisions never gave me any problems. Great placement too by the way! It took a few weeks for me to be able to wash my hair ( as expected). I am now 4 months post-op and I am so happy and would do this again in a heart-beat! My clothes fit as they should now and I think I look fantastic!"- 1. / RealSelf / Mar 06, 2017
"Breast revision/augmentation, 575cc to 800cc - Dr. Morales is the real deal.....Magnificent, young, a complete artist in the breast department. It is difficult to find a doctor who actually listens and tells you how it is, whether your expectations are unreasonable or if it can be done, always with pure professionalism. He takes his time, explains, research and works his magic. I couldn't be happier with my results, I knew the day I went to my initial consultation that I had found that one doctor. His staff is amazing, Linda, all of them are great and make sure you leave happy, never make you feel uncomfortable. Not only top doc, top notch! - - Had my initial breast augmentation 4 years ago, the results...well, one breast higher than the other which created the illusion of an even smaller breast, unevenness and much disappointment. Went back to my original "super experienced" plastic surgeon and his claim was "the problem is what you started with" if i remember clearly i never had a weird looking boob like that. Obviously, he talked and acted according to his dinosaur techniques. Also, the size of the implant wasn't what i expected, I am 5' 9'' broad shoulders, and the implants looked too small for my frame. After much research I found an excellent doctor, Dr. Morales. He had so many pictures and described his work in full detail, by far the best and thorough explanation of every single procedure. I went to see him, and decided on going big..800 cc from 575 cc originally. The results are amazing, he evened out my boobs and fixed imperfections I didn't even realize I had. Minimal pain, quick recovery, no scar tissue...nothing."- R. / RealSelf / Feb 15, 2017
"57 Years Old and Had a Tummy Tuck and Lipo of Flanks, Bra Line, and Back - Houston, TX - Dr. Morales is AWESOME! He truly cares about his patients. He looks you in the eye when talking to you and is very honest about the expected outcome. When he is with you for an appointment or on the day of surgery, he makes you feel that he has all the time in the world to answer any questions you may have. I sent an email with a couple post op questions and Dr. Morales personally answered me back very quickly. Phone calls are also returned in a timely manner. Dr. Morales even gave me roses after the surgery! I would definitely recommend him to anyone considering cosmetic surgery. Well worth me having to drive 4 hours for appointments to have a wonderful doctor like this. - - I decided to have a TT and lipo of the flanks, bra line, and back due to the fact that with age my body was getting fat deposits and losing tone. Walking and diet had not been able to take care of my torso area. I was getting “my mom’s body shape” and I knew that I didn’t look as good in my clothes as I would like.After I went for my consultation and paid for the surgery, I kept questioning myself on my decision. “Am I too old to go through this?” “Is this going to be worth it?” “Is this a waste of money?” I’m sure many of you have thought the same thing. I am so glad that I did go through with the surgery. Even though I still have minor swelling at a little over three weeks out, I am amazed at the difference in my body. I feel great and have had no major issues.My surgery was on a Tuesday. From the time I walked into the hospital, everyone was kind and caring and made sure that any questions I had were addressed. I stayed in the hospital the first night and I had a compression garment on that wrapped around me and Velcroed in place. Wednesday I went to a hotel since I lived four hours away and my doctor wanted me to stay close for a few days. Thursday my doctor sent a home health nurse to check my incision and answer any questions I might have. Took my first shower this day also. I had read that pinning the drains to an “exercise band” draped around your neck would help during shower time and it definitely worked great. Friday I came home after an appointment with the doctor to check on how things were going for me.10 days after surgery, I went back to the doctor to have my drains removed. I had heard stories about the pain associated with having the drains removed, but thankfully I had no pain at all. At this appointment, they also changed me from the wrap around compression garment to body suit type of garment. This new garment is like a body suit that goes from a bra at the top to my knees. It is like a girdle for the entire area and is a lot more comfortable than the wrap around garment.17 days after surgery they took the surgical tape off my incision. The stitches will dissolve. I now wear steri-strips over the incision. Day 30 I will go back and they will start doing scar therapy. My scar is already a VERY thin line and looks good.The pros for me have been many. I love my new shape. Even with a little of swelling still, I look a lot better in my clothes. I know my confidence will be helped also since I feel that I look better.The only cons I can even think of are the expense and being restricted on activities for now."- C. / RealSelf / Jan 27, 2017
"Awesome Doctor!! - Awesome doctor! Dr. Morales is a very kind and caring person. I felt comfortable from the day of my consultation all the way through the procedure and post-op appointments. He takes the time to answer any questions you have without making you feel rushed. His staff are wonderful to deal with also. He even gave me roses after my surgery! Due to his excellent care, I have had no issues... - - Awesome doctor! Dr. Morales is a very kind and caring person. I felt comfortable from the day of my consultation all the way through the procedure and post-op appointments. He takes the time to answer any questions you have without making you feel rushed. His staff are wonderful to deal with also. He even gave me roses after my surgery! Due to his excellent care, I have had no issues with healing and I look great! (I am 57 years old and had TT with lipo of flanks, bra line, and back)"- C. / RealSelf / Jan 25, 2017
There are three implant pocket techniques for buttock augmentation. The first is a submuscular approach which places the implant under the gluteus maximus muscle. The advantage to this is that the implant is “protected” with more soft tissue, reducing the visibility and palpability of the implant. A common disadvantage is that it has a longer recovery, and may have long-term pain sequela. The second approach is intramuscular and places the implant within the gluteus maximus muscle. However, this is not a true plane, and may impair the function of the muscle. The third option, and less common is placed under the soft fatty tissue fascia. Historically, this implant pocket technique had high complications rates of infection and implant malposition. Dr. Morales prefers a new technique of a true sub-muscle fascial pocket technique. This plane is created under the gluteus maximus fascia, giving the benefit of decreased visibility and palpability, decreases malposition, and long-term pain syndromes.
The preferred implant incision is two concealed incisions within the gluteus crease at the level of the tail bone. Two incisions vs one incision reduces the risk of infection, and buttock crease tenting.
Dr. Morales also uses fat grafting as an adjunctive technique to enhance the final shape of the augmentation. Liposuction is used to harvest fat from the waistline and then transferred to “soften the edges” of the implant to ensure a more natural appearing result.
The surgery is performed under general anesthesia in an out-patient accredited surgicenter. The procedure usually takes 2-3 hours to complete.
Dr. Morales first performs the liposuction for the fat harvesting. The patient is then carefully positioned in the prone (face down) position for the augmentation. The implant pocket is created on both sides through the two crease incisions. The implants are then prepared, rinsed with triple antibiotics, and placed into the pocket using a Keller Funnel (decreases contamination and damage to implant). Drains are usually not required. The incisions are closed in multiple tissue layers and the sealed with a skin glue. Fat grafting is then performed on the periphery of the implant to improve the shape and contour. Garments are placed to support the areas of the liposuction.
The patient goes home the same day, with a strict restriction of a prone position only to reduce the risk of complications with the augmentation. No sitting is allowed for 2 weeks, other than for using the restroom to decrease risk of bleeding and malposition complications. A sitting protocol begins two weeks after surgery. Follow up appointments are usually within a week, 2 weeks, month, and 2 months from surgery. Full resumption of normal and exercise activity is allowed at two months after surgery.
The price for buttock augmentation will vary depending on the technique used, the patient’s condition and aesthetic goals, as well as other factors relating to the surgical case. However, on average, most patients can expect to pay between $9,000-$12,000 for their procedure (liposuction, fat grafting, with buttock implants).
Plan Your Procedure
- Average Cost
- $9,000 - $12,000
- Recovery Time
- 2 Weeks
- Average Procedure Time
- 2-3 Hours
- Procedure Recovery Location
Buttock Implant FAQ's@headingTag>
What Size Should I get?@headingTag>
The biggest consideration in buttock augmentation is finding the right size AND shape. Every patient is “designed differently” in that there are different shaped buttocks. These different shapes are due to the anatomical variances in pelvis, and spine curvature.
Dr. Morales will examine you and determine what shape you have and which implants will meet your expectations.
Biggest Implant that will fit?@headingTag>
It is important to understand that one cannot compare fat transfer and butt implants in terms of volume. Buttock implants will give more projection and volume per cc than fat will do for augmentation. The largest implant currently available is a 712cc round implant. Custom implants can be ordered larger, but a premium price. Unlike breast implants that are half under the muscle, the buttock implant is placed under the muscle fascia, which is not as expandable as the breast. Thus, most patients may not have large enough gluteus muscle to accommodate a large implant. However, Dr. Morales routinely augments with additional fat grafting to improve the shape and appearance.
Will I need drains?@headingTag>
Dr. Morales usually does not use drains.
Where are the incisions?@headingTag>
The preferred buttock implant incision is two incisions within the gluteus crease at the level of the tail bone. Two incisions vs one incision reduces the risk of infection, and buttock crease tenting.
How long do implants last?@headingTag>
Unlike breast implants, buttock implants are semi-solid silicone and will not leak gel silicone if the implant fractures. These implants are therefore very durable and can withstand the normal activity of life for years. There is currently no recommendation to change out your butt implants. As long as you love them you just keep.
Risk of complications?@headingTag>
Historically, there were relatively high complications associated with infection and malposition. These were partially attributed to sterile techniques issues and pocket plane. Dr. Morales takes every precaution to reduce these risks. To reduce the risk of infection, the incision is placed away from the anus, and multiple skin prep solutions are performed before placing the implant into the pocket. Antibiotics are used intravenous, with irrigation during surgery, and oral regimen postoperatively to further reduce the risk. Strict bowel regimen protocol is required to reduce postoperative contamination of the incision site. Malposition of the implant was attributed to placing the implant under the fatty tissue fascia. Dr. Morales prefers a true sub-muscle fascial pocket technique. This plane is created under the gluteus maximus fascia, giving the benefit of decreased visibility and palpability, decreases malposition, and long-term pain syndromes.
Are buttock implants painful?@headingTag>
Dr. Morales prefers a true sub-muscle fascial pocket technique. This plane is created under the gluteus maximus fascia, giving the benefit of decreased visibility and palpability, decreases malposition, and long-term pain syndromes.
Will the implant be visible?@headingTag>
Dr. Morales prefers a true sub-muscle fascial pocket technique. This plane is created under the gluteus maximus fascia, giving the benefit of decreased visibility and palpability. Dr. Morales routinely augments with additional fat grafting to improve the shape and appearance to appear more natural.
Will I be able to workout?@headingTag>
Yes! The sub-fascial pocket technique does not impair the function of the gluteus maximus. This technique also has decreased risk of malposition as it is a very strong layer to support and protect the implant.
Implants alone will not give the hourglass figure. That is also true for the BBL. This figure is a result of liposculpting the waist down, and augmenting the buttock and hips with implant and/or fat grafting. Every patient has a different skeletal frame that may limit the extent to which an hourglass figure can be realistically attained. Dr. Morales will examine you and give you a realistic expectation of what can be done.