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.
"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
"51 Years Old, Weight Loss Loose Skin, Very Unhappy with my Appearance. - Dr. Morales is fabulous. You can tell he really cares about his patients. I felt very comfortable and assured about my procedure. He explained all of my options and answered all questions. I'm so glad I chose him as my plastic surgeon. His bedside manner is very comforting. I've already recommended him to others that are amazed with his work. - - I had had weight loss surgery and lost a lot of weight. This left saggy skin all over my body. A friend that had used Dr. Morales for some procedures recommended him. I was a little nervous at first but was put completely at ease by Dr. Morales and his staff. He did a complete evaluation and recommended procedures. He did a great job of answering my questions and his educated office staff.The results are much better than I imagined they would be. I can't tell you how happy I am. I wish I had done this sooner."- K. / RealSelf / Jan 10, 2017
"36 Years Old, 3 Boys and in the Best Shape Ever!!! - Best Doctor ever!!! I did research for months before I found Dr. Morales. He has been so good to me and I feel great!!! I went from a size 14 in dress to a size 4-6, from a size 34 in jeans to a size 27 and am still loosing inches!!! - - I had 2 c-sections in one year and was very depressed with the body I was left with. I did my research and found a great doctor. I feel great! I had a mommy makeover and some lipo here and there. It was a great experience. Dr. Morales did an excellent job in making sure I was satisfied with all of his work!!!"- E. / RealSelf / Nov 30, 2016
"55 Y/o Female - Houston, TX - He is fantastic. - - Dr. Rolando Morales Jr. is fantastic. I am so thankful I chose him as my surgeon; I had consulted with six others before making a decision. He is very skilled and the best at his craft. He cares about his patients. He far exceeded my expectations. I had several procedures at one time; upper and lower eyelid surgery, bilateral brow lift and under eye fat grafting. He is the BEST..."- H. / RealSelf / Nov 15, 2016
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.