Breasts and buttocks are synonomous in that they come in all shapes and sizes.  As we age, some buttocks grow larger and some smaller and flatter as fat is either lost or repositioned.  The skin envelope can also become stretched and sag.  Any of these changes can make us feel less attractive and desirable.  Attempts at enhancement of this region of our body has been slow in development.  However with the advent of liposuction, a lot can be done to reduce a large bottom and/or enlarge a small one by transferring fat from one body area to another.  If loose skin is the issue, it can be tightened and/or filled with your fat and/or a silastic implant.  Each of those procedures will be discussed below.

When weight gain in the buttocks is the issue, liposuction is the best recommendation for its reduction.  If too much fat is removed, it can produce flatness.  Consequently, the goal is to sculpt this area into a more aesthetic pleasing mound leaving good central projection.  Occasionally, fat is removed off the lateral thigh to produce a subtle curve to the lateral buttock silhouette.  All in all, the goal is to produce what once was before weight gain became an issue.  Good skin integrity is necessary for the best results.

If the buttock is to small, then you may be a candidate for lipofilling of each cheek mound.  This procedure is known as the Brazilian Buttock lift even though lifting is not necessarily a part of this operation. Only patients with enough fat on their body to harvest and place into the buttock area, qualify for this surgical procedure.  This is basically two procedures in one where fat is taken from one or more sites, prepared and then inserted into the buttocks to produce a more aesthetically full bottom.  Although fat can atrophy, most patients keep their fullness for a long time if not indefinitely.   

On occasion, an extremely thin person presents requesting enlargement of their bottom. Since they have no body fat to transfer, implantation with medical grade silicone implants are an alternative.  These implants are placed much like breast implants in that they are placed on top of, in between or beneath the buttock muscles.  The incision(s) are usually placed in the buttock crease and well hidden.  However, just like breast implants, the main draw back in thin patients would be the ability to feel the edge of the implant.  If the patient has some fat coverage, the feel of the implant's edge is much less noticeable.  Regardless, the appearance of the patient with or without their clothes are often remakable.     

The last surgical procedure to be discussed concerning buttock enhancement has to do with the tightening of the loose skin of the bottom.  If the patient has a loose, saggy buttock without a lot of tone, then a buttock lift is indicated with or withour filling with an implant and/or fat.  The incision for such a lift is placed at the juncture of the back and the upper buttock region.  This technique not only removes loose skin but lifts the unlerlying soft tissue to make the central mound of the bottom look more round and projected than flat and deflated.  The results can be very satisfying especially when combined with other body contouring procedures such as lifting of the lateral thighs,etc.

If you or someone you know may benefit from these procedures, please let us know at your convenience by calling or e-mailing us.