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Breasts and buttocks are synonymous 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 have 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.


At Dr. English’s practice in Little Rock, butt lift surgery is performed in several ways. 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.

For a buttock that is too small, the buttock augmentation Dr. English recommends is lipofilling of each cheek mound. This type of butt lift, as it is performed in Dr. English’s surgery center in Little Rock, is known as the Brazilian butt lift, even though lifting is not necessarily a part of this procedure. 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 of Dr. English’s butt lift patients keep their fullness for a long time.

On occasion, an extremely thin person may request enlargement to their bottom. Since they have no body fat to transfer, implantation with medical-grade silicone implants is 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 is often remarkable.

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 without 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 It lifts the underlying soft tissue to make the central mound of the bottom look more round and projected than flat and deflated. Dr. English’s butt lift patients report that the results are very satisfying especially when combined with other body contouring procedures, such as lifting of the lateral thighs, etc.

If you would like to look and feel your very best, contact us today to schedule a consultation with Dr. Jim English, triple board certified in cosmetic procedures for the face and body. We look forward to seeing you during your Brazilian butt lift consultation.

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