Buttock augmentation by fat grafting

Buttock augmentation by fat grafting

Buttock augmentation by fat grafting is a cosmetic surgery operation which consists of taking fat (liposuction) from parts of the body that we wish to slim and injecting it (lipofilling) into the buttocks.
This operation has the double advantage of refining the abdomen, thighs, back or hips while increasing and more generously reshaping the sag of the kidneys.

Also called gluteal remodeling, lipofilling or “Brazilian butt lift”, this procedure first became popular in Brazil where the buttocks have always been considered the main asset of femininity.
But the importance of the buttocks in the aesthetics of the silhouette does not start at the beaches of Rio. Already in antiquity, this part of the body received homage from poets and sculptors. A slender waist overlooking a beautiful rounded and toned buttocks has evoked, since the dawn of time, youth, beauty and fertility.

Two different gluteoplasty techniques

A gluteoplasty (buttock augmentation) can be performed using silicone buttock implants or by fat injection. Fat injection is a less invasive procedure than implant placement; it is also faster and less painful. If implants add tone to the gluteal muscles, lipofilling provides natural-looking volume and rounding. This operation is performed on both men and women. Mainly aesthetic, it can also be restorative in cases of accident, asymmetry, hemiplegia, etc.

Who can benefit from buttock lipofilling?

Buttock augmentation by fat transfer is a surgical procedure which consists of modifying the volume and curve of the buttocks while enhancing them when they are considered underdeveloped, sagging or flat, whether from birth or following a pregnancy, weight loss or aging.
However, the ideal candidate should not be too thin: they must have enough excess fat in other parts of the body to allow liposuction. Otherwise, he or she will have to gain a few kilos before the procedure or move towards the placement of implants. As for the overweight patient, it will be up to the surgeon to determine whether it is desirable for him to lose weight before the operation.

Before treatment

A preoperative assessment will be drawn up by the surgeon after checking the patient’s medical, surgical and family history. Doctor and patient will be able to discuss in depth the desired result (volume, curve and projection), the stages of the surgery and the associated risks. Smokers are generally advised to stop smoking 2 months before the procedure to improve the uptake of fat grafts, thanks to better vascularization. We also recommend stopping oral contraception 1 month before the procedure, to reduce the risk of thromboembolism.


Buttock augmentation by fat injection is contraindicated in cases of:
heart disorders
pulmonary disorders
neurological disorders
noticeable thinness with inability to gain weight
certain other health conditions

Procedure sequence

The process is simple: fat is taken from the patient and, after being washed and purified via a filtration system, it is injected using fine cannulas into the fatty tissue and the muscle of the buttock (gluteus maximus). ). The effect is instantaneous. The muscle is very rich in blood vessels, which makes it possible to effectively nourish the fat grafts, and therefore to reduce the resorption of the injected fat. This is a 100% natural method since it does not involve any foreign bodies. We reinject on average 300cc of fat.

General or local anesthesia

The anesthesia is generally local, or with sedation, in which case the return home takes place the same day. However, some surgeons opt for general anesthesia.

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