Butt Augmentation: Fat Grafting vs. Implants

Christie Auyeung Plastic Surgery Leave a Comment

Songs like “All about that bass” and “Bootylicious” have glorified the derriere and made it an object of much attention. It’s no wonder, then, that more and more people are seeking plastic surgery for that very body part. Whether you are concerned about the shape, projection, or fullness of your behind, butt augmentation can be an attractive option to get some extra lift and contour.

When you have a consultation with your surgeon about butt augmentation, most likely they will discuss the two types of surgery available: fat grafting (more commonly called Brazilian Butt Lift), and butt implants.

What’s the difference between these two kinds of butt augmentation?

Let’s break it down:

What are butt implants?

Butt implants, also called gluteal implants, are round or oval shaped prostheses usually filled with solid silicone. The silicone implants are highly durable and resistant to rupturing, spilling or deflating. This is important because implants have to hold a lot of weight and pressure when you’re sitting or laying down.

These prostheses are implanted into the buttocks to add volume. During a butt augmentation procedure, your surgeon will make an incision in the crease between the buttock and the back of your thigh or in the top crease between the buttocks. After creating a pocket, the implant is placed inside, either above or below the gluteus maximus muscle. Then, the pocket is sutured closed.

Potential problems with implants:

Risks or complications that can result from butt implants include implant movement or displacement, fluid buildup, and immune system rejection of the implant. Additionally, implants are not permanent, and most patients have to undergo butt implant replacement surgery around 10 years after the initial procedure.

What is fat grafting?

Another type of butt augmentation procedure is called the “Brazilian Butt Lift.” For this type of surgery, your surgeon will take fat from your abdomen, thighs, or back area using liposuction. The fat particles are then purified and injected into the butt to add volume.

Potential problems with fat grafting:

The downside to fat grafting is that sometimes, the fat particles get reabsorbed by the body. This limits the amount of volume that can be added in a single procedure. Sometimes, more than one fat grafting procedure is needed to achieve the desired volume.

Implants or Brazilian Butt Lift: Which one is right for you?

Many doctors recommend the Brazilian butt lift over implants for a few reasons:

  • The result feels more natural, since there are no stiff implants
  • No risk of immune system rejection, because it uses your own fat cells
  • No risk of a ruptured or displaced implant
  • No need for future surgeries because of implant complications
  • Lower risk of infection

There certainly are benefits associated with the Brazilian butt lift, which does not involve implants. Sometimes, though, patients are not good candidates for Brazilian butt lift if they don’t have enough fat deposits for grafting, such as people who are petite or are body-builders. Additionally, if you want a guaranteed size increase, implants may be a better bet. Your doctor can help you decide which method is best for you.

Interested in butt augmentation? Contact one of our surgeons today!

Christie is a UChicago grad currently living in the San Francisco Bay Area. In her free time, she enjoys tap dancing, learning to windsurf, and trying new foods.