Buttock enhancement | SurgiSculpt™
Author: Babak Moein, MD FACSBoard-certified,
Fellowship trained in Cosmetic Surgery

Buttock Enhancement

buttock enhancement CASE STUDIES

Buttock Enhancement in Orange County

Buttock Enhancement surgery in Orange County can be performed using fat grafting (Brazilian Butt Lift - BBL) or silicone implants (Butt Implant Augmentation). These two modalities can be combined to optimize both size and shape. In addition, improved buttocks appearance can also be achieved with lateral thigh, flank, lower back, and medial thigh contouring. These surrounding buttocks can be corrected with a lateral thigh lift (buttocks lift) and inner thigh lift (medial thigh tuck). Buttock Enhancement surgeries can increase your buttocks' fullness, roundness, and projection and correct asymmetry and any contour irregularities. Improving buttocks contour will balance your figure and enhance your self-image. We help you get the ideal buttock shape for you.

Table of Contents

If you are unsatisfied with the shape of your buttocks and want to enhance your body's balance, buttock enhancement surgery in Orange County may be the right option for you. SurgiSculpt™ surgeons are well-recognized for their buttocks enhancement results. Orange County plastic surgeon Our team takes several measures to optimize your buttocks enhancement outcomes, including:


  • Accurate evaluation of your buttocks aesthetic and body contour to determine if you will be best treated by fat grafting versus buttock implant.
  • Accurate measurement of your buttock's cheek height, width, projection, lateral hip dip position, and intergluteal crease.
  • Thorough preparation, including minimizing the risk of infection and optimizing nutrition
  • Following advanced intraoperative protocols to minimize the risk of infection and minimize the risk of fat embolus during a BBL and ensure stable intramuscular placement of implants during buttock implant augmentation.
  • Thorough postoperative measures to ensure maintenance of gained results

Buttock Enhancement Cost in Orange County

The average cost of buttock Enhancement with an implant is $10900 and with fat grafting ranges between $8,800 to $19500 depending on the extent of liposuction required. This cost covers:


  • Surgeon's fee
  • Facility fee
  • Anesthesia fee
  • Garment fee
  • Postoperative visit fees

How do I know if I am a candidate for Buttock Enhancement surgery?

You are most likely a candidate for buttock enhancement surgery if you feel your buttocks are sagging, deflated, asymmetric, or not in balance with your body and breast; most patients express that their buttocks are too small and not filling their pants or are generally dissatisfied with the shape and roundness of your buttocks.

Buttock Aesthetics

Although buttocks Enhancement has been popular in Europe and South America for over a decade, it has only recently gained favor in the states. Over the last few years, we have become as appreciative of the buttock's aesthetics as we have been of our breasts. Undeniably, the desirable female silhouette is defined by perky and robust breasts, a tight waistline, and well-balanced and prominent buttocks contour. A well-proportioned buttock will make for an appealing torso and lower back, which will fit nicely in a pair of jeans, a skirt, or a bathing suit. The ideal buttocks contour should appear round and firm and be the most prominent region of the torso framed by a narrower lower back and lateral thigh contour; the “hourglass” shape characterizes this ideal female silhouette. When the lower back, i.e., flanks or love handles, and lateral thighs are more prominent than the lateral buttocks contour, an undesirable “double bubble” appearance is observed. This consequence can become even more pronounced by an aging buttock that has undergone undesirable changes, including deflation from loss of fat and muscle volume and subsequent sagging resulting from redundant and lax buttocks skin. There are two viable options when considering buttocks enhancement: buttock enhancement with silicone implant augmentation or fat grafting, as popularized by the Brazilian butt lift. Implant Augmentation is intended for patients desiring generous enlargement and those with limited, excess fat donor sites ( please see buttock Implant augmentation).

In contrast, the Brazilian butt lift is intended for patients desiring minimal to moderate buttocks enlargement and who possess adequate, excess fat donor sites (please see Brazilian Butt Lift). Many Butt Augmentation procedures are combined with a lateral thigh lift(buttock lift) and/or inner thigh lift(medial thigh tuck) procedures. We encourage you to make a complimentary consultation to determine which procedure is best for you.

Brazilian Butt Lift - BBL

The Brazilian Butt Lift involves a comprehensive removal of excess and undesirable fat from the entire body, including the arms, abdomen, flanks, thighs, and back, followed by the strategic transfer of the purified fat into the deflated buttocks. Our surgeons routinely remove 1.5 to 2 Liters of fat which, when purified, allows for 200 to 400 cc of fat grafting per buttocks cheek. They guide the injection of fat into preplanned buttocks zones to rejuvenate the buttock's aesthetics. Placement of fat over the upper and middle 1/3rd of the central buttock mound will improve the buttocks' fullness properly. Your surgeon utilizes several techniques to maximize fat graft survival. These include limiting the intensity of the negative pressure exposure on the fat cells during fat harvesting. Limiting the suction strength of the liposuction to approximately 10mm Hg avoids pressure damage to these fragile fat cells. In addition, the transplant time, i.e., the interval during which the fat cells are out of the body, is minimized to avoid cellular compromise during the purification process. The fat cells are handled gently and expeditiously during this process to avoid mechanical injury and minimize ischemic time. Specifically, the purification process involves washing the fat cells with a gentamycin antibiotic solution to avoid infection and remove any unwanted residue and cell products, a liquid oily film, and unwanted aqueous plasma fluid. Following purification, these cells are compacted and injected into the buttocks mound using fine 1 to 3-mm cannulas. The distribution of fat cell injection is essential to achieving an aesthetically pleasing and natural result. Our Orange County Buttocks Enhancement Plastic Surgeons preserve the buttocks aesthetics by routinely injecting the central upper 2/3rds of the buttocks cheek and avoiding the naturally occurring lateral cheek dimple. However, a comprehensive analysis of your buttocks will dictate the exact location of fat transfers. Another critical principle of fat grafting revolves around maximizing the grafted fat cell surface area to volume ratio to re-establish blood supply to the transplanted and ischemic cells. Two maneuvers are used to ensure optimum graft take. They include the transfer of fat grafts in individual 0.5 to 2.0cc fat packs and layering the fat packs in multiple planes, including the muscle, fascia, and deep and superficial fat. A wide distribution of fat cells in small packs optimizes graft take and subsequent results.

Patients can expect minimal downtime, improved buttocks contour, and minimal lifting of redundant and sagging buttocks skin. The buttock's skin is lifted by filling the laxity of the buttock's skin envelope. The lifting effect following fat grafting is best appreciated following the transfer of fat to the upper regions of the buttock's cheek. Patients who require more aggressive lifts may benefit from a lower body lift or belt lipectomy. (Please see Skin Reduction Surgery) which can be combined with the Brazilian Butt Lift. Please contact our office for a complimentary consultation to determine if you are a good candidate for the Brazilian butt lift or in combination with a lower body lift.

Buttock Enhancement with Implant Augmentation

Patients who present desiring significant enlargement of their buttocks following moderate to severe deflation of their bottoms and/or who do not possess adequate fat reserves, are ideal candidates for buttock implants. Buttock implants are made of semi-solid silicone and possess a textured surface. This semi-solid design of the implants makes them resilient to daily mechanical stresses induced on our bottoms. The textured surface ensures adherence of the implant to the soft tissues and stable positioning of the implant that prohibits migration and displacement of the implant.

Buttock implants are inserted using well hidden and limited length inter-gluteal incisions placed in a gentle arc to follow the natural curve of the buttocks cheek. Our surgeons carefully dissect identical and symmetric intramuscular pockets where the silicone implants are to be positioned and then insert them using minimal touch technique. Placement of the implant in an intramuscular(gluteus maximus) pocket provides several advantages including an implant that is well cushioned so that its edges are not visible and not easily palpable as well as to minimize the risk of infection or implant rejection. Minimizing the risk of infection is ensured by meticulous attention to sterile technique, non-traumatic surgical dissection, and multi-layered closure of the incision lines.


Improvement of buttocks size, shape, and any asymmetry


Ranges between 1 to 2 hours based on whether a buttocks implant augmentation or fat grafting (Brazilian Buttocks Lift) is planned for your buttocks procedure.


General anesthesia and/or intravenous sedation is recommended for both a buttocks implant augmentation or fat grafting (Brazilian Buttock Lift).

Place of Treatment

Outpatient surgical suite or in-office operating room.

Side Effects

  • Prolonged swelling up to 2 to 3 weeks is not uncommon due to the overfilling of fat that is performed to compensate for an expected 30 to 40 % of fat graft loss that is observed over the first year following the fat transfer. Buttocks implant augmentation patients will expect to swell for two weeks as well due to more extensive pocket dissection. Most patients will notice aesthetically pleasing results 2 weeks following surgery and stable volumes of correction and filling one month following surgery.
  • Temporary bruising is often associated with fat grafting surgery due to the extent of tissue trauma created by fat harvesting and injection protocol. Bruising is minimized by compression dressings and ensuring that patients do not have any blood clotting disorders or take any blood-thinning medications or supplements. Most bruising subsides within 1 to 2 weeks. Buttocks implant augmentation utilizes drains to minimize swelling.
  • Temporary numbness is not uncommon and secondary to inadvertent injury to small sensory nerves, which are traumatized by the mechanical action of fat harvesting or due to the undermining involved in creating the implant pocket. Fortunately, patients should expect a full return of sensation as these nerves, even when traumatized, will regenerate and re-establish sensation.
  • Under correction of the desired contour is not uncommon for Brazilian buttocks to lift patients as they need to remember that 20 to 30% of volume loss is expected over the first year following surgery. Despite this expected volume loss, most patients are ecstatic with their postoperative observed volume improvements.



  • Deep vein thrombosis (DVT) may occur in the legs immediately following surgery requiring general anesthesia. DVT refers to the clotting off of leg veins which may result in compromised blood flow return from the legs; a more critical consequence may develop from this clot if it is dislodged and travels to the lungs causing pulmonary emboli. Although rare, pulmonary emboli are the leading cause of death following surgery. Measures are taken intraoperatively to avoid such a complication.2)Local skin or fat infection is uncommon and associated with individual patients with poor healing tendencies secondary to medical illnesses. Diabetes, nutritional deficiencies, and smoking are to blame for local infections. Well-controlled sugar levels in diabetic patients, optimizing nutrition, and smoking cessation are critical to avoiding infections.
  • Skin tissue compromise leading to skin loss is rare following fat grafting surgery and is associated with the filling of scarred tissues due to the increased degree of undermining and tunneling required to transfer fat cells. Smokers are urged to stop smoking four weeks before and six weeks following surgery to minimize skin tissue compromise.
  • Fat emboli syndrome is a rare risk factor that can be life-threatening if not detected early postoperatively. This condition is caused by transferred fat cells entering major blood vessels, dispersed, and clogged in life-sustaining organs. Patients may present with symptoms ranging from uncontrolled hypertension to chest pain, lightheadedness, confusion, and difficulty breathing. Patients require immediate admission to a hospital for supportive therapy with intravenous fluids and possible respiratory support until these fat cells self-dissolve.
  • Implant infection following Buttocks implant augmentation has been undeniably high, with some early studies showing a double-digit risk of infection (up to 20%). The modification of this procedure has led to not a single buttock implant infection that required implant removal to date.

Buttock Enhancement Recovery

The recovery period for fat grafting surgery of the body with a return to most daily activities ranges from several days to 1 week. In contrast, buttocks implant augmentation requires several precautions over the first two weeks, including avoiding sitting on your buttocks properly and not sleeping on your back. Patients are asked to forego physical activities and exercise for approximately two weeks following fat grafting transfer and for one month following buttocks implant surgery. Finally, patients are asked to forego important social engagements for approximately one month until contour correction volumes are stabilized, or their implants have settled into their pockets.

Duration of Results

Patients who have undergone fat grafting surgery can expect aesthetically pleasing results for life. Patients will observe 30 to 40% volume loss over the first year following surgery. Volume corrections one year following surgery should be considered stable. In contrast, your enlarged buttocks contour following buttocks implant augmentation is not prone to volume loss.

Buttock Enhancement Frequently Asked Questions:

You may be a good candidate for buttock augmentation surgery if you have a flat bottom in jeans/clothes or if you have lost your back/buttocks or lateral buttock silhouette. When observed from the side, patients may notice the replacement of the back buttock natural silhouette involving the gentle back curve of your back onto the buttocks with a more flattened silhouette. On the front view, the patient may notice a replacement of the lateral buttocks curve with a less desirable double hump appearance. Increasing flank and lateral thigh prominence following excess weight gain and concurrent loss of buttocks projection creates undesirable changes and increases buttocks droop. Individuals who have drooping of the buttocks region and flattening of the buttock cheeks due to aging can benefit from implant augmentation surgery Patients must be in good general health, both physically and emotionally, to pursue buttock augmentation surgery.

To perform buttock augmentation surgery, parallel incisions are made along the intergluteal crease (otherwise known as buttocks crack), extending superiorly and laterally following the natural curve of the buttocks mound. This incision is dissected down to the gluteus muscle, which is released over its superficial fibers to create symmetric pockets within the muscle. A semi-solid silicone implant is then inserted into each pocket. The silicone implant is fit tightly to prevent implant migration. The dissected incision is then repaired in layers and includes the superficial fibers of muscle previously released as well as the soft tissue and the buttocks skin. Before closure, a large drain is placed and secured to remove any postoperative fluid accumulation. Finally, an expanded buttocks tape is applied to the incision lines and maintained for two weeks to minimize shear stresses on the implant and surgical incision lines.

On your initial visit, your surgeon will evaluate your health status by obtaining blood work and requesting a preoperative clearance from your primary care physician. Patients with underlying medical conditions must optimize their health status before proceeding. Patients with difficulty breathing or underlying pulmonary conditions may not be found suitable for this surgery as it requires a prolonged duration of lying on your stomach. In addition, smokers will be asked to quit smoking for four weeks before and six weeks following surgery. Finally, you will need to arrange for a friend or a spouse to care for any small children who may need to be lifted since you will be sore for the first couple of days following surgery.

Buttocks augmentation surgery will lead to enhancement of the buttocks shape and improved projection of the buttocks contour. Patients are usually extremely satisfied with their immediate results and enjoy a lifetime of the aesthetically balanced lower back to buttocks silhouette. A thorough preoperative assessment, safe intraoperative course, and explicit postoperative instructions and monitoring with frequent visits ensure that patients experience a speedy recovery and a return to a more productive and rewarding life. Patients are extremely pleased with buttocks augmentation surgery and radiate increased physical and mental confidence.

Your HD liposuction will be performed at one of our accredited surgery centers. Since the fat is removed comprehensively, it requires scraping the fat off the muscles, which can be painful if awake. Patients are provided general anesthesia to alleviate pain in an accredited state-of-the-art surgical center.

Since your surgery will require general anesthesia, you must take several precautions before surgery. First, you must avoid eating and drinking after midnight on the day before surgery. This precaution ensures that your stomach is clear of digested foods that could potentially be aspirated into your lungs during induction of anesthesia. Since you will have anesthetic medications administered throughout the case, you will remain groggy for several hours and require a ride to and from the surgery center. You should choose a conscientious caretaker who can spend the first night with you. As you will have to avoid sitting upright for the first two weeks, you should also ensure that your ride has a generous back seat that you can lay on your stomach for the ride home.

Since your surgery will require intra-muscular dissection and placement on your stomach for a prolonged period, general anesthesia will be required.

Patients can usually resume light activity several days following surgery. Patients may experience numbness of the buttock's skin overlying the implant that disappears over the first few days after surgery. Your surgeon will prescribe pain medication and antibiotics. Patients will wear a specialized tape and garment over their buttocks to secure the silicone implant placement during the swelling phase immediately following surgery. Patients may find most constraining the inability to sit upright for the first two weeks following surgery. In addition, patients are encouraged to sleep on their stomachs for the first two weeks following surgery. Patients are allowed full physical activity and wearing of routine undergarments four weeks following surgery.

Buttock Enhancement Patient-Specific Questions:

Several factors can help you decide which procedure is the best option for your Buttocks Augmentation, and these include:

  • Fat Grafting (Brazilian buttocks lift)
  • Possessing asymmetric buttocks size/shape
  • Maintaining generous body fat reserves
  • Desiring moderate buttocks augmentation
  • Demonstrating contour irregularity
  • Buttock Implant
  • Possessing symmetric buttocks size/shape
  • Maintaining a thin body habitus with minimal fat reserves
  • Desiring moderate to significant buttocks augmentation
  • Demonstrating no contour irregularities

The factors above will help you determine which buttocks augmentation procedure is the best option for you. Depending on your desired improvement, you may benefit from both procedures. A consultation with Dr. Babak Moein will allow you to select the ideal buttock augmentation procedure. We encourage you to call for your complimentary consultation today.

Buttock augmentation surgery is unique in that your results are immediately visible. Post-surgical swelling will resolve within weeks, and your incision line will fade with time. We take great pride in optimizing your incision line healing by use of operative tapes (Steri-strips), followed by topical scar reduction creams (Biocorneum), and Intense Pulse Light therapy as needed.

The average cost of buttock augmentation with an implant starts at $10,900 and fat grafting ranges between $8,900 to $19,500. This cost covers:


  • Surgeon's fee
  • Facility Fee
  • Anesthesia fee
  • Garment fee
  • Postoperative visit fees


Surgical fees may be modified if you require the contouring of the areas surrounding the buttocks, which include lateral thigh/flanks/love handles/medial thigh. These areas may need liposuction contouring and/or a lateral thigh lift(buttocks lift) or inner thigh lift (medial thigh tuck).

You are most likely a candidate for buttock enhancement surgery if you feel your buttocks are sagging, deflated, asymmetric, or not in balance with your body and breast; Most patients express that their buttocks are too small and not filling their pants or are generally dissatisfied with the shape and roundness of your buttocks.

Buttock augmentation surgery involves the correction of moderate sagging and deflated buttocks' prominence and shape by inserting a solid silicone implant. This surgery can significantly improve the balance of your back-to-buttocks silhouette. This improvement in the buttock-to-back silhouette is most appreciated in the profile view. Additionally, the buttocks-to-lateral thigh proportions are also improved, especially when buttock augmentation is combined with liposuction of the thighs; this improvement is most appreciated in the direct view of the buttocks (posterior to anterior view).

Silicone buttock implants have proven to be safe, predictable, and maintain a low risk of complications. There have not been reported cases of allergic reactions involving silicone buttock implants. Additionally, buttock implants are made of solid silicone material and thus do not risk rupture and leak as observed in breast silicone implants.

Silicone buttock implants are made from solid silicone material customized to fit the size and shape of your buttock deficiency. Since the implants are placed intramuscularly and deep to the skin, patients do not feel the firmness of the implants as being unnatural. There may be transient buttock numbness following surgery, but this will subside over several months. Since buttock implants are customized for each individual, the surgeon can improve the look of your buttock region by correcting buttock deficiencies specific to you.

Buttocks augmentation is recommended in patients with moderate to significant buttock deflation. For patients with minimal to moderate redundant buttock skin, buttock augmentation alone will suffice. In patients with significant, redundant buttock skin, a lateral thigh lift (buttock lift/tuck, as well as buttocks augmentation, may be suitable; the buttock lift can be combined with a tummy tuck and presented as lower body lift (Please refer to post-bariatric surgery chapter for more information).

Buttocks augmentation surgery should utilize two separate incisions located over the upper part of the intergluteal crease (which separates the buttock cheeks) and shaped like a gentle arch around the buttock prominence. Using two separate incisions rather than a single one has decreased the incidence of implant infection and extrusion.

For patients with minimal to moderate buttock deflation, fat graft transfer may be used as an alternative to silicone implant augmentation for patients with minimal to moderate buttock deflation. The fat carefully harvested by a modified liposuction technique is processed and transferred back into the buttocks region (Please refer to the fat graft chapter for more information).


Finally I have a BUTT!

I’ve wanted butt implants for the longest time. I am rather petite with a flat butt. A few weeks ago I went to a consult with a doctor and he said he would do implants. I came to SurgiSculpt for a second option. The surgeon was frank about the downsides of implants for the butt and told me he was mainly removing them from patients that regretted having them. I decided to have fat transfer and my surgeon was able to put enough fat to give me a nice shaped bottom!

Butt Implant read this first if your going to get this done!!

Hi, I am 19 years old and decided to get butt implants because I did not think I had enough fat to give me the volume that I wanted. I had actually done research before getting this procedure and decided to look into vaser liposuction. I almost went with another doctor but he just would not listen. THANK GOODNESS I FOUND YOU Even just upon consultation I knew you would take care of me. I love my new butt!

Phat Ass

I had my BBL surgery in June 2021 and I have never been so happy. My surgeon took good care of me and I swear I have never been so happy. I decided to have my breasts done with fat too. I thank u so much from the bottom of my heart u definitely changed my life and boosted my confidence to the moon!!!!

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