Creating the Perfect Butt Buttock Assessment Tool
What Creating the Perfect Butt Buttock Assessment Tool Records
There is no single archetype for the ideal buttock size and shape. Patients ask for the same result and mean different shapes. Creating the Perfect Butt Buttock Assessment Tool was designed so those differences are chosen before surgery, instead of being guessed from a conversation. It records two preferences: hip-to-waist ratio, and projection ratio.

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26-year-old female patient who demonstrates stunning buttock aesthetics using limited fat harvested from her lower back and flanks to the lateral buttock and hip region while using a buttock implant to augment her central buttock region to maximize her butt projection.
Fullness is the waist-to-hip ratio, read from the back. Projection is the side-view distance from the waist to the buttock. The tool shows both on a spectrum of digitally produced sizes and shapes, so the patient points at a picture rather than only describing a size. The upper, middle, and lower pole can each carry the maximum fullness of that shape. A full lower pole is not the same choice as a full upper pole, even when the hip width is unchanged.
The photographs above are one 26-year-old woman three months after buttock augmentation. They show her back and her back-right view. They are not a filled-out copy of the tool, and they do not label her waist-to-hip choice or her projection choice. The tool is filled by the patient. The pictures are the result that followed her own plan.
How the Choices Are Used in a Brazilian Buttock Lift
The tool is used for each patient interested in a Brazilian buttock lift. During that lift, fat is taken by liposuction from the abdomen, the back, the flanks, and the thighs. It is processed and transferred into the buttocks. Before that transfer, the surgeon already has the shape, the size, the proportion to the waist, and the projection the patient marked. The graft is placed to meet those marks. It is not placed to meet a house style.
Fat grafting here follows the same limit used for any buttock graft on this site. The fat stays in the subcutaneous layer, above the glute muscle. The assessment tool does not move the graft into the glute. It only says how full the waist-to-hip outline should be, and how far the side-view projection should come off the waist, including which pole holds the most of that fullness.

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Butt Projection.
The projection figure is the side view. It is how the patient picks a projection ratio, from a smaller side-view buttock to a larger one. That choice is separate from the back-view hip width. A patient can want more projection without wanting a wider hip, or a wider hip without wanting the side view to project as far. Recording only one of those two numbers leaves the other one to be guessed in the operating room.
Why the Same Request Is Not the Same Buttock
Volume and shape are subjective. Those differences follow cultural and ethical upbringing, and the preference the patient indicates for her own ideal buttock. Satisfaction follows meeting that personal target. It does not follow matching one published silhouette. Creating the Perfect Butt Buttock Assessment Tool is the record of the target, so the result can be compared with what was asked for.
A buttock assessment tool of this kind uses digitally altered sizes and shapes for both the back view and the side view. Shape on those views is which pole is fullest. Size is the waist-to-hip width. Those are the two axes the spectrum is built on. They are chosen by the patient. They are not assigned from her age or from a default ratio.

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The service designations for this patient include BBL / Fat Transfer and Buttock Implants. 26-year-old female patient who demonstrates stunning buttock aesthetics using limited fat harvested from her lower back and flanks to the lateral buttock and hip region while using a buttock implant to augment her central buttock region to maximize her butt projection.

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BBL Butt Ratios.
The ratio figure is that spectrum for hip-to-waist fullness and for projection. It sits in the consult so the marks exist before liposuction starts. Buttock augmentation can be done with a graft or with an implant. This tool is the one used for the graft, because the graft volume and the graft position are what the marks change. An implant has its own shape. It is not resized by pointing at a waist-to-hip drawing. The photographs are a buttock augmentation at three months. The caption does not say the tool scores were written on the print.
What the Surgeon Needs Before the Transfer
The decision that matters during a Brazilian buttock lift is that the surgeon understands the shape the patient actually wants. Communicating that shape is the job of the spectrum. A verbal request for a larger buttock does not say whether the added volume belongs in the hip width, in the side-view projection, or in one pole. Creating the Perfect Butt Buttock Assessment Tool turns that request into those choices.
Brazilian buttock lifts are performed here every week, and the tool is part of that consult. The fee for the transfer is not the same line as the liposuction that harvests the fat. The standing exam still decides whether enough fat can be taken from the abdomen, the back, the flanks, and the thighs to reach the marked size. A mark that asks for more volume than the harvest can supply is changed before surgery, not discovered after the fat has been placed. That conversation happens at the BBL locations, with the ratio figure in view.
The graft remains above the glute. Choosing a fuller lower pole does not mean the fat is put into the muscle to hold that pole out. The Safe BBL limit is unchanged by the drawing the patient circled. The drawing tells the surgeon where, in the subcutaneous layer, the available fat should go, and how wide the hip should look beside the waist.
The Two Views Are Not the Same Choice
The back view sets the waist-to-hip width. A wider hip beside a narrower waist is a larger size on that view. A narrower hip is a smaller size. That choice does not tell the surgeon how far the buttock should stand off the waist when she is seen from the side. The side view sets projection. A patient who circles a wide hip and a modest side view wants width without a long projection. A patient who circles a narrower hip and a long side view wants the opposite. Writing down only "larger" collapses those two choices into one.
Pole fullness is the shape inside either view. Maximum fullness can sit in the upper pole, the middle, or the lower pole. A lower pole that is the fullest point changes the side silhouette even when the hip width stays the same. The digital spectrum exists so that point is picked on a picture. It is not inferred from a request to look lifted, and it is not inferred from the 26-year-old photographs. Those prints show one augmentation at three months. They do not display the spectrum she circled.

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From this angle, the BBL / Fat Transfer result is easier to follow. 26-year-old female patient who demonstrates stunning buttock aesthetics using limited fat harvested from her lower back and flanks to the lateral buttock and hip region while using a buttock implant to augment her central buttock region to maximize her butt projection.
The harvest still limits the mark. Fat comes from the abdomen, the back, the flanks, and the thighs. If those areas cannot supply the size that was circled, the mark is revised while the patient is standing, before the transfer. The processed fat is then placed in the subcutaneous layer to match the revised mark. The glute muscle is not the pocket. An implant, when that is the augmentation instead of a graft, is not stretched or trimmed to match a circled waist-to-hip ratio. The weekly buttock lifts use the tool because the graft can be portioned. The implant photographs on this consult are a separate augmentation, read with their own caption. Three months is the interval printed on that caption. It is not a promise that every graft looks finished at three months, and it is not a score on the spectrum. The spectrum is a planning sheet. The prints are one woman's result. Reading the prints as the ideal waist-to-hip ratio would undo the reason the sheet exists, which is that the next patient may circle a different width and a different pole.
Frequently Asked Questions
It records hip-to-waist fullness, which is the back-view size, and projection, which is the side-view distance from the waist to the buttock. The shape choice includes which pole is fullest.
The patient, before a Brazilian buttock lift. The surgeon uses those marks when the liposuctioned fat is transferred. The marks are not a default shape assigned in the operating room.
No. Buttock augmentation can be a graft or an implant. This tool sets the graft: how much fat, how wide the hip, how far the projection, and which pole is fullest. An implant is not resized from the waist-to-hip spectrum.
In the subcutaneous fat, above the glute muscle. A fuller pole on the drawing does not move the graft into the muscle.
Related reading
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