What does buttocks augmentation with fat grafting do? | 
- It permanently increases the volume of the buttocks. Fat injections last longer on the buttocks than in any other area of the body, since adipose cells have a tendency to accumulate on the buttocks.
- It molds your body. The buttocks will be enhanced not only because of the increase in volume, but also because they will be more balanced with the nearby areas from which the fat that will be injected on the buttocks will be removed.
What does buttocks augmentation with cohesive silicone gel implants do? | 
- It permanently increases the volume of the buttocks. If your body does not accumulate fat or you keep in shape with exercise and a healthy lifestyle, the only way of increasing the size of your buttocks will be to resort to silicone implants, since there will not be enough fat in other areas of your body to transfer to the buttocks.
- It improves the outline of the buttocks. The effect is enhanced when combined with liposuction of nearby areas such as thighs and waist.
- It balances the bodies of body builders whose buttocks cannot be developed as much as the muscles of the rest of their bodies.
What does buttocks augmentation surgery NOT do? | 
It does not lift sagging skin. If your problem is the excess skin, we recommend that you visit the section of our site devoted to buttock lift surgery.
The surgery | 
Anesthesia
Anesthesia may be local, epidural, or general, it will depend on what you and your surgeon decides is best for you.
Surgery length
The surgery takes about 2 hours, both for buttocks augmentation with silicone implants and with microfat grafting.
What does buttocks augmentation surgery consist of?
A) Microfat grafting
By means of a cannula that is thinner than the ones used for conventional liposculpture, the surgeon removes the fat from certain areas of the body, such as the lower back, abdomen, waist, and hips. He then purifies the fat collected and injects it on the buttocks drop by drop, very close to blood vessels to be sure that the injected fat will have adequate blood supply.
B) Silicone implants
The surgeon makes a small incision of 2 or 3 inches (5 cm or 7 cm) between the buttocks, right inside the midline. Through this incision, he makes a pocket inside each buttock and places the cohesive silicone gel implants inside each one of them. There are two possible locations for the implants; the location will be decided according to each patien's needs.
- Submuscular: If you need to enhance the upper part of the buttocks and the lower part has a good volume (this is what most frequently happens), the implants will be located beneath the buttock muscle (gluteus maximums), approximately where jean pockets would be.
- Subfascial: If you need to enhance the lower part of the buttocks and the upper part has a good volume, the implants will be located between the buttock muscle and its fascia (fascia or aponeurosis is the tissue that covers the muscle).
Hospitalization | 
No hospitalization is needed, both procedures are done on an outpatient basis. You will be able to leave 4 or 6 hours after the surgery.
Results | 
Usually, buttocks augmentation with fat grafting produces permanent and satisfactory results. You may be praised and criticized, but the most important thing is to feel satisfied with your own body, to be able to wear the clothes you like, in whatever way you may want to wear them, and to like what you see when you look at yourself in the mirror. That is the goal of surgery. If it can be achieved, as it happens in most cases, we may talk about success.
Gluteoplasty / Brazilian Butt Lift Pictures | 