Brazilian Butt Lift – Gluteal Augmentation

A very important factor in a harmonious body contour in bathing apparel or sport outfits is gluteal volume and shape. Interestingly, in many cases the plastic-surgical procedures do not aim for correcting the gluteal area primarily but rather address the regions around it: Removing unwanted fat by aesthetic liposuction from the waist and thighs enhances the gluteal shape and projection indirectly and in some cases may be enough to achieve a curvy outline.

Reducing he waist-to-hip circumference ratio by removal of fat rather than adding it is very appealing to many patients. As in all plastic surgical contour-improving surgeries, the outcome is better, if the muscles revealed are well trained and of adequate volume.

In some cases, additional forming and volume addition to the buttocks is necessary to achieve the intended shape. This also depends on the preoperative gluteal shape (A-, V-, O- or H-form), the amount of subcutaneous fat present and the desired aesthetic result. The bandwidth of procedures ranges from simple correction of small hip-dips all the way to the full redesigning of the buttocks into a full, round and youthful shape. For this, a preoperative analysis of the bony pelvis, the underlying shape and amount of buttock musculature and the subcutaneous fat deposits is important to choose the most appropriate procedure. Generally speaking, there are five mainstays of gluteal shaping:

  1. Shaping liposuction on gluteal regions
  2. Ultrasound-controlled lipofilling by injection of autologous (own) body fat harvested from the flanks, back, abdomen and thighs
  3. Buttock implants
  4. Hyaluronic acid fillers
  5. Combinations of the above 1.-4.

While liposuction, buttock implant inset and lipofilling are always performed under general anesthesia, buttock filler application and -forming can be easily be done under local anesthesia as an outpatient clinic procedure. All fat injections into the buttocks are performed under ultrasound control, giving this original Brazilian butt lift procedure maximum safety according to the most modern treatment guidelines.

Especially in those body forming procedures, a thorough preoperative balancing between surgical options, technical feasabilities and patient´s desires is paramount. Likewise, the post-surgical aftercare is responsible for a good surgical outcome as well, including compressive garments, temporary sport restrictions, massages, lymphatic drainage, and strict abstinence from any nicotine products for 4 weeks postoperatively.