Before we get into the specific issues of buttock augmentation, I find it appropriate to clarify the similar but different issues in regards to lower body procedures.
 
We have lower body lift, we have back lift we have Brazilian lift, we have buttock lift we have buttock enhancement and augmentation.
 
Lower body lift usually refers to a procedure whereby an incision is made somewhere at the level of the upper underwear and excess skin from the buttocks is elevated.

Back lift is similar in incision but the goal is to remove the redundant skin in the lower back rather than the buttocks.

Brazilian buttock augmentation usually refers to large volume fat grafting to the buttock area.

In buttock augmentation, the goal is to provide more fullness in the buttock area.
 
In buttock enhancement we take a more comprehensive look at the lower back and buttock area and upper lateral thighs, and analyze how we can make all the elements more harmonious and esthetic.
 
For that purpose we are going to look at the hip area, the buttock area itself in term of fullness tissue quality and fat distribution, and we are going to look at the trochanteric areas (saddle bags area). We will see where the proportions need to be improved and formulate a plan that may include implant, liposuction, fat grafting or skin resection.

There are two ways to go about achieving a fuller “ derriere.”  One is by using implants the second is by putting fat taken from another part of the body and placing it in the buttock area.  At times both procedures are needed in order to achieve the expected outcome. 

First let us talk about the implants themselves.  The implants are made of a very soft silicone solid. They are not a liquid and not gel either. They are different than the implants used for breast augmentation.  And because they are made of a very soft solid even if it was cut torn or pierced for instance during a medication injection, no untoward effect would result.  There are different sizes available and there are different shapes available.

I only use a round implant. The principal reason is that if the implant was to rotate and it was oblong the shape then a significant deformity would result, but when it is round and it rotates then no visual difference would result.

The implant pocket is made exactly to the size of the implant so there is possibility for the implant of moving  a minuscule and within 3 weeks after the surgery the body will have created a sufficient amount of scar tissue around the implant that will prevent the implant from migrating. 

The incision is 7cm in length it is placed in the buttock fold and it is made in a specialized way as to provide adequate healing and sealing of the space created.  The care of that incision is very simple: after shower or after the use of the bathroom the incision and the tape that is on top are painted with iodine based antiseptic.

If the shape that needs to be added to the buttock is not exactly round, then we do a combination of procedures, the implant providing the central part of the enhancement and the fat grafting providing the contouring.
 
This is also very applicable in a situation where there is not enough fat to provide the projection needed so that an implant in combination with fat will be able to enhance the result achieved.

Fat transfer is the other way we can achieve fullness in the buttock area, some people have advertised it as a Brazilian buttock lift.  There is no agreed definition as to what constitutes a Brazilian lift.
 
When fat is transferred from one part of the body to another (in this situation the buttocks) it is transferred without its nourishment. In order for the fat to survive in its new location, nourishment has to come from the recipient site.  This is a most important concept because in order to ensure survival of fat it has to be placed in small quantities all over the area to be enhanced.  Placing large pools of fat in an area will not lead to a successful “take” and the fat will die causing potential infection, hard masses and discomfort.  This means that the limiting factor in augmentation with fat is the size of the recipient area as much as it is the availability of fat to be transferred. If the recipient area is thin and small then a limited mount of fat can be successfully placed.  And in that situation we would need an implant possibly in combination with fat grafting.

Harvesting the fat properly is also important. It needs to be done in a septic technique in a “no touch technique”.  What is meant by that is that the fat is aspirated, kept in a container and never exposed to air, and never manipulated directly by surgical instruments.
 
In order to ensure the consistent and predictable amount of fat placed in a given area, I have designed a device that allows me to place a preset amount of fat at a specific depth in the tissue and at a preset distance from the area that was just injected.  This in my mind is the best way to have the graft fat survive in its recipient area.  This equipment has also streamlined the process and allows me to place larger amounts of fat in a shorter period of time.  This is important because survival of the fat is enhanced by shortening the amount of time it is kept outside the body.  Additionally, it cuts down on the surgical time and cost of the surgery.
 
Post operatively it is very important to stay off the area that was grafted to allow proper circulation for the survival of the grafted tissue without the interference of pressure and weight.

All these procedures are done as an outpatient under general anesthesia it takes approx 2 to 3 hours. After surgery the patient can lie on their back provided they place a rolled foam or pillow in the lower back area in order to keep the pressure off the buttock area.  For the first few days when the patient needs to use the bathroom, they will rest on their thigh rather than on the buttock.  After the surgery a leotard type garment is placed and it is recommended that it be used for the first 3 weeks all the time.    

Is there a standard on how to measure for a woman's bra? The answer is, quite simply, "No." Various manufacturers have their own design and/or measuring system. So, it is not surprising that many women are confused as to what bra size they are or which type of bra fits them best.
 
A bra is comprised of two cups, one for each breast, two vertical straps for the shoulders and one horizontal strap that covers the circumference of the rib cage and back. There are two measurements for any given bra; bra horizontal band size (1) and bra cup size (2) Cup size ranges from A to FF or G depending on the bra manufacturer. Here are the generally accepted steps to measure a woman for a bra (you'll need a bra, a tailor's measuring tape, and a friend for assistance):

Step 1 - Wear your most comfortable bra. It should be unpadded and not a sports bra or minimizer. Step 2 - Band Size (1) - Take the tailor's measuring tape and wrap it around, under your breasts and make sure that the measuring tape is parallel with the ground. Make sure you exhale after a deep breath and that the measuring tape is snug, but not tight. This measurement is in inches. Let’s say that your measurement is 30”

If the measurement is even, add 4" to your number.
If the measurement is odd, add 5" to your number. 30” + 4”= 34”

Band Size See Figure 1 for an example of where the Band Size is.

Step 3 - Bust Size (2) - Take the tailor's measuring tape and wrap it around your bust. Again, the measuring tape should be parallel to the ground and not tight. For this example, we will say that your bust size measurement is 36". See Figure 2 for an example of where the Bust Size is.

Step 4 - Cup Size - Simple enough, just take your Bust Size, 36" minus your Band Size, 34" which equals a 2" difference. (36 - 34 = 2). Check with your bra manufacturer as to the inches in difference and Cup Size may vary. Some bra manufacturers consider a difference of 2 inches to equal a C cup. Whereas another bra manufacturer will consider a difference of 2 inches to be equal to a B cup. As another example, a difference of 6 inches for one bra manufacturer is equal to be a DDD cup. Whereas a difference of 6 inches for another bra manufacturer is equal to an F cup. It is always a good rule of thumb to inquire with your favorite bra manufacturer or retail vendor about how their bra vendors deduce what your overall measurement in inches should equal out to, so that you may get the proper difference in inches between your Bust Size and Band Size to find the best bra for you.

Want to make sure that your bra selection is correct?
 
Follow the 5 simple guidelines:

1. Bra Band - It should fit just below your shoulder blades in the back and you should be able to run just one finger underneath the band easily. If too tight or too loose, adjust the bra clip as necessary.

2. Bra Strap - You should be able to run just one finger underneath the left and right straps easily. If too tight or too loose, adjust the straps in the back as necessary.

3. Bra Center - Where your bra cups meet in the front, the bra center should lay flat against your skin (sternum). If the bra center fits away, then this means that the cups are too small. If the bra center is digging into your skin, then this means that the cups are too big.

4. Bra Cup - Each breast should sit comfortably in the cup and that there is no spillage from the cup of the breast. Spillage means that the cups are too small. If your breast does not sit comfortably, leaving additional space, then the cups are too big.

5. Bra Profile - Stand sideways to a mirror while wearing your bra with your arms down. The bra band should be parallel to the ground and half way between your elbow and your shoulder.    

Hello everyone, I would like to share my experience with you. I had my breast augmentation in May 2010 with Dr. Vincent Makhlouf and I can tell you that he is the best doctor that I ever had- for consultations and for surgery. He is very professional and knowledgeable. He answered all my questions and made me feel very comfortable and confident about my procedure. The best think is that in just a couple of days after my surgery I was amazed by my new look. He did an amazing job. Perfect  Job. Exceeded my expectations.  It’s been 1 month now since my surgery and I feel and look great. I have minimum scarring and my breasts (with silicone implants) feel soft, comfortable and natural. People around me noticed the change and I hear only incredible compliments about my new look. Little suggestion to all who is going to do any type of plastic surgery, please, follow your doctor’s directions that he will give you before and after the surgery. He will do his best work and you have to do same. It’s your body – take a good care of it! Thank you, DR. Makhlouf for making me look as I always dreamed off.   Sincerely, J.

Hi,  I have been working-out and dieting for sometime now and my stomach still does not look good.  I am looking to have Liposuction but I am limited on time that I can take off and I am scared of pain. 


I am wondering how much time a person usually needs off from work and how much pain is involved in Liposuction.

Thanks in advance for your help.

People do butt augmentations for the same reason that they do  breast augs. They want more volume.

The reason people like us have butt augmentations is to achieve a round and fuller butt  so that clothes fit better.

Why do people put themselves through all that pain to make their  butt bigger?