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Buttock Augmentation

Buttock augmentation is a procedure that lifts the buttocks, adds volume, and enhances its shape.

Should You Undergo Buttock Augmentation?

More and more women are desiring a more shapely backside. With tighter garments like yoga pants and workout pants and skimpier swimsuits becoming more popular, it’s no wonder why.

Buttock augmentation can help you achieve a more shapely and uplifted backside.*

Are You A Candidate?

Our Cosmetic Self Evaluation can help you decide if buttock augmentation is the right procedure for you.



Buttock augmentation is an increasingly popular procedure. Dr. Fan performs this procedure not only to provide women with “bigger butts,” but to enhance a woman’s derriere with a natural-looking, voluptuous shape and size to accentuate her curves. Buttock augmentation is commonly performed in one or two ways, with implants or fat transfer. The fat transfer procedure is commonly known as the “Brazilian Butt Lift.”


Buttock augmentation can be a good option if you feel that:

  • You desire a fuller, more voluptuous backside with greater curves
  • Your buttocks are too small for your body frame and you want a more balanced look
  • Your buttocks are too flat or square and you would like more curves and a more youthful appearance
  • Your buttocks are loose, sagging, or flat due to age or weight loss
  • Clothes and swimwear do not fit properly on your figure

Procedure Steps

Lift and Enhance The Shape and Size of Your Backside

Buttock augmentation will lift the buttocks to a higher position, add volume, and enhance its shape. Depending on your needs and body type, Dr. Fan will recommend the most appropriate buttock augmentation procedure: buttock implants, fat transfer, and/or a buttock lift. Due to its high success rate, ninety percent of buttock augmentation procedures Dr. Fan performs are via the fat transfer method.

Fat Transfer (aka. Brazilian Butt Lift)

Fat transfer

is the most commonly performed buttock augmentation procedure due to its more natural feel and appearance. In addition, Dr. Fan’s 3D Brazilian Butt Lift approach will help accentuate your curves and provide a more contoured outcome.

During fat transfer, fat is removed from one or more areas of your body such as the lower back, hips, or love handles. The harvested fat is carefully purified to remove impurities and concentrate stem cells. Finally, the purified fat is meticulously injected in multiple layers as hundred of tiny individual pearls called “microfat” grafts into your buttocks to enhance three-dimensional shape and volume. By placing them close to a blood supply, the harvested fat cells are more likely to survive and not be reabsorbed by the body.

If a patient is very thin, she may be asked to return after she has gained some weight.

Something Extra

Dr. Fan then creates an even more shapely rear by removing extra fat on the side, above and below the buttocks. This creates even better curves and makes a Brazilian Butt Lift seem more round and extra shapely.

Buttock Implants

Buttock implants, just like breast implants, can improve the shape of your figure and help you achieve a wow factor with extra curves.

Implants are most appropriate for women who are thin, wear a size zero, two, or four dress, and do not have enough fat to donate for fat transfer. Patients are who obese are not good candidates for buttock implants. Patients with significant buttock sagging may also require a buttock lift.

Buttock augmentation using implants is performed through a two to three-inch vertical incision made in the well-hidden center crease of the buttocks just below the sacrum. Round or oval solid silicone implants are inserted into a pocket created just above or within the buttock muscle. The incision is closed in layers. Liposuction, which can greatly enhance the results, is often performed through separate incisions.

Buttock augmentation can be performed on an outpatient basis under general anesthesia.

Buttock Lift

Patients with loose, sagging, or excessively flat buttocks, most often due to aging or weight loss, may require a buttock lift. A buttock lift may be combined with buttock augmentation using fat transfer or implants. Buttock implants alone may exacerbate buttock sagging and produce a poor result.

A buttock lift involves the excision of loose skin to help lift the buttock. Incisions may be placed along the bikini line above the buttocks or in the infragluteal fold below the buttocks.


What to Expect After Surgery

Recovery from buttock augmentation varies from patient to patient depending on the type and extent of procedures performed.

Surgery is typically performed on an outpatient basis. You may go home with bandages, a special support garment, and in some instances small drainage tubes.

After surgery, you should expect varying degrees of bruising, swelling, numbness, and discomfort in the affected areas. If liposuction is also performed, some drainage of fluid from the operated sites is also common.

You will be prescribed medication to control pain. You will also be given special instructions regarding positioning and activity to avoid direct pressure to the buttocks and to minimize strain on the buttock. Most patients will be instructed to avoid direct pressure on the buttocks for two to three weeks, which will require use of a pillow when sitting. Most patients can resume driving in two weeks. Most patients can return to work in one or two weeks. You may also be instructed to refrain from exercising and, in particular, gluteal exercises for four to eight weeks.

Final results are seen three to six months after surgery. 

Choosing A Surgeon

Do Your Homework 

Buttock augmentation is a delicate procedure that requires a high degree of skill, experience, and artistry. You should choose a board certified plastic surgeon with a significant amount of experience in buttock enhancement, such as Dr. Fan. 

Free eBook: 14 Questions to Ask When Choosing a Plastic Surgeon

Learn More About Dr. Fan




Exact Costs Vary Depending On Your Specific Needs and Desired Results

The cost of buttock augmentation varies from person to person and depends on a number of factors including your specific needs and desired results.

Factors that contribute to the cost of treatment include:

  • Your particular needs and goals
  • The extent and specific type of buttock augmentation procedure chosen
  • The experience and reputation of the plastic surgeon
  • Any advanced technology or surgical techniques that may be used
  • The geographic location where the procedure takes place
  • The surgical facility used
  • The type of anesthesia a patient selects

Costs of surgery may include fees for the surgeon, anesthesia, operating room, facility, equipment, implants, garments, aftercare, lab tests, and medications.

In our San Francisco office, the cost of buttock augmentation ranges from $12,000 to $40,000.

We offer a range of patient financing plans including low monthly payment plans and plans for those with suboptimal credit histories.

You can find more information about our Financing plans here

See Your Results

Achieve A More Shapely Figure

Buttock augmentation enhances the shape and fulless of your backside, helping you achieve a more voluptuous and shapely figure.*



Butt Augmentation FAQ

Are implants or fat transfer better for buttock augmentation?

Both fat transfer and implants are good options for buttock augmentation. For women with sufficient fat to donate, fat transfer is generally recommended because it has a softer and more natural feel. For women who are thin with very little fat to donate, implants are generally required. In both cases, supplemental liposuction can significantly enhance the results.

Where does the fat come from for the Brazilian Butt Lift?

One of the beautiful aspects of the Brazilian Butt Lift is that the augmentation is created with your own living tissue. For the Brazilian Butt Lift, fat is most commonly harvested from your abdomen, flanks, thighs, hips, and lower back. Dr. Fan uses a special technique that also removes extra fat from the sides above and below your buttocks to create even better curves.

Read More: Fat Transfer from Stomach to Buttocks: What You Should Know 

How long does the Brazilian Butt Lift take?

Buttock augmentation using fat transfer generally takes three to five hours. Since the fat is meticulously harvested from the body, purified while protecting the living tissue, and then finally layered in the buttock, the process is slow.

What are some of the risks involved with the Brazilian Butt Lift?

Fat transfer is generally considered safe because it involves your body’s own tissue. As with all surgeries, there is a small risk of complications such as bleeding, infection, scarring, adverse reaction to anesthesia, numbness, fat necrosis, and lumps. There is also a small possibility of an additional procedure being needed, should not enough fat tissue survive to reach the goal size.

What are the chances that the Brazilian Butt Lift does not work?

With any fat transfer procedure, including the Brazilian Butt Lift, a portion of the transplanted fat will not survive. The typical degree of fat reabsorption is 30-50%. However, some patients may experience a greater degree of fat loss, even to the point of disappointing results. Dr. Fan uses a very meticulous technique to maximize fat survival, but no reputable surgeon can guarantee success. Twenty percent of patients need or choose to undergo additional fat grafting sessions.

Can my buttock implants leak?

No. Buttock implants used in the United States are made of solid silicone which cannot break or leak into your body.

What do buttock implants feel like?

During the initial healing period, your buttock implants may feel numb or sensitive. Once healed, your augmented rear end will feel firm but natural, almost like you have been working out with weights or exercising hard for many years.


Are buttock implants safe?

Buttock augmentation using implants, when performed by an experienced board certified plastic surgeon, is generally considered safe. However, all surgical procedures carry inherent risks, including bleeding, infection, scarring, adverse reaction to anesthesia, and problems with healing. Buttock implants, in particular, are associated with additional risks of wound separation, fluid collection called seroma, implant malposition, implant visibility or palpability, capsular contracture, altered sensation, asymmetry, suboptimal cosmetic results, and possible need for removal.


Can I get filler injections such as liquid silicone to enlarge my buttocks?

The use of fillers to augment the buttocks is still being performed in other parts of the world and has produced poor results. Currently, there is no biocompatible, long-lasting injectable material that can be used to augment the gluteal region.

In other parts of the world, liquid silicone has been used as an “injectable implant” to augment the buttocks. However, large volume silicone injections can lead to severe complications, including granuloma formation, skin necrosis, infection, deformity, and silicone migration. These complications are not easily treated and, in some cases, may require surgical debridement that can lead to significant deformity.

To summarize, filler injections are presently not a safe option for augmenting the buttocks.


Related Procedures


Liposuction is a procedure that removes unwanted fat through tiny openings in the skin. Liposuction does not remove or tighten sagging skin.

Learn More About Liposuction


Breast Augmentation

Breast augmentation is a procedure that enhances the shape, size, and proportions of a woman’s breasts using implants.

Learn More About Breast Augmentation

Belt Lipectomy

A belt lipectomy, or lower body lift, removes excess skin circumferentially from the trunk.

Learn More About Belt Lipectomy

Mommy Makeover

A Mommy Makeover is a series of procedures designed to help you regain your pre-pregnancy figure. A Mommy Makeover often includes a tummy tuck, liposuction, and breast enhancement.

Learn More About Mommy Makeover


During your consultation, Dr. Fan will address your specific goals and treatment options. He will determine if you are a good candidate for treatment and review the results that can be realistically achieved. He will also help you determine which procedures may benefit you the most.

Why Dr. Larry Fan & 77 Plastic Surgery


Larry Fan, MD

Dr. Larry Fan is an award winning, Harvard educated, and nationally recognized plastic surgeon. He is a progressive, compassionate thinker who is committed to achieving the highest levels of excellence and the very best aesthetic results. Dr. Fan is an expert facelift surgeon who is known for achieving natural beauty, never “overdone.”
Meet Dr. Fan

Harvard Trained & One of America's Top Plastic Surgeons

Dr. Fan is known for his elegant sense of artistry and refined surgical skills. He will perform your surgery with expert, world-class execution and has the results to prov


Exceptional Results & Award Winning Care

Dr. Fan and his team are committed to providing you with exceptional care, counseling, and support before, during, and after surgery. We take pride and joy in caring for you and have received numerous awards for our compassionate care.


State-of-the-Art Office & Private Surgery Center

Come relax in our beautiful office and enjoy the comfort, safety, and privacy of our fully accredited onsite private surgery center.

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This book was written by top plastic surgeon, Dr. Larry Fan.



Ready to Get the Full, Curvy Backside You’ve Always Wanted?

Schedule your consultation with Dr. Fan here.

During your consultation, Dr. Fan will address your specific goals and treatment options. He will determine if you are a good candidate for treatment and review the results that can be realistically achieved. He will also help you determine which procedures may benefit you the most.


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