Combining own fat with prostheses: the surgery that sculpts the volume of the buttocks

All plastic surgeries require looking for a specialist, a plastic surgeon, who is accompanied by a large team of anesthesiologists, nurses and assistants. The intervention should be performed in a hospital facility, where the surgical process is carried out with the utmost safety. However, if there is one plastic surgery procedure in which the surgeon must have great experience, it is the buttock augmentation.

Known as the “butt operation”, gluteoplasty is a technically simple procedure, but it requires skilled surgeons who perform an excellent surgical job and take care of the patient in the postoperative period, which is usually somewhat more painful and delicate than in other surgeries, due to the area where the scar is located.

Patients seeking buttock augmentation are often dissatisfied with some (or all) of these aspects:

  • Volume: they are usually reduced buttocks or with an inadequate distribution of fat. Also, we find cases of double fold, that which is seen parallel to the natural fold of the buttock, located in the back and upper thigh.
  • Firmness: they usually present flaccidity.
  • Smoothness: “dimples” or depressions appear that are noticeable even with clothes on. Some of these hollows are true adhesions of the skin to deeper structures such as fascia or muscle.

Through different surgical procedures, in FEEM Clinic, we can respond to the specific needs of each patient, providing a balanced, harmonious and natural result, as well as a greater well-being and self-confidence. In FEEM Clinic we model the buttocks by means of prosthesis, with the lipofilling technique, that is to say, performing an autologous fat transfer or combining both options.

Regarding buttock augmentation with prosthesis, we make an incision of less than 8cm in the intergluteal region, separate two sections of the gluteus maximus muscle and insert a cohesive silicone gel implant in the deeper section. The scar is hidden between the two buttocks and is not noticeable. This option is more indicated for those who want a considerable buttock augmentation or who do not have enough of their own fat to perform a lipofilling.

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On the other hand, the patient can also opt for buttock augmentation by lipofilling, using their own fat. This procedure offers excellent results for those who have a flattened and sagging buttocks (for example, people with significant weight loss). It is also recommended for those who are looking for a moderate buttock augmentation and who wish to eliminate fat accumulated in other parts of the body in the same operation.

Although it is more versatile than the use of prosthesis, since we can apply the fat extracted by liposuction where it is needed, the remodeling of the contour by lipofilling has a limitation in terms of the projection that can be achieved. Therefore, the surgeon studies each particular case, the starting point and the desire of each patient.

Mixed buttock augmentation

This is what we call the combination of implants with autologous fat. The demand for this surgery has grown up to 300% in recent years. As a combined technique, it is less invasive because it admits smaller prostheses and the autologous fat is the one that provides volume and balance to the final result.

The prosthesis is inserted in the deepest section of the muscle and the fat infiltrated with lipofilling is placed in a superficial plane. As a fat donor area the surgeon can choose the flanks, the trochanters or the inner thighs.

In any of the cases, the surgeon will choose the best option according to the interests, needs and characteristics of each patient so that they can obtain the results they are looking for.