When it comes to augmentation of the buttocks, I am not a fan of using buttock implants (otherwise known as gluteal implants). In terms of overall body contours, augmenting with implants will add volume to the buttocks but does not contour or add more enhanced shape to the body or hips. There is also a risk of capsular contracture and a possibility of complications with the implant placement; it can drop with time, or even create a wrinkled appearance.
I prefer to use fat transfer for my buttock augmentations in a procedure commonly referred to as the Brazilian Butt Lift. Not only does the fat that is added to the buttock help increase its volume, but by removing the fat from areas such as the abdomen, lower back and flanks, the overall results are accentuated even further. The look and feel tends to appear more natural following this procedure compared to an implant. There is also a reduced risk of rejection since you are placing your own cells back into your body rather than a foreign object.
Even in patients with thinner body types, I still prefer to perform fat transfer over using a gluteal implant. In the extremely thin patient it can be more difficult to find enough fat to use. In cases like this where the patient is not deemed a candidate for fat, there is an option of using dermal fillers, however this has limitations such as the formation of lumps and nodules and migration of the filler from the injection area.
Ultimately, fat is the best option in the vast majority of patients who want this type of augmentation. A consultation is the best way to determine if this procedure is right for you.
Dr. Arjang Yazdani, MD, FRCSC
