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Your buttock augmentation surgery can be achieved through either the use of implant, through transferring your existing fat, or sometimes a combination of both. Your surgeon may choose between a variety of incision patterns and techniques.

The appropriate technique for you will be determined based on: 
• Buttock size and shape 
• The amount of fat you have on your body that is available for use through liposuction
• Your goals and activity level
• Skin quality and elasticity as well as the mount of extra skin 

Medications are administered for your comfort during the surgical procedures. The choices include intravenous sedation and general anesthesia. Your doctor will recommend the best choice for you. No matter which type of buttock augmentation procedure you have, anesthesia will be used to ensure your comfort during the procedure. 

Buttock Implant Procedure
Step 1- Buttock implant procedure
An incision will be made. Your surgeon will place incisions toward the top on both sides of the upper buttock, toward the bottom in both of the gluteal ceases (the areas where your “cheeks” meet the top of the thighs), between both cheeks (hidden in the crease) or will use one incision placed down the center of the sacrum (the crease between the buttocks). The length of the incision and scar is directly related to the affected areas. 

Step 2- Implant Placement 
A silicone implant specially made for the buttocks is inserted either in the muscle or above the gluteal muscle on each side. The method for inserting and positioning implants depends on the type of implant, degree of enlargement desired, your body type, and your surgeon’s recommendations.

Step 3- Closing the incisions
Incisions are closed with layered sutures in the buttock tissue and with adhesive or surgical tape.

Step 4- See the results
The results of the buttock augmentation are immediately visible. Over time, post surgical swelling will resolve and incision lines will fade. Satisfaction with your new image should continue to grow as you recover and realize the fulfillment of your goal for fuller buttocks. Results of this surgery are permanent. 

Fat Grafting/Brazilian Butt Lift Procedure
Step 1- Liposuction 
Liposuction is performed through small, inconspicuous incisions. First, diluted local anesthesia is infused to reduce bleeding and trauma. The cannula, or a thin, hollow tube, is inserted through the incisions to loosen excess fat using a controlled, back-and-forth motion. The dislodged fat is then suctioned out of the body using a surgical vacuum or syringe attached to the cannula. In general, your surgeon may use liposuction to remove up to three times the amount of fat than what will actually be injected into the buttocks. 

Step 2- Fat Injection
The fat, tissue and blood that were removed through liposuction are then processed. The syringes are then connected to a special cannula. Your surgeon will use this cannula to add fat to the buttocks through small injections all over your buttocks. 

Step 3- See the results
The results of buttock augmentation are immediately visible; however, you will not see your final results until up to a year after the surgery, as it takes a while for the fat to “take”. This procedure offers natural looking and feeling results, but the projection of the buttocks may decrease over time. Some of the initial volume you experience after your fat grafting procedure will fade as the fat is absorbed by your body (on average, patients will retain 60-80% of transferred fat, in some cases more, in others less). Satisfaction with your new image should continue to grow as you recover and realize the fulfillment of your goal for a fuller buttock.

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