Butt Augmentation: Is fat transfer less painful than butt implants?



Butt enhancement procedures have been more and more in demand over the last decade, and there is a good reason behind it. Just a few of us have been born with a round, perky, perfect behind, and even less of us have managed to maintain that beautiful shape over the years. A sedentary lifestyle, less time spent outdoors and more time on computers and smartphones, and an unbalanced eating routine often lead to an unappealing shape and size of the buttocks. Moreover, even for people who exercise and eat healthy, the shape of the buttocks might not be their desired one due to their genetic inheritance or predispositions.

Fortunately, plastic surgery is here to save the day and improve the appearance of the buttocks. The procedures that can be successfully performed on the butt are butt augmentations, butt lifts, and reductions.

In this article we will discuss a commonly performed procedure, the butt augmentation, and answer a common question many interested patients want to know: Is fat transfer less painful than getting butt implants?


Available options to increase the size of the buttocks

Gluteal hypoplasia is a condition defined by an insufficient butt volume. In other words, the buttocks are small compared to the rest of the patient’s anatomy, meaning the buttocks do not have enough volume on the upper part or in general. The small size of the buttocks can be visible once the patient has completed physical development (teenage years) but at the same time, it can occur with time due to aging or considerable weight loss. Small buttocks can often be associated with butt ptosis or saggy buttocks.

An efficient solution provided by plastic surgery is buttock augmentation surgery. This intervention can be performed either by using gluteal implants or fat grafting. The procedures are different when it comes to the surgical techniques used, as well as the results they provide and the recovery period following the intervention.


Butt augmentation with gluteal implants

This procedure is often recommended for thin patients who want a significant increase in the size of their buttocks. This means that if you want a butt much larger than what you have now, this procedure will be recommended by the plastic surgeon. Why? The answer is simple. When it comes to butt augmentation with implants, we can fully control the size to be achieved. The implants come in sizes, and the plastic surgeon will recommend just the right size to help you get the aesthetic results you are looking for. However, keep in mind that the augmentation is only performed on the upper part of the buttocks as this is where the implants are inserted, and not the inferior part of your behind.

The implants are much thicker, resistant, and durable than breast implants. So if you ever saw or touched breast implants before and you thought that gluteal implants are the same, now you can rest assure that the differences are there. Butt implants are made to stand a tremendous amount of pressure because they are inserted into muscles that we use for daily activities.

The scars left after butt implant surgery are easily masked as they are positioned usually in the intragluteal fold. However, this also means that the recovery period can be more difficult, at least until the surgical incisions heal and close completely. There is a high risk of infection after a butt augmentation with implants because of the area targeted with the augmentation.

The procedure is complex and delicate and should only be performed by a plastic surgeon who is experienced and board-certified. Otherwise, the results can be disappointing and the risks increase exponentially.

Just like any other surgical procedure, there is pain and discomfort that can be experienced by patients after the intervention. The level of pain can be moderate or more intense, depending on your tolerance to pain. However, most patients will describe the sensation as tension and pressure more than actual pain. Analgesic medication, as well as antibiotics, will be prescribed by the plastic surgeon. The pain usually subsides within the first couple of days after the procedure, but the antibiotics must be taken for five days to prevent infections.


Butt augmentation with fat grafting

This procedure has become more and more popular over the years as it can provide spectacular results, entails few risks, and has a shorter recovery period.

When fat grafting is performed, the plastic surgeon will first perform liposuction in other areas of the body with an excess of adipose tissue to collect the fat required for the transfer. What does this mean? First and foremost, it means that to be eligible for fat grafting, you need to have one or multiple areas where there is a surplus of fat tissue. Are you bothered by pockets of fat on your abdomen, flanks, and thighs? Then chances are you are a good candidate for a fat grafting to the butt.

After liposuction is performed, the fat collected has to go through a complex purification process that will provide the plastic surgeon with healthy fat cells, cleaned from blood and other impurities that can be used for the transfer. We need healthy and pure fat cells to be grafted into the buttocks as otherwise the transfer will not be successful and the fat will die after the grafting.

Liposuction only requires small incisions on the donor area, and the fat transfer is performed with the help of special syringes. This means that no significant scarring is left behind after this intervention and no big surgical incisions to heal. The risk of developing an infection is smaller in the case of a fat transfer to the buttocks.

When it comes to the pain, most patients say it is mostly a discomfort rather than actual pain. The areas treated with liposuction might feel numb, swollen, and bruised. The buttocks might feel tense and pressure might be experienced, especially if a large volume of fat was injected in one session. Again, the plastic surgeon will prescribe pain medication to help alleviate the discomfort that might be present for the following days after the procedure.

Is fat transfer less painful than butt implants?

The recovery period is usually shorter after fat transfer compared to butt implant surgery. However, after both interventions, the patients are advised to avoid sitting on the buttocks for at least three weeks. If this recommendation is not followed, the results of the procedure can be altered and unnecessary pain can be experienced. Sitting on the butt after butt implant surgery can cause pain, opening of the surgical incisions due to the pressure, and even the rotation of the implants. Sitting after a fat transfer to the buttocks can cause the fat to die as a result of the pressure.

The discomfort experienced after butt implant surgery might be more intense for some patients with a low tolerance for pain. However, it is important to keep in mind two things. First, the plastic surgeon will prescribe pain medication that will help you feel better. Second, the results achieved when using butt implants are not comparable with the results of the fat transfer. Moreover, butt implants will maintain their shape and size permanently, while weight fluctuations might alter the size and shape of the buttocks after fat grafting.

Once again, we have to mention the importance of having a board-certified and experienced plastic surgeon to play out your butt enhancement procedure, whether it be fat grafting or butt implants. There are many patients looking for revision surgery after choosing a cheaper version of the procedure offered by an inexperienced practitioner. This is not good for your aesthetic appearance or your health.

Butt Augmentation-Correcting Buttock Asymmetric With Fat Transfer-Dr.Cortes


When it comes to increasing the size of the buttocks and improving the shape, we have two methods available offered by plastic surgery. The augmentation of the buttocks can be performed either by using gluteal implants or fat transfer. The procedures are very different in the techniques used, what they entail, the results, and recovery period. However, eligible candidates for fat grafting need to have areas with an excess of adipose tissue. If this is not the case, the plastic surgeon will recommend you butt implant surgery to help you achieve the buttocks of your dreams. The level of pain that can be experienced after butt implant surgery can be more intense, especially for patients with a low tolerance for pain.

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