Buttock augmentation

• small volume of the buttocks and their sagging
• atrophy of the buttocks tissues
• injuries, deformities

Buttock augmentation can be achieved through the use of implants, fat transplantation, or sometimes a combination of both.

Before the surgery, it is essential to consult with a plastic surgeon. The surgeon will help you choose between different buttock enhancement methods, rule out any contraindications, and schedule necessary tests and examinations before the procedure. They will also decide the most suitable location for implant placement, either intramuscularly or under the fascia. The intramuscular approach is often preferred, as muscles better camouflage the implants. This method also carries a lower risk of serious complications, such as infection, seromas, and implant misplacement. However, it may not be suitable for everyone, especially if there has been prior trauma to the buttocks.

The appropriate surgical technique for you will be determined based on:

• The size and shape of your buttocks

• The amount of fat available for fat grafting

• Your preferences and activity level

• The quality and elasticity of your skin

• The presence of sagging or loose skin

Buttock augmentation surgery involves several key steps:

Step 1 – Anesthesia
Buttock surgery at ANACOSMA clinic in Kyiv is performed under general anesthesia for your comfort during the procedure. Options include classic general anesthesia or xenon anesthesia, also known as “xenon sleep.” Xenon anesthesia is considered the safest form of general anesthesia in the world, providing more stable intraoperative blood pressure, lower heart rate, and a quicker recovery from anesthesia compared to inhalation anesthesia [3]. In Ukraine, xenon is used exclusively at ANACOSMA.

Step 2 – Incision
An incision will be made. The incisions may be placed in the gluteal folds (where your buttocks meet the upper thighs), between the two buttocks (hidden in the gluteal fold), or in the center of the sacral bone (over the tailbone). If a combined buttock augmentation method is used, fat will also be harvested at this stage. At ANACOSMA clinic, fat is removed using the safest nutational liposuction technique in the world, which is minimally traumatic to cells and ensures the best fat graft survival [4].

Step 3 – Implant Placement
A silicone implant, specially designed for the buttocks, is inserted either into the muscle or under the fascia above the gluteal muscle on each side. The method of implant placement depends on the implant type, patient physique, and surgeon’s recommendations.
If a combined approach is used, the previously prepared fat is also injected at this stage.

Step 4 – Closing the Incisions
The incisions are closed with multilayer sutures in the gluteal tissue and with skin adhesive or surgical tape on the skin.

Step 5 – Rehabilitation
During the first days of recovery, it is crucial to strictly follow the recommendations of your plastic surgeon to avoid complications and achieve the most natural results. Guidelines include wearing special garments to secure the implants in the prescribed position, and avoiding saunas, baths, massages, exercise, alcohol, and smoking. Additionally, during recovery, you should try to limit sitting in order to reduce pressure on the implants.

You can resume your usual activities approximately 2-3 weeks after the buttock surgery.

Results after gluteoplasty are visible immediately. Over time, the postoperative swelling will subside, and the incision lines will no longer be visible. The result of this operation is permanent.

If a combined method was used, together with lipofilling, as you gain or lose weight, your results may change, as the transferred fat can increase or decrease like any other fat in your body.

List of references:

1. Aslani A, Del Vecchio DA. Composite Buttock Augmentation: Next Frontier в Gluteal Aesthetic Surgery. Plast Reconstr Surg. 2019 Dec;144(6):1312-1321.
2. Petit F, Colli M, Badiali V, Ebaa S, Salval A. Buttocks Volume Augmentation with Submuscular Implants: 100 Cases Series. Plast Reconstr Surg. 2022 Mar 1; 149 (3): 615-622.
3. Law LS, Lo EA, Gan TJ. Xenon Anestesia: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Anesth Analg. 2016 Mar;122(3):678-697.
4. Bowen RE. Stromal Vascular Fraction from Lipoaspirate Infranatant: Comparison Between Suction-Assisted Liposuction and Nutational Infrasonic Liposuction. Aesthetic Plast Surg. 2016 Jun;40(3):367-71.