Especially during summertime this kind of surgery is mostly required.

Any butt augmentation procedure is aimed to obtain youthful, prominent, perky buttocks. Typical candidates for this kind of surgery are women affected by massive weight loss with final change of the “side b” shape or by sagging buttocks or by flat buttocks

Candidates for buttocks augmentation share certain important characteristics. They need to have appropriate skin elasticity so the skin can conform to its new, improved contours. It is mandatory for patients to have realistic expectations; they should understand not only what surgery can accomplish, but also the limitations of the procedures.

Three are the main procedures to have more prominent buttocks: a) the use of silicone implants, with a high rate of complications have a long post-operative care and are almost abandoned by most plastic surgeons; b) the lipofilling, i.e the use of autologous fat grafts, taken from the abdomen through a liposuction is nowadays the “gold standard”. So with one procedure we solve two problems at the same time, reducing the excess of graft from the abdomen and augmenting the buttocks where is needed. The ave. percentage of survival of adipocytes is around the 50% with new techniques. The surgical procedure is performed under local anesthesia and sedation as outpatient. The transient and mild pain can be managed through the usual pain killers. Post-operatively special socks are worn for two weeks only;

c) the use of Hyaluronic acid (Macrolane) gives high rates of satisfaction in surgeons and patients. It’s especially indicated in women with mild sagging buttocks. The injection takes 30 minutes under local anesthesia. The recovery from activities of daily living is 2-3 days and sun exposure is allowed after 7 days only. The only draw-back of these injections is Hyaluronic acid resorption, almost 50% in 1 year so new injections with time are mandatory.

For more complicated sagging buttocks the contemporary use of Macrolane to improve the volume, associated with special anchor sutures to lift the backside soft tissues gives real satisfactory and long lasting results. These procedures are performed under local anesthesia and sedation in 30 minutes.