What are the options for buttock augmentation: own fat or implants?

We can augment the buttocks with fat grafting (lipofilling/BBL), with implants or with a combined technique. In Dr. Fakin's practice the choice is based on your anatomy, fat reserves and the result you wish to achieve.

What measures do we take to make the procedure safe?

Safety is a priority. We use controlled techniques, graft fat in the right plane and perform thorough preoperative studies. In addition, we maintain close follow-up after surgery.

How does it affect sitting and sleeping after buttock augmentation?

During the first few weeks we recommend avoiding direct pressure on the buttocks. It is better to use cushions and sleep on your stomach or side according to the instructions given in the consultation room.

How long does the result last and how much fat does it “catch”?

It is normal for part of the fat to be reabsorbed. The fraction that integrates remains stable in the long term; weight and habits influence the result. In the case of implants, the volume is predictable and long lasting.

How do we decide on the volume and final shape?

We measure the proportions of the torso and hips, assess the quality of the skin and the availability of fat, and define realistic projection and contours. Our goal is a harmonious result with your silhouette.

Buttock Augmentation (BBL or Brazilian Butt Lift)
improved volume and shape

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Buttock augmentation
BBL (Brazilian Butt Lift)

Buttock augmentation
Buttock reshaping surgery to enhance volume, shape and projection

MADRID | ZURICH

Buttock augmentation is a procedure designed to enhance the volume, shape, and projection of the buttocks, always aiming to achieve a more harmonious and proportionate silhouette. Factors such as genetics, weight fluctuations, ageing, or hormonal changes can cause the buttocks to lose firmness, definition, or volume over time.

Beyond increasing size, this procedure can redefine the body contour and improve the balance between the waist, hips, and buttocks. For this reason, an individual assessment is essential in order to choose the most appropriate technique for each patient.

At our clinics in Madrid and Zurich, the procedure can be performed using fat transfer, buttock implants, or a combination of both techniques, depending on the patient’s anatomy and the desired result.

DURATION 1 - 3.5 hours
DISCHARGE FROM THE CLINIC Next day
RETURN TO WORK 7 days

DURATION 1 - 3.5 hours
DISCHARGE FROM THE CLINIC Next day
RETURN TO WORK 7 days

SOCIALLY PRESENTABLE 5 days
ANESTHESIA General
FULL RECOVERY 4-6 weeks

SOCIALLY PRESENTABLE 5 days
ANESTHESIA General
FULL RECOVERY 4-6 weeks

Indications

What buttock augmentation can improve

This surgery may be indicated when correction or improvement is sought in any of the following areas:

flat or underprojected buttocks
lack of volume in the buttock area
loss of firmness or definition
asymmetries between the two sides
changes after significant weight loss
disproportion between waist, hips and buttocks

In many cases, in addition to increasing volume, the procedure can improve overall body contouring, especially when combined with liposuction in areas such as the abdomen, flanks or thighs.

Techniques to augment and reshape the buttocks

There is no single technique that is valid for all patients. The choice depends on factors such as the amount of fat available, the initial shape of the buttocks, the quality of the tissues and the expected result.

Fat Transfer to the Buttocks or Brazilian Butt Lift

Fat transfer to the buttocks, also known as Brazilian Butt Lift (BBL), uses the patient's own fat to enhance the volume and shape of the buttocks.

The procedure is carried out in three phases:

removal of fat by liposuction, usually in the abdomen, flanks or thighs

processing and purification of the fat obtained

targeted fat injection in the buttocks area to improve shape, volume and projection

This technique can achieve a very natural result and, in addition, to reshape other areas of the body thanks to the previous liposuction.

Buttock implants

When the patient has little fat or is looking for a more pronounced projection, the placement of silicone buttock implants can be considered.

These implants are specifically designed for this anatomical area and are usually placed through discreet incisions in the intergluteal cleft so that the scar is barely visible.

Implants allow a more defined and stable augmentation, especially in patients with very flat buttocks or with little adipose tissue.

Combination of implants and own fat

In some cases, the best option is to combine both techniques. Implants provide volume and structure, while fat grafting allows for smoother contours and a more natural transition between buttocks and hips.

This combination can be especially useful when a more complete reshaping of the silhouette is sought.

Planning

Personalised planning of gluteal surgery

Planning is an essential part of the treatment. It is not only about increasing volume, but also about designing a balanced result adapted to each body.

During the consultation, aspects such as the following are assessed:

body proportions
natural shape of the buttocks
skin and subcutaneous tissue quality
availability of fat for lipotransfer
desired degree of projection
patient expectations

Based on this analysis, the most appropriate technique is defined to achieve a harmonious, natural result that is consistent with the anatomy of each person.

Considerations

What you should know before considering buttock augmentation

Although this surgery can significantly improve the silhouette, it is important to have realistic expectations.

The procedure:

is not a substitute for weight loss
does not modify the bony structure of the pelvis
does not guarantee a result identical to reference images.
may be affected by major weight changes in the future.

For this reason, the procedure is usually recommended when body weight is relatively stable and there is a clear indication.

Real case results
before and after buttock augmentation

Buttock augmentation:
Frequently Asked Questions

What is the best technique to increase the volume of the buttocks?

It depends on the patient's anatomy. Buttock lipotransfer is usually a good option when there is sufficient fat available and a natural result is desired. Buttock implants may be more appropriate when there is little body fat or a greater projection is desired.

How long do the results last?

In the case of implants, the volume remains stable over the long term. When buttock augmentation is performed with the patient's own fat, some of the infiltrated fat is reabsorbed during the first few months, while the fat that is well integrated remains permanently.

When is it possible to sit down normally again?

After a lipotransfer it is usually recommended to avoid direct pressure on the buttocks for several weeks. During this period, specific seat cushions can be used to reduce pressure on the treated area.

Does the surgery leave visible scars?

It depends on the technique used. In the case of implants, the incisions are usually placed in the intergluteal cleft so that they are inconspicuous. In fat transfer, liposuction incisions are small and inconspicuous.

How is the final volume decided?

The planning is not only based on increasing the size, but also on maintaining a good proportion between waist, hips and buttocks. The aim is to achieve a harmonious and natural aesthetic improvement.

Dr. Richard Fakin
Internationally recognised plastic surgeon

Dr. Richard Fakin is a Plastic, Reconstructive and Aesthetic Surgeon with extensive experience in gender-affirming procedures. He specialises in breast surgery, facial surgery and advanced body contouring procedures. His practice combines technical precision, aesthetic sensitivity and a deeply personalised approach to every procedure.

At his clinics in Madrid and Zurich, Dr. Fakin leads a highly professional and committed team of specialists who share the same philosophy: to provide medically rigorous care while maintaining a warm, compassionate approach. Each patient receives personalised support, from the first consultation through to postoperative follow-up.

As a boutique plastic surgery clinic, the approach is neither mass-market nor standardised. The team takes the necessary time to understand expectations, analyse the anatomy and design a surgical plan precisely adapted to each case. This structure allows for a high level of quality, confidentiality and attention to detail in every procedure.

Dr. Fakin employs refined surgical techniques that prioritize safety, natural-looking results, and optimized recovery. Meticulous planning and the use of advanced technology allow for harmonious results that reflect each individual's unique identity.

Beyond surgical technique, the commitment of Dr. Fakin and his team is reflected in transparent, honest and personalised care, where each patient is treated with dedication and professionalism at every stage of the process.