Buttock augmentation
BBL (Brazilian Butt Lift)

Buttock augmentation
BBL (Brazilian Butt Lift)

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

MADRID | ZURICH

He buttock augmentation is an intervention aimed at improving the volume, shape and projection of this area, always seeking a more harmonious and proportionate silhouette. Factors such as genetics, weight changes, ageing or hormonal variations can cause the buttocks to lose firmness, definition or volume over time.

Beyond the size, this procedure allows redefining body contours and improve the relationship between the waist, hips and buttocks. To do this, it is essential to carry out an individualised assessment and choose the most appropriate technique in each case.

In our clinics of Madrid and Zurich, surgery can be performed by gluteal lipotransfer, gluteal 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
  • BACK TO WORK 7 days
  • DURATION 1 - 3.5 hours
  • DISCHARGE FROM THE CLINIC Next day
  • BACK TO WORK 7 days
  • SUITABLE FOR SOCIETY 5 days
  • ANESTHESIA General
  • FULL RECOVERY 4-6 weeks
  • SUITABLE FOR SOCIETY 5 days
  • ANESTHESIA General
  • FULL RECOVERY 4-6 weeks

Instructions

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.

Buttock Lipotransfer or Brazilian Butt Lift

Butt Lipotransfer, 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

strategic infiltration in the buttocks area to improve shape, volume and projection

This technique allows you to 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, intervention 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

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. 

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. 

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.

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. 

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
international elite surgeon

Dr. Richard Fakin is Plastic, reconstructive and aesthetic surgeon with solid experience in gender affirmation procedures. He specializes in breast surgery, facial surgery, and advanced body procedures. His practice combines technical precision, aesthetic sensitivity, and a deeply personalized approach to each 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 offer rigorous medical care, but friendly in its human approach. Each patient receives individualized support, from the first consultation to post-operative follow-up.

As a boutique plastic surgery clinic, the approach is neither massive nor standardized. The team dedicates the necessary time to understand expectations, analyze anatomy, and design a surgical plan precisely tailored to each case. This structure allows for maintaining a high level of quality, confidentiality, and detail in every intervention.

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 the technique, Dr. Fakin and his team's commitment is reflected in transparent, honest, and personalized care, where Each patient is treated with dedication and professionalism in all phases of the process.

Our facilities

Madrid

  • C. de Velázquez, 109, 28006 Madrid, Spain
  • madrid@drrichardfakin.com
  • +34 679 85 86 39
  • C. de Velázquez, 109, 28006 Madrid, Spain
  • madrid@drrichardfakin.com
  • +34 679 85 86 39

Zurich

  • Giesshübelstrasse 45, 8045 Zurich
  • zurich@drrichardfakin.com
  • +41 78 206 44 88
  • Giesshübelstrasse 45, 8045 Zurich
  • zurich@drrichardfakin.com
  • +41 78 206 44 88

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