The ever-changing ideal buttocks shape tends to change from decade to decade. Pick up a magazine from the 1960’s and compare it to a magazine today and you will notice that the ideal shape of the buttocks has drastically changed over the past 50 years. The 1960’s showcased the tiny petite women with small buttocks rocking short miniskirts aiming to achieve the Twiggy look. The 1970’s changed to bell bottoms, curves, and fuller athletic butts to rival icon of the time, Farrah Fawcett. The 1980’s heralded in the era of the super fit, toned, and tight everywhere spandex will cover, thanks to the likes of stars like Jane Fonda. The 1990’s gave us a mix of slim and petite like Kate Moss all the way to fuller is better such as Cindy Crawford or Naomi Campbell. The 2000’s gave birth to full, round, and athletic butts ushered in by pop stars such as Britney Spears and Christina Aguilera.
What is the ideal shape now? With the likes of reality TV stars like the Kardashians and mega pop star like Jennifer Lopez women all over the country are requesting more and more when it comes to the size and shape of their buttocks. Is bigger always better? The answer is a resounding NO! Perhaps having a more shapely contoured buttocks should be your ideal cosmetic goal.
Are overfilled buttocks the new ideal image or is this a fad that will change in the next decade? Ultimately, the decision is yours when it comes to body modification. If you desire to alter the appearance of your derriere, there are currently two reasonable options including augmentation with fat transfer and butt implants. If you are considering changing the shape of your buttocks, I strongly encourage you to schedule a consultation with your board-certified plastic surgeon who is an expert in these area to discuss what options are best and safest to suit your desires.
Buttocks Enlargement with Fat Transfer
Fat transfer by far is the preferred method for butt enlargement and reshaping . To achieve the fat transfer liposuction is performed in areas of your body that have excess fat such as love handles, lower back, inner or outer thighs, or lower abdomen. Next, the fat is injected in different areas of the buttocks to achieve the desired shape. Recovery from fat transfer to your buttocks is a 2-fold process as you are recovering from the fat injections as well as the liposuction where the fat was harvested. You should plan to take it easy and avoid sitting or applying pressure on the buttocks for at least the first week and avoid sitting for extended periods of time for the second week. Gradual improvement will occur over the next 4 to 6 weeks.
The first couple of weeks, expect the treated areas to be sore and swollen. Roughly 50%-60% of the transferred fat will become established and will be permanent, and the other 40%-50% will be reabsorbed by the body. Understanding the fat reabsorption process is important as the buttocks will be very full right after fat transfer and will gradually decrease in size for roughly 2 to 6 months to its more permanent volume. A realistic expectation is to expect an average increase of 30-40% of overall buttocks size. In my aesthetic sense, it is not the size as much as the shape that will make your buttock more attractive and pleasing on you!!
Buttocks Enlargement with Implants
Buttock implants, as the name entails, involves implanting a prosthesis in the buttock area. Buttock implants which are like breast implants usually come in either a round or oval shape. The implant shape is chosen based on the desired results according to your anatomical configuration. The most common buttock implant is a harder silicone material that helps to minimize the risk of rupture or deflating from constant pressure applied from sitting or lying down.
Generally, the incision point of butt implants is made within the gluteal crease (the area between the buttocks) due to the ability of the shape of the butt to naturally hide as much scarring as possible. Typically, a 2 – 3-inch incision is made on either side of the crease. Then a pocket is made under the skin either in (intra-muscular), below (sub-muscular) or in between the fascia (fibrous connective tissue enclosing a muscle) and the gluteus muscle (subfascial). Finally, the implant is placed, and the incision is sutured closed. Recovery for butt implants is similar to fat transfer, and you should expect to not to sit for at least a week and not to sit for long periods of time for several weeks following. I prefer this only in patients with no fat to reshape their buttock as I don’t think it looks as natural as fat for buttock reshaping
Fat Transfer Versus Implants
Due to the nature of implants the risks associated are much higher than that of fat transfer. In general, I do not recommend implants and encourage patients to explore the possibilities of fat transfer before considering implants. Fat transfer, when done correctly, gives the buttocks a more natural-looking appearance and feel without the added risks associated with implants, such as implant shifting, drooping, rupture, firmness, scarring, or seroma. For your safety, I cannot stress the importance of discussing your options with a board-certified plastic surgeon who is a specialist in body contouring especially in buttock augmentation . Remember the 3 Es- Experience, Expertise and Exceptional Results! When considering plastic surgery, you need an experienced board-certified plastic surgeon who is an expert in the field who can show you proof of consistently exceptional results done in a safe manner.
Dr. Rod J. Rohrich is an internationally known and respected plastic and cosmetic surgeon operating in the Dallas, Texas area. He is board certified by the American Board of Plastic Surgery and has led or been on the boards of most of the key professional organizations in plastic surgery in the USA. He has received numerous honors and awards in plastic and cosmetic surgery, both nationally and internationally. In addition to his extensive surgical expertise and talent as a gifted surgeon, he is the Founding Chair and Distinguished Teaching Professor of Plastic Surgery at UT Southwestern Medical Center. He has authored hundreds of innovative academic publications in the field as well as serving as the editor of the leading plastic and reconstructive surgery journal — the Journal of Plastic and Reconstructive Surgery. Dr. Rohrich has also performed philanthropic work as a civic leader of organizations such as the March of Dimes, American Cancer Association and Save the Children and has established the Rod J. Rohrich, M.D. Foundation, which supports medical students in his native North Dakota. He is also a founding member and President of AiRS, the Alliance in Reconstructive Surgery, which serves to support education and treatment for Breast Cancer Survivors, regardless of financial status. Dr. Rohrich has been featured in a number of notable publications such as Texas Monthly and on television shows including Oprah, the View and Good Morning America and is currently working to provide a reliable source of public-centered information in the fields of plastic and cosmetic surgery as well as other areas of medicine.