Introduction Nowadays the shape and volume of the buttocks represent a major beauty asset for the feminine silhouette because the image of the woman has evolved. Curvaceous and voluminous buttocks have been fashionable for quite some time now and are displayed abundantly in mass media. The buttock augmentation procedure has become one of the most frequently performed plastic surgery procedures on the body over the last few years, but not everybody knows that we have two methods available to increase the size of the buttocks, not just the gluteal implant surgery. The other method is butt lipofilling or fat transfer to the buttocks. It implies the use of the patient’s own fat cells to reshape the buttocks and give it more volume. But the butt lipofilling procedure provides more complex results and not only on the buttocks. The procedure can be used for a natural remodeling of the silhouette as we can extract fat from areas where it is in excess and transfer it to areas where it could use the volume, such as the buttocks. In this article, we will discuss about achieving a natural remodeling of the silhouette with butt lipofilling. Butt lipofilling: How is it done? In addition to gluteal implants, women can increase the volume of the buttocks with the technique called autologous fat transfer or lipofilling of the buttocks. This operation is one of the most modern techniques developed and used in plastic surgery. It provides completely natural results as the only substance used in the patient’s own fat tissue. Butt lipofilling allows for remodeling the buttocks but also the silhouette because lipofilling is used with liposuction in order to collect the needed amount of fat to inject into the buttocks. This procedure offers the opportunity for the patient to eliminate an excess of unsightly fat localized in areas such as the abdomen and flanks, thighs and the back. One or multiple areas of the body will be addressed with liposuction. This will be discussed with the plastic surgeon during the pre-operative consultation and depends on the quantity of fat that can be extracted from a certain area. If the plastic surgeon decides that enough fat can be harvested from just the abdominal area and the flanks, there will be no need to address another area, unless the patient requests this and it will come at an additional cost. An experienced plastic surgeon will choose the most suitable areas to be treated with liposuction to enhance the general appearance of the body considerably. In some cases, this might mean that the thighs and legs will be treated with liposuction while for some patients it can be the back. Once liposuction is performed, the fat removed is purified using a complex centrifugation process and then reinjected into the buttocks. After the procedure, the patient will enjoy having not only buttocks that are rounder and more voluminous but also an overall improved silhouette as the fat deposits are eliminated. To maximize the success of the operation and avoid complications, butt lipofilling should only be performed by a board-certified plastic surgeon trained in this technique, in a clinic that is accredited and with all the safety regulations in place. Candidacy for butt lipofilling Just like any other type of plastic surgery, butt lipofilling is not a procedure that can be performed on anyone. To be eligible, there are certain criteria to be met. Before anything else, we should mention that this targets only patients having a sufficient quantity of fat. A patient who is too thin can’t undergo this procedure. The fat can’t be transferred from another person, even if that person is a family member. Even the patient’s own fat, when transferred to the buttocks, will be reabsorbed in a certain percentage. If we inject the fat collected from another person, complications could occur and the fat will certainly not survive the transfer. Patients interested in undergoing this specific method for buttock augmentation purposes should also know that, unlike when using implants, we can only achieve a moderate increase in the size of the buttocks. Butt lipofilling can’t be considered a substitute for the butt implant surgery as the results achieved with the two procedures are very different. The gluteal implants offer a certain appearance of the buttocks with an impressive projection due to the implantation on the gluteal muscles in the upper part of the butt. Butt lipofilling is more used to reshape the buttocks and create a better contour while also increasing the volume. It is with the lipofilling of the buttocks that we can achieve beautiful curves and also a round, alluring shape of the buttocks as we can contour the whole area of the butt and not only the upper part like in the case of butt implants. The injection of fat in the buttocks targets an overall improvement of the silhouette, obtained both by an enhancement of the buttocks and beautiful curves rather than simply increasing the volume of the buttocks. Faced with the limitations of fat transfer, gluteal implant surgery is still commonly used to increase the size of the buttocks. Moreover, keep in mind that if you are not eligible for fat transfer or you don’t have enough fat to get visible results, your plastic surgeon might recommend having the procedures performed in combination: fat transfer together with butt implants. Your candidacy for butt lipofilling will be assessed during the pre-operative consultation before scheduling the procedure. The plastic surgeon will perform a medical examination on the tissues of the buttocks and also the other areas of the body to try to discover the donor areas for the transfer. If you have some fat deposits but not enough to be eligible for the transfer, the plastic surgeon might also advise you to put on some weight before undergoing the procedure. This is not uncommon for patients undergoing fat transfer procedures. Keep in mind that the fat will be eliminated as liposuction will be performed on the areas that present an excess of adipose tissue. It is also during the pre-operative consultation that your plastic surgeon will present to you the potential risks and complications and what and when to expect in terms of results. All these are important details, and you should make sure not only that you have all the answers to these questions before scheduling the procedure but also that you understand and can accept the consequences. If in the case of other plastic surgery procedures the scars can be a major turn-off, this is not the case when it comes to lipofilling as the scars are often no longer than a few millimeters. Keep in mind that the incisions will be performed both on the donor areas to allow the surgeon to introduce the liposuction cannula and the buttocks to inject the fat. Another thing that you should know before undergoing butt lipofilling is that it can take up to a few months to see the final results. Some of the fat injected into the buttocks will develop a new blood network that will ensure its survival within the first two months while a certain percentage (often around 30% of the fat) will be reabsorbed by the body during this time. This means that three months, your buttocks will actually be smaller than immediately after the procedure. Conclusion It is important for patients interested in butt augmentation to know that nowadays there is a procedure available that can considerably improve the aesthetics of the body, aside from providing a moderate augmentation of the buttocks. A natural remodeling of the silhouette can be performed with butt lipofilling as the procedure entails the use of liposuction to eliminate fat from areas where it is in excess and inject the fat into the buttocks to create a nicer shape and give them more volume. The procedure delivers impressive results in a vast majority of cases, but the requirement is to have it performed by an experienced plastic surgeon in an accredited medical facility as it entails risks and potential complications like any other surgical procedure. You should also know that the risks associated with fat transfer are minimal and a vast majority of patients have smooth and fast recovery processes without any complications.