Buttock augmentation procedures offered by plastic surgery are frequently performed nowadays on both female and male patients. The aesthetics of the buttocks is an important concern for men and women alike nowadays, and the structure of the buttocks rarely allows significant transformation with just physical exercises and diets. This means that in modern days most people resort to plastic surgery when they want to get a larger, rounder buttock in a short period of time. But then the question arises: are the results of buttock augmentation permanent? In this article, we will discuss the methods offered by plastic surgery for butt augmentation and how sustainable are their results in time. Buttock augmentation procedures Nowadays patients have two procedures to choose from when it comes to butt augmentation. The type of procedure to be performed is recommended by the plastic surgeon after the initial consultation and should take into consideration the anatomical characteristics of the patient and also his or her desires for after the procedure is performed. Each procedure has indications and contraindications, and it is important to be aware of them. The procedures that can be performed with the aim to enhance your behind are the butt implants surgery and fat transfer to the butts. The first procedure is often indicated for people who have little or no excess fat tissue in other areas of the body as this makes them not eligible for the fat transfer to the, buttocks procedure. More than this, the butt implants surgery is recommended for patients who want to achieve a more significant projection or a larger size of the buttocks in just one session. Keep in mind that the butt implants are inserted into the upper part of the buttocks, so if you need the lower part of the butts addressed too during the butt augmentation intervention, the plastic surgeon might even recommend a combination of the two procedures. 1. Butt implants surgery When the butt implants surgery is performed, the plastic surgeon will use silicone prosthesis to insert them in a pocket created inside the buttocks, often inside or under the gluteal muscles. The size and shapes of the butt implants differ and the patient will be recommended the suitable type of implant that will help him achieve his aesthetic goals. The intervention is performed with the patient under general anesthesia so that he will feel no pain or discomfort during the operative time. As we have mentioned before, the implants are inserted into the superior part of the buttocks. To do this, the plastic surgeon will make an incision in the fold in between the butt cheeks, on the upper part of the buttocks or under the buttocks. The benefit of the procedure is that is can significantly increase the size of the buttocks in just one session. More than this, the volume of the implants will stay the same throughout the patient’s life, and butt implants don’t need to be removed or replaced, not unless a complication occurs. The results of the butt augmentation with silicone implants are permanent in the sense that even if the patient’s anatomy changes with time, the size of the buttocks will stay more or less the same as the butt implants will have the same volume. No external or internal changes can have an impact on the size of the implants used during the butt augmentation. 2. Fat transfer to the buttocks Fat grafting is the second butt augmentation procedure that is also commonly performed nowadays. The main benefit of this intervention is that it allows a considerable remodeling of the patient’s body by combining liposuction with fat transfer. The patient will have the advantage of getting closer to an hourglass silhouette while enhancing the aspect of the body. When the fat transfer to the buttocks is performed, the plastic surgeon will collect fat from areas of the body that have an excess of adipose tissue. We call these areas the donor areas and often we are talking about the abdomen and the flanks. However, donor areas can also be the thighs, the back and even other less extensive areas, depending on the patient’s anatomical characteristics. The procedure starts with liposuction on the donor areas. After liposuction is performed, the fat goes through a complex purification process that should deliver only the healthiest of fat cells for the reinjection into the buttocks. The final stage of the procedure is the fat grafting to the buttocks that is done with the use of special syringes. The fat should be grafted in multiple layers and at different depths to ensure its survival. If the fat is harvested, processed and injected properly, the results of the fat transfer to the buttocks should be sustainable. The procedure should not require touch-ups or the second set of fat injections, not unless the patient desires a more considerable increase in the size of the buttocks. Keep in mind that the result of the Brazilian increase is highly dependent on the plastic surgeon’s experience. Surgeons who do not use the correct method of purification or injection will not achieve lasting results. Always choose a board-certified plastic surgeon who plays out this intervention routinely to perform your fat transfer to the buttocks if you want to make the most out of this procedure. The result of the butt augmentation with fat transfer is considered stabilized after six months. On average, the reabsorption of 30% of the volume injected is observed with the first two to three weeks after the procedure is performed. This is normal and natural and your plastic surgeon will take this into consideration and inject more fat than necessary. However, to sustain the results of the fat transfer to the buttocks, there is another factor that needs to be considered: weight fluctuations. The transferred fat behaves like a normal fat after it develops a blood network. Your butts will continue to gain or lose weight depending on your weight fluctuations. If your weight remains stable over time, the volume of the buttocks will not change considerably. So to sustain the results of the fat transfer to the buttocks, the patient needs to pay special attention to weight fluctuations. Aging and the results of butt augmentation procedures Aging and gravity are two factors that affect all of us. Many patients want to know how their buttocks will look in time after the butt augmentation procedure was performed. When it comes to the butt enhancement procedure with silicone implants, it is important to know that the butts will stay toned and firm for a longer period of time. Even if a certain level of sagginess of the skin on the buttocks might occur over decades, the buttocks will still feel firm and toned even decades after the procedure because the silicone implants give them this feel. When it comes to the fat transfer to the buttocks, aging, and gravity will affect the butts after the surgery like it would do if the patient didn’t have any plastic surgery procedure done. This means that the buttocks will be impacted in a natural way by the passing of time and gravity. In other words, the butts might become loose and saggy with time and not so toned as they were after the surgery was performed. When the two procedures are performed, the patient will enjoy the benefits of having nice looking buttocks for a longer period of time and also the tones aspect will be sustained until old age. Conclusion The butt augmentation options offered by plastic surgery are the fat grafting to the buttocks and silicone implants surgery. Each procedure has a certain indication and benefits, as well as contraindications and limitations. Before choosing one procedure or the other, it is important to know when the results will occur and how they will last in time. The results of the butt implants surgery are more durable in time and not so easily impacted when the body goes through certain changes due to external factors or the natural aging process. The results of the fat transfer to the buttocks procedure are more easily influenced by factors such as weight fluctuations. Because the fat grafted into the buttocks will start behaving like a natural part of the buttocks, it will be affected by aging like any other part of the body. This means that butts with fat transfer might become saggy and loose sooner than butts with implants inserted. The implants will keep their initial volume and will make the butts look toned even decades after the procedure was performed.