Introduction Improving certain features of the body with the help of plastic surgery is no longer taboo these days. People from different socioeconomic backgrounds resort to plastic surgery to enhance their appearance and get rid of different emotional complexes that can occur due to having visible physical imperfections. When it comes to improving the buttocks, there is no question about it: both men and women are fascinated and desire to have a bigger butt nowadays. Plastic surgery offers two different methods that can be used for butt augmentation, both of them safe for the patient and delivering spectacular results. At the same time, patients who desire a more considerable improvement in their body can also consider undergoing combined procedures. Nowadays we perform often butt and hip augmentation. After these combined procedures are performed, the patient can enjoy not only a better contoured and larger butt but also nice-looking curves that are achieved after adding more volume to the hips. In this article, we will discuss how the butt and hip augmentation procedure is done. Methods to augment the buttocks There are two methods available nowadays to increase the size of the buttocks. One of the methods uses external prostheses called gluteal implants while the other will use just the patient’s own fat tissue. Patients who want to get a larger butt and have unwanted fat deposits on other areas of the body can choose to undergo butt augmentation with fat. Butt augmentation is fat is also known as fat grafting to the buttocks and as the name suggests, the plastic surgeon will use fat collected from other areas of the body to add more volume to the buttocks. This procedure is very popular nowadays as it allows a complete remodeling of the body while also enhancing the rear end of the patient. Moreover, the procedure is preferred as it boasts completely natural results that are durable in time without the risks associated with using implants. Patients can easily sustain the results if they are able to maintain a constant weight and avoid weight fluctuations after the procedure. When using butt augmentation with fat, keep in mind that there is a maximum amount of fat that can be injected safely in one session. This means that it might take more than one session of buttock lipofilling if you want to achieve a more considerable augmentation. Butt augmentation with implants is another popular method nowadays as it can be performed even on patients who don’t have an excess of adipose tissue and the increase in the buttocks can be quite significant. This procedure is recommended for both men and women who want to get a more impressive projection of their rear end as the procedure entails the use of external prostheses of a certain volume that are inserted into a pocket in the gluteal muscles. The gluteal muscles are in the upper part of the buttocks, and this means that the projection of the buttocks can be significantly increased, but the lower part of the buttocks and the sides are unaffected when butt augmentation with implants is performed. In some cases, if the patient has not enough butt tissue to cover for the implants, the plastic surgeon might recommend combining the two methods for butt augmentation in one session. Whether performed with butt implants or fat transfer, butt augmentation procedures are safe and deliver impressive results in a vast majority of cases. Butt implants are durable and don’t need to be removed and replaced during the patient’s lifetime, not unless certain complications occur. Hip augmentation procedure The hip augmentation procedure is also known under the name of hourglass hip procedure, especially when performed with the aim of helping the patient achieve a curvaceous body shape. The hip augmentation procedure can only be performed with a fat transfer in the United States. While in other countries there are available hip implants, in the United States they don’t have the FDA approval. The results achieved with fat transfer to the hips are 100% natural, and the complications associated with the use of external prostheses are completely eliminated when the patient’s own fat cells are used. When hip augmentation is performed, the plastic surgeon will need to first perform liposuction on an area which presents an excess of fat. This area can be the abdomen or the flanks, and in case the hourglass hip procedure is performed, the plastic surgeon will try to increase the hip-to-waist ratio to create the beautiful hourglass silhouette. If there is no excess of fat on the abdomen or the flanks, other areas of the body can be targeted such as the back, thighs and so on. Even patients who don’t have a lot of excess fat are eligible for the procedure as the surgeon won’t need too much fat to perform the procedure. After the initial stage of liposuction on the donor area, the plastic surgeon will purify the fat to be able to reinject it into the hips. If all the stages of the procedure are performed correctly and if the patient will manage to commit to following the recommendations of the plastic surgeon for post-operative care, chances are the procedure will boost impressive results and the patient will enjoy a more curvaceous and voluptuous body shape after the final results transpire. Combining butt and hip augmentation It is not uncommon nowadays to address more areas of the body during one plastic surgery procedure, and when it comes to the buttocks and the hips, it seems natural to try to enhance their appearance in one sitting. Butt augmentation can be performed with implants or fat transfer and even using these combined methods, while the hip augmentation can be performed only with fat transfer. When the butt and hip augmentation procedures are combined in one session, the plastic surgeon will start with liposuction to collect the fat needed for the transfer. The amount of fat that is required is dependent upon the surgical plan to be followed and whether fat will be transferred only to the hips or also the buttocks. If fat transfer is performed, then a more significant amount of fat will be required. After the liposuction stage of the procedure is over, the plastic surgeon will turn to the tummy to address the buttock area and perform the augmentation. Afterwards, fat transfer to the hips will complete the procedure. After the incisions are sutured, compressive dressings will be applied on all the areas treated with the procedure and the patient will be moved to recovery where he will spend the next few hours until making a complete recovery from the effects of the general anesthesia that is often preferred for this procedure. The recovery period after the butt and hip augmentation is no longer than two weeks, and during this time the patient is advised not to sleep or rest on the buttocks and the hips to avoid the death of the fat cells transferred or the shifting of the implants. Conclusion Combining butt and hip augmentation is a popular choice for women with narrow hips and an underdeveloped butt who want to achieve a more feminine body shape and more volume to the buttocks. It is important to know that butt augmentation can be performed either with implants or with the patient’s own fat cells that are transferred from areas with an excess of adipose tissue after being first processed and purified. Whatever the technique used for butt augmentation, when it comes to adding more volume to the hips we have just one solution, and this is fat grafting. Considering the fact that it isn’t a considerable amount of fat that is needed for this grafting, most patients are eligible to undergo the procedure, even if they don’t have an excess of adipose tissue in their bodies. The plastic surgeon might advise you to put on some weight if this is the case. After the butt and hip augmentation is performed, the patient will enjoy having a butt that is more proportionate to the rest of the body and also beautiful curves in all the right places.