Introduction If you have been searching for buttock augmentation, you may already have come across the two popular options for enhancing your booty: implants and fat transfer, also known as the Brazilian butt lift. Buttock augmentation with implants is best for you if you want to get large and voluptuous buttocks, whereas fat transfer is recommended for a patient who desires to have shapelier buttocks with mild projection and natural results. Many women wonder whether they can combine fat transfer with implants and when they should consider this combo procedure. The good news is that it is entirely possible to combine the two procedures; however, you need to have specific, genuine reasons to do so. Below, I will discuss as to when you may consider combining fat transfer with implants. When to combine fat transfer with implants Your first go-to resource to know whether you can combine fat transfer with implants is a board-certified plastic surgeon with experience in both procedures. However, both procedures can generally be combined to give you better results. The first reason when you should consider getting a combination of fat transfer and implants is when you desire to get natural looking results. – If you want to get natural-looking buttocks Keep in mind that the results of buttock implant surgery do not look entirely natural, especially when you get large implants. If your buttocks are flatter or smaller and you want to get natural-looking, considerably large and voluptuous buttocks, buttock implant surgery alone is not sufficient to deliver you natural outcomes. Since implants are artificial objects, your buttocks will not appear natural after the surgery. In such a case, you should consider getting a moderately-sized implant and have fat transfer done over the implants. Under this procedure, the plastic surgeon will first place the implants into the buttocks and then remove the excess fat from different areas of your body and then inject it over the implants. The fat pasted over the implants will help give your buttocks a natural appearance because the fat is not externally sourced but used from your body. – If you want to have your buttock frame contoured and curvaceous The second reason when to get the combo of fat transfer and implants is when you desire to contour other areas of your body as well, such as the flanks, abdomen, sides, thighs, upper back, etc. Keep in mind that these body areas frame your buttocks, and the appearance and prominence of the buttocks depend to a greater extent on how contoured and smooth these areas are. When these areas are contoured, your overall body outline will look curvaceous. During the surgery, the plastic surgeon will perform liposuction on these localized areas and remove the stubborn fat pockets. As a result, these areas will become contoured, smooth, and curvaceous. Furthermore, your waist will become smaller, which may give you the most desired female body type called the hourglass body. The fat extracted from the target areas is then processed and injected over the implants already inserted into your buttocks. – When you want to get a fat transfer but lack enough donor fat Many women want to get fat transfer to the buttocks; however, they lack enough excess fat in their bodies to qualify for the surgery. Fat transfer requires a sufficient amount of donor fat to deliver you the desired results. In case you don’t meet the necessary amount of fat but still want to get the fat transfer, then the plastic surgeon may recommend you to get a combo of fat transfer and implants. In such a case, the surgeon will advise a small gluteal implant. During the operation, the plastic surgeon will insert and place the smaller implant into your butt and then paste the fat over the implants so that your buttocks can appear projected, fuller, and shapelier. – If your buttocks are mildly saggy and you want to get firmer, bigger, and shapelier buttocks The goals of fat transfer and implants are different. Fat transfer adds mild projection and more shape to your backside, whereas implants make the buttocks bigger. However, the implants can also be used to treat mildly saggy buttocks. Now, if your buttocks are mildly saggy and you want to have bigger and firmer buttocks besides having shapelier and projected buttocks, then you should consider getting a combined surgery of fat transfer and implants. Keep in mind that fat transfer shapes the lateral buttocks and can even be used to sculpt and widen the hips. By using fat transfer, the plastic surgeon can make your buttocks rounder and carve the regions that lack projection even after the placement of the implants. Fat transfer offers the surgeon more control when it comes to delivering you the desired results. – If you want to get bigger buttocks, wider hips, and smaller waist Many women also get the combined surgery of implants and fat transfer so that they can achieve the hourglass shape. The hourglass body is the most revered female body shape. Its distinctive features include wider hips, smaller waist, and a curvaceous body outline. If you desire to have bigger and voluptuous buttocks along with the hourglass body, then you may be a good candidate for the combo of implants and fat transfer. During the operation, the plastic surgeon will first insert the suitable size of implants into the buttocks through incisions. In the next step, the surgeon will use liposuction to contour your waist. He will remove the excess fat from your abdomen, sides, flanks, etc. As a result, your waist will become smaller. The surgeon will then process the fat and inject it into your hips, which will help make your hips wider. How does the combined surgery work? The combined surgery of fat transfer and implants can introduce dramatic aesthetic improvements not only to your buttocks but also to your overall body definition and outline. A board-certified plastic surgeon can examine your body and know your goals before telling you whether you are a good candidate for the combined surgery. The surgery can deliver perfect outcomes only when you are a good candidate for the operation. The combined surgery is more complicated than when both procedures are performed separately. It involves more time and the use of more sophisticated surgical techniques and approaches, depending on the aesthetic goals that you want to achieve. For this reason, you must select your plastic surgeon carefully and make sure he is board-certified and has the sense of aesthetics of the female body and the artistry to deliver you the desired improvements. The combined surgery is performed under general anesthesia and on an outpatient basis. The plastic surgeon will then start the operation by making incisions on your buttocks. He will then insert the implants inside your buttocks through the incisions and then place them under or within the gluteal muscles. Keep in mind that implants come in various sizes. When combining fat transfer with implants, it is essential to use smaller or medium-sized implants instead of a large implant. After the implants are put in the desired places within the buttocks, the plastic surgeon will suture and close the incisions. In the next step, the surgeon will perform liposuction on the fat donor sites, particularly the flanks, abdomen, sides, thighs, and upper back. Liposuction of these areas will contour them and make your body look curvaceous and aesthetically appealing. The fat extracted from your body during liposuction is then processed and purified by spinning it at high speed in a centrifuge. The purified fat cells are then carefully injected into the buttocks with a special needle. This will add projection and shape to the buttocks. Keep in mind that the fat is injected over the implants. The best thing about doing this procedure is that the fat covers the implants and makes the buttocks look natural. On the other hand, if you want to get the hourglass body, the plastic surgeon will inject the fat into your hips as well so that your hips can become wider while liposuction makes your waist smaller. The hourglass body along with bigger buttocks will make you look more feminine, fertile, and sexy. Conclusion Implants are artificial objects that are placed into the buttocks through incisions so that the buttocks can become bigger. On the other hand, fat transfer uses your body fat to enhance your booty. Many women qualify for one of these options, but some can even get both procedures at the same time. In this article, I have explained as to when you should consider getting the combo of implants and fat transfer to the buttocks. I have also discussed the steps of the combo procedure and its benefits.