Introduction If you already tried workouts and diet changes to make your butt bigger and shapelier but have not succeeded, you are not alone. Many women use non-invasive approaches like exercises, diet changes, medications, and other similar methods to get the buttocks of their dreams. However, these methods have not delivered visible improvements. Since the buttocks are among the most important aesthetic areas of the female body, smaller buttocks make patients experience lower self-esteem. So, you may ask if there is an effective method to augment your buttocks. Fortunately, plastic surgery can be used to augment the buttocks and enhance your femininity. Two plastic surgery options can be used to improve the buttocks: via implants and fat transfer. Butt implant surgery uses foreign objects such as gluteal implants to augment the booty, whereas fat transfer uses the excess fat available in your body to deliver you the desired outcomes. Many women wonder as to which of these options is best for them. In this article, I am going to help you pick an option that is most suitable for you. Buttock implant surgery To start with, let me explain to you as to when is buttock implant surgery suitable for you and what it involves. Butt augmentation with implants is a major plastic surgery procedure that is performed under general anesthesia. This procedure has been used to augment the booties of millions of women around the world. It has a history of effectively treating the aesthetic shortcomings and flaws in the buttocks, making them bigger and fuller. This procedure involves incisions on the buttocks and the placement of external devices called gluteal implants. The main focus of butt augmentation with implants is on making the buttocks large. What this means is that if your goal to get large buttocks, then butt implant surgery is the right option for you. However, keep in mind that while butt implant surgery can also make your buttocks mildly shapelier if performed correctly, it does not focus on the shape of the buttocks. Instead, the primary goal here is to increase the size of the buttocks and make them voluminous and voluptuous. Furthermore, this procedure does not deliver 100 percent natural-looking buttocks because it uses foreign objects. If a suitable implant size is used and the surgeon is highly experienced, then you can expect your buttocks to be natural-looking. But still, the buttocks will not be natural in real terms. Butt implant surgery is riskier than fat transfer, which means it is suitable for you only when the risks are more than the benefits and you are ready to take risks. On the other hand, butt implant surgery is the best option if you want to get permanently bigger buttocks. The results of butt implant surgery are long-lasting and permanent in most cases because these implants are permanent objects. Buttock implants are made of semi-solid silicone material that is immune to ruptures and leaks. Once you get butt implants, they are going to stay there for a lifetime. As such, the result achieved will also remain with you as long as the implants stay in your booty. However, specific, rare but severe problems like capsular contracture and infection of the implants may trigger the need for their removal. Buttock implants are available in many size options and in round and oval shapes. While you can decide to go with a certain size of the implant, never forget that selecting the wrong implant size can leave you dissatisfied with the results. What this means is that the patient must make a wise choice while choosing an implant size. The best way to select a suitable implant size is by working with the plastic surgeon and listening to his recommendations. The plastic surgeon will examine your buttocks and ask about your goals. He will also measure your butt dimensions and consider your body outline before telling you as to what implant size and shape is most suitable for you. Ideally, the goal is to achieve harmony between your butt size and other physical features like your body outline, BMI, etc. For example, if you are a petite or thin woman, the use of very large implants can make your booty look abnormal and unnatural. You should leave it up to the plastic surgeon to choose a suitable implant size for you. To sum it up, buttock implant surgery is the best option for you if you want to get considerably bigger and voluptuous buttocks and are ready to take more risks and experience more surgical trauma. Moreover, it is also suitable for you if you want to get permanent results and are also prepared to accept not entirely natural-looking buttocks. Furthermore, since butt implant surgery involves incision on the buttocks, you should be ready to accept scarring as the tradeoff for the aesthetic improvements that you will achieve with gluteal implant surgery. A board-certified plastic surgeon with experience in butt augmentation with implants will examine your derriere and then tell you if the use of butt implants is the best option for you. Make sure to listen carefully to what the surgeon tells you. The plastic surgeon is in the best position to help you make a good choice. Do not insist on getting butt implant surgery if the surgeon tells you that it is not the best option for you. Fat transfer to the buttocks The second option to augment the buttocks is through fat transfer. Fat transfer to the buttocks, which is also called the Brazilian butt lift, is also a popular and effective procedure that is the best option for patients with specific goals. Unlike butt augmentation with implants, fat transfer surgery uses the excess fat available in your body to enhance your booty. This procedure can be performed under general anesthesia or IV sedation with local anesthesia. Fat transfer is best for women who want to get shapelier buttocks, in addition to adding mild projection to the derriere. If you have this goal and have the required amount of excess fat available in your body, then you should go for this option. The primary purpose of fat transfer is to enhance the overall shape, outline, and anatomy of the buttocks. Adding some projection to the buttocks is a secondary goal of fat transfer. It will add a little projection to your backside but will make your buttocks look shapelier. What this means is that if you want to get large buttocks, then this option is not best for you. In such a case, you should undergo butt implant surgery. The most distinctive fact about butt augmentation with fat transfer is that it makes the booty look wholly natural, unlike butt implant surgery. The use of your body fat ensures that the results are entirely natural. The fat injected into the booty during the operation will look, feel, and behave just like the fat in other areas of the body, which is critical for the buttocks to appear natural. Another best thing about fat transfer surgery is that it is relatively safer than the buttock implant surgery. It is safe because no incision is made and no external objects are put into the buttocks. Also, it is less invasive and the risks are lower. The surgery involves tiny incisions on the fat donor sites like the abdomen, sides, and flanks and injecting of the fat into the buttocks with special needles. Moreover, you will not get any scars on your buttocks after the surgery. Also, there is no risk of capsular contracture and bleeding when you undergo fat transfer surgery. However, fat transfer surgery is not best for you if you want to get permanent results. The improvements achieved with this procedure will slowly fade as you age or undergo events like massive weight loss. Conclusion Many people get confused when they are told to decide between buttock implant surgery and fat transfer to the buttocks. In this article, I have explained the difference between the two procedures and under what conditions each option is best for you. Generally, fat transfer is recommended for patients who want to achieve mildly projected but shapelier backsides. Butt implant surgery is best for you if you want large buttocks with permanent results. However, only an experienced, board-certified plastic surgeon can tell you as to which of these options is best for you and will help you achieve your aesthetic goals safely. The doctor will examine your buttocks and analyze your goals before determining the most suitable option for you.