Introduction Buttock augmentation is an effective plastic surgery procedure that enhances the derriere by increasing the size of the butt. While most women undergo buttock augmentation surgery, some patients also require liposuction along with buttock augmentation. Liposuction is a body contouring procedure that enhances localized areas of the body by removing stubborn fat pockets. Depending on your goals and the aesthetic flaws in your body, the plastic surgeon may recommend you the combined procedure of butt augmentation and liposuction. The combo procedure is generally recommended for patients who have smaller buttocks and a poorly contoured body. The plastic surgeon will perform liposuction on the areas that need contouring. Depending on your aesthetic goals, he will then either inject fat into your buttocks or put implants into the derriere. When to combine butt augmentation with liposuction Not all patients can qualify for the combined procedure of butt augmentation and liposuction. There are certain signs that the plastic surgeon will look for before telling you if you need a combo procedure. Be sure to consult with a board-certified plastic surgeon with experience in the combo procedure. The surgeon will examine your buttocks and body areas like the abdomen, sides, flanks, love handles, and upper back, etc. He will also ask whether you want to get shapelier and mildly projected buttocks or large buttocks. If the surgeon detects stubborn fat pockets in your body, he may recommend liposuction along with butt augmentation. Stubborn fat pockets in localized regions affect the overall outline of the body. The condition makes the patient look aged and aesthetically unwelcoming. Many women desire to get rid of fat pockets and get a smooth, toned, and aesthetically welcoming body. The best thing about liposuction is that it effectively contours the body by removing excess fat from the target areas. Moreover, keep in mind that there are two types of buttock augmentation procedures via implants and fat transfer. Which of these options is best for you depends on your goals. If your goal is to get considerably bigger buttocks, the surgeon will recommend implants. On the other hand, if you want to undergo a less invasive procedure, add mild projection to the buttocks, and get natural results, then fat transfer surgery will be suitable for you. The good news is that both butt implant surgery and fat transfer to the buttocks can be combined with liposuction. Fat transfer is less invasive than butt implant surgery. It does not involve the use of external objects like butt implants. However, this procedure will not increase your buttock size considerably. How is the combo surgery performed? The combined surgery of buttock augmentation and liposuction is performed under general anesthesia. If you want to get buttock implants along with liposuction, then you have to decide on the size of the implant. Buttock implants are available in different size options. It is crucial to choose the most suitable implant size so that you can achieve your cosmetic goals. The plastic surgeon will help you choose the implant size during the pre-operative consultation. The combo of buttock augmentation and liposuction is an outpatient procedure. A board-certified anesthesiologist will administer the anesthesia, after which the plastic surgeon will start the operation. The surgical techniques depend on whether you are getting butt implants or fat transfer along with liposuction. – Combining butt implant surgery with liposuction The combo of butt implant surgery and liposuction will kickstart with the making of tiny incisions on the body areas that require contouring. The doctor will make incisions on the target areas and then use ultrasound-assisted liposuction or laser-assisted liposuction to liquefy the fat cells in the target area. He may also use the manual liposuction method to remove the fat and contour the area. Ultrasound-assisted liposuction uses ultrasound waves to melt the fat in the target area before removing it with a suction pump. On the other hand, laser-assisted liposuction uses laser rays to do the same. Many plastic surgeons also use the manual liposuction technique. The manual method is mostly used when fat transfer is combined with liposuction. If the manual method is being used, the plastic surgeon will insert a hollow tube called a cannula into the target area. He will then move the cannula back and forth, which will help release the fat cells from the surrounding tissues. Once the fat cells are dislodged, they will be removed with a suction pump or special syringe. The incisions are then sutured and closed. Once the target areas have been treated with liposuction, the plastic surgeon will start the buttock implant surgery. He will make an incision in the folded area between the butt cheeks and the insert the pre-selected gluteal implants through the incision. Once the implants are inside the buttocks, the surgeon will place them under or within the gluteal muscle. He will then suture and close the incisions, and the surgery will come to an end. – Combining liposuction with fat transfer to the buttocks Fat transfer to the buttocks is also a popular plastic surgery procedure and is also known as the Brazilian butt lift. Tens of thousands of women get this procedure each year to enhance their booties. The combo of liposuction and fat transfer to the buttocks can be performed under general anesthesia or IV sedation with local anesthesia. After the board-certified anesthesiologist administers the anesthesia, the plastic surgeon will begin the operation by performing manual liposuction on the areas that have developed stubborn fat pockets like the abdomen, sides, and flanks. Liposuction of these areas has two goals: to contour the areas and harvest fat for transfer to the buttocks. The plastic surgeon will make tiny incisions on the target areas and then insert the cannula into the region. He will then move the cannula back and forth, which will help dislodge the fat cells from the nearby tissue. During this process, a tumescent solution will also be used. The surgeon will then use a low-pressure suction pump or a special syringe to remove the fat from the target areas. Once all target areas have been treated, the surgeon will suture and close the incisions. After contouring the areas with liposuction and harvesting fat for butt augmentation, the plastic surgeon will go ahead with the purification of the collected fat. He will treat the fat in a centrifuge and remove the impurities and dead and damaged fat cells. Only the healthy and living fat cells will be retained for transfer to the buttocks. In the next step, the plastic surgeon will go ahead with injecting the fat into the buttocks. He will pick each fat cell with a special needle and then inject them carefully in the buttock areas that need contouring. This step is time-consuming and calls for attention to detail. The plastic surgeon will use his sense of aesthetics and artistry and surgical skills to shape the buttocks during this step properly. The surgery will come to an end once all the fat cells have been injected into the derriere. Recovery Whether you are going to combine butt implants or fat transfer with liposuction, recovery is going to take some time. The first two weeks following the procedure are vital for the achievement of the desired improvements. The patient is expected to avoid work and instead take sufficient rest during this time. Complete recovery takes six weeks in most cases. Results You must not expect to see the complete results of the combined surgery immediately after the procedure. The results will gradually transpire over time. As the buttocks heal and recuperate and the incisions heal, you will notice improvements in your body outline and buttocks. Complete results will emerge after many weeks and even months. Once the results come to the fore, you will see that your buttocks have become fuller and aesthetically welcoming and the localized areas of the body have become smooth and toned. Conclusion Combing butt augmentation with liposuction is a new and useful surgical approach to transform your appearance. This procedure is best for women who have developed excess, stubborn fat in different areas of the body and have smaller buttocks at the same time. After the combined procedure, your buttocks will become fuller, projected, and shapelier, and body areas like the abdomen and sides will be contoured. As a result of these improvements, your overall body outline, silhouette, and anatomy will get a boost. However, the key to achieving these improvements safely is to select a highly experienced, board-certified plastic surgeon.