Introduction The shape and size of the buttocks plays a big part in defining your femininity and physical beauty. Aesthetic flaws in the butt create self-esteem issues for many women. One of the common problems that women suffer from is smaller and poorly shaped buttocks that lack projection. The ideal for women is to have fuller, projected, and shapelier derriere. If your buttocks are smaller and lack projection, you may consider getting lipofilling of the buttocks. Lipofilling of the buttocks is a widely used operation. As the name suggests, it involves liposuction and fat filling in the buttocks. The surgeon will remove the excess fat from different areas of your body and then transfer the fat to your buttocks. Lipofilling of the buttocks is also called Brazilian butt lift or fat transfer to the buttocks. How does the procedure work? Lipofilling of the buttocks effectively enhances the shape and projection of the buttocks, making them projected and shapelier. These aesthetic improvements make you look more feminine, sexy, and beautiful. Women with shapelier and projected buttocks look more sensuous, which is why many women with smaller buttocks get lipofilling. Over the years, the demand for lipofilling of the buttocks has witnessed a huge surge, thanks to the fuller and shapelier booty trend set by celebrities. Tens of thousands of patients undergo this procedure every year in the US alone. Many women who want to get this surgery are not aware as to how the procedure works. It is important for anyone considering lipofilling to do her research and get all the information about the procedure. You must know your candidacy for the surgery, how the procedure is performed, what results to expect, how the recovery will be, and what it takes for the surgery to introduce the aesthetic improvements to your body. To be a good candidate for lipofilling, you need to have surplus fat in different areas of your body that can be removed with liposuction and then injected into the buttocks. During the pre-operative consultation, the plastic surgeon will examine your buttocks and the fat donor sites, besides assessing your overall health. The surgeon will also take certain measurements and based on the findings, and he will tell you whether you are a good candidate for the procedure. Below are the three major steps involved in lipofilling of the buttocks: Fat extraction through liposuction Fat processing in a centrifuge Fat grafting into the buttocks Fat extraction The first step of the surgery involves removal of the excess fat from localized areas of your body. The surgeon will use liposuction to remove the surplus fat from different areas of your body. The common fat donor areas include the abdomen, love handles, sides, and upper back. The plastic surgeon will identify the fat donor sites during the consultation session. Liposuction involves tiny incisions on the fat donor sites. The surgeon will make the incision in one area at a time and remove the excess fat. After making the incision, the surgeon will enter a hollow tube called a cannula inside the area. The surgeon will then carefully give the cannula back and forth motion. In this process, a tumescent solution will also be injected into the area. The tumescent solution helps stop bleeding during the surgery and makes it easy to dislodge the fat from the tissue to which it is attached. The back and forth movement of the cannula also helps remove the fat cells from the surrounding areas. The plastic surgeon will then use a low-pressure suction pump or a special syringe to remove the fat from the target area. The incision is then sutured and closed. The same process is then performed on the other fat deposit areas until sufficient fat is gathered for transfer to the buttocks. Fat purification The second most important step in lipofilling is processing the fat removed from your body. The processing is done with the goal to purify the fat before transferring it to your buttocks. It is vital to make sure the fat collection is free of impurities and dead and damaged fat cells. The purification of the fat takes place in a centrifuge. The plastic surgeon will treat the fat at high speed in a centrifuge. Doing so will separate the living and healthy fat cells from the dead and damaged fat cells and fluids and blood. Only the healthy and living fat cells will be picked for transfer to your buttocks. Keep in mind that if the fat is not properly treated and purified, the surgery will fail to deliver effective and sustainable outcomes. Fat grafting The last step of the lipofilling involves transferring the purified fat to the buttocks. The plastic surgeon will carefully pick the fat cells and then inject them into the buttocks with a special needle. This step is crucial to the achievement of your aesthetic goals. To deliver the desired improvements, your plastic surgeon needs to be highly experienced in lipofilling and have a greater sense of aesthetics and complete understanding of the composition and ideals of the female buttocks. In case the surgeon is inexperienced and fails to inject the fat into the buttocks properly, the surgery will not deliver the desired aesthetic improvements. The fat cells have to be injected in specific areas of the buttocks with ultimate care. Be sure to choose a plastic surgeon who is board-certified and has extensive experience in performing lipofilling. If the fat cells are not properly injected into the buttocks, they will be damaged or die. As such, you will not achieve your aesthetic goals. After the surgery and the results After injecting the fat into your buttocks, your body will need to establish a blood supply to the fat cells so that they can cherish and grow. It can take 2-3 weeks for your body to vascularize the fat injected into your buttocks. Even though complete recovery after the surgery can take 5-6 weeks, you can resume work two weeks after the surgery. The first two weeks after the surgery are extremely important in the recovery process. During this time, you must be careful and avoid physically strenuous movements as the pressure can result in the death of the fat grafts. You must also avoid sleeping on your back and sitting for two weeks following the operation. Once your body starts blood supply to the fat grafts and the post-operative swelling disappears, you will start to see gradual improvement in the size and shape of your buttocks. You will notice that your buttocks are gaining projection and volume. These improvements will make your buttocks look shapelier. Complete results of the surgery will take months to transpire. The results of the fat transfer surgery slowly than butt implant surgery. The surgery will create swelling of the buttocks, which will slowly fade over the next few weeks and months. When the swelling subsides, you will start to notice the aesthetic improvements in your buttocks. To retain the results after the surgery, the patient must avoid massive weight loss. The fat injected into your buttocks will behave in the same way as the fat available in other areas of your body. What this means is that massive weight loss will shrink the buttocks, as it will trigger absorption and liquefaction of the fat. You must avoid massive weight loss after the lipofilling surgery. Undergoing lipofilling is a major decision that you can make. Be sure to make the decision yourself and do not go under the knife just to make someone happy. There are risks associated with the surgery, which is why you must think twice before deciding to get lipofilling. To be a good candidate for the procedure, you must be in good health. If you are suffering from any health issues, you must discuss it with the plastic surgeon during the consultation session. People with serious health issues will be exposed to more risks during and after the procedure. Also, your goals must be realistic and reasonable. Fat transfer can improve the projection and shape of your buttocks, but it will not make your buttocks large. If you want to get large buttocks, you should consider butt implant surgery instead of lipofilling. Conclusion Lipofilling is a type of butt augmentation surgery that is used to improve the shape and projection of the buttocks. The procedure involves the use of liposuction to remove the excess fat from your body and then a transfer of the fat to your buttocks. As a result, your buttock shape improves. In this article, I have explained how lipofilling of the buttocks works and what steps are involved. If you are interested in getting butt lipofilling, you should consult with a board-certified plastic surgeon experienced in this procedure.